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Timing of Surgery and Rehabilitation to Optimize Outcome for Patients with Multiple Ligament Knee Injuries: A Multicenter Clinical Trial

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Technical Report,28 Sep 2015,27 Sep 2016

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University of Pittsburgh Pittsburgh United States

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Multiple ligament knee injuries MLKIs are complex injuries that represent a spectrum of injury ranging from disruption of two ligaments one cruciate ligament and one collateral ligament to all four ligaments both cruciates and both collateral ligaments. Multiple ligament knee injuries are frequently associated with concomitant injuries to nerves, vessels, tendons, cartilage and menisci. Non-operative management of MLKIs results in poor outcomes however there is no consensus on the optimal surgical approach for MLKIs. Level III evidence suggests that in comparison to delayed surgery, early surgical management of MLKIs leads to better clinical outcomes, but is associated with a higher risk of loss of motion and joint contracture. Suboptimal outcomes for treatment of MLKIs include persistent pain, stiffness, residual instability and laxity, loss of motion and limited ability to perform demanding activities associated with military training, heavy physical labor and sports.

Subject Categories:

  • Medicine and Medical Research
  • Anatomy and Physiology

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