Skip to main content
Top
Published in: International Orthopaedics 10/2011

01-10-2011 | Original Paper

Evaluation of reconstructive surgery using artificial ligaments in 71 acute knee dislocations

Authors: Pierre Ranger, Alexandre Renaud, Philippe Phan, Philippe Dahan, Eros De Oliveira Jr, Josee Delisle

Published in: International Orthopaedics | Issue 10/2011

Login to get access

Abstract

This retrospective study assessed the results of 71 patients with knee dislocations who underwent acute combined repair and reconstruction using Ligament Advancement Reinforcement System (LARS) artificial ligaments between June 1996 and May 2008 with a follow-up between two and eight years. The outcome measures used were the Lysholm score, the International Knee Documentation Committee form (IKDC 2000), the Tegner activity level score, the Meyers ratings, Telos stress radiography, range of motion and clinical knee stability testing. When comparing high- versus low-energy dislocations and knee dislocation (KD) II/III versus KD IV injuries, a better Lysholm score for the knee dislocation (KD) II/III group was found compared with the KD IV group. The subjective and objective findings from our study are satisfactory and comparable with the results of other studies of knee dislocations. Our findings suggest that with a mean follow-up of 54 months, acute combined repair and reconstruction with LARS ligaments is a valid alternative for treating knee dislocations.
Literature
1.
go back to reference Taylor AR, Arden GP, Rainey HA (1972) Traumatic dislocation of the knee. A report of forty-three cases with special reference to conservative treatment. J Bone Joint Surg Br 54(1):96–102PubMed Taylor AR, Arden GP, Rainey HA (1972) Traumatic dislocation of the knee. A report of forty-three cases with special reference to conservative treatment. J Bone Joint Surg Br 54(1):96–102PubMed
2.
go back to reference Richter M, Bosch U, Wippermann B, Hofmann A, Krettek C (2002) Comparison of surgical repair or reconstruction of the cruciate ligaments versus nonsurgical treatment in patients with traumatic knee dislocations. Am J Sports Med 30(5):718–727PubMed Richter M, Bosch U, Wippermann B, Hofmann A, Krettek C (2002) Comparison of surgical repair or reconstruction of the cruciate ligaments versus nonsurgical treatment in patients with traumatic knee dislocations. Am J Sports Med 30(5):718–727PubMed
3.
go back to reference Wong CH, Tan JL, Chang HC, Khin LW, Low CO (2004) Knee dislocations-a retrospective study comparing operative versus closed immobilization treatment outcomes. Knee Surg Sports Traumatol Arthrosc 12(6):540–544. doi:10.1007/s00167-003-0490-4 PubMedCrossRef Wong CH, Tan JL, Chang HC, Khin LW, Low CO (2004) Knee dislocations-a retrospective study comparing operative versus closed immobilization treatment outcomes. Knee Surg Sports Traumatol Arthrosc 12(6):540–544. doi:10.​1007/​s00167-003-0490-4 PubMedCrossRef
6.
go back to reference Sisto DJ, Warren RF (1985) Complete knee dislocation. A follow-up study of operative treatment. Clin Orthop Relat Res (198):94-101 Sisto DJ, Warren RF (1985) Complete knee dislocation. A follow-up study of operative treatment. Clin Orthop Relat Res (198):94-101
8.
go back to reference Engebretsen L, Risberg MA, Robertson B, Ludvigsen TC, Johansen S (2009) Outcome after knee dislocations: A 2-9 years follow-up of 85 consecutive patients. Knee Surg Sports Traumatol Arthrosc 17(9):1013–1026. doi:10.1007/s00167-009-0869-y PubMedCrossRef Engebretsen L, Risberg MA, Robertson B, Ludvigsen TC, Johansen S (2009) Outcome after knee dislocations: A 2-9 years follow-up of 85 consecutive patients. Knee Surg Sports Traumatol Arthrosc 17(9):1013–1026. doi:10.​1007/​s00167-009-0869-y PubMedCrossRef
9.
go back to reference Fanelli GC, Edson CJ (2002) Arthroscopically assisted combined anterior and posterior cruciate ligament reconstruction in the multiple ligament injured knee: 2- to 10-year follow-up. Arthroscopy 18(7):703–714. doi:S0749806302000221 PubMedCrossRef Fanelli GC, Edson CJ (2002) Arthroscopically assisted combined anterior and posterior cruciate ligament reconstruction in the multiple ligament injured knee: 2- to 10-year follow-up. Arthroscopy 18(7):703–714. doi:S074980630200022​1 PubMedCrossRef
10.
go back to reference Harner CD, Waltrip RL, Bennett CH, Francis KA, Cole B, Irrgang JJ (2004) Surgical management of knee dislocations. J Bone Joint Surg Am 86-A (2):262-273 Harner CD, Waltrip RL, Bennett CH, Francis KA, Cole B, Irrgang JJ (2004) Surgical management of knee dislocations. J Bone Joint Surg Am 86-A (2):262-273
11.
go back to reference Ibrahim SA (1999) Primary repair of the cruciate and collateral ligaments after traumatic dislocation of the knee. J Bone Joint Surg Br 81(6):987–990PubMedCrossRef Ibrahim SA (1999) Primary repair of the cruciate and collateral ligaments after traumatic dislocation of the knee. J Bone Joint Surg Br 81(6):987–990PubMedCrossRef
13.
go back to reference Liow RY, McNicholas MJ, Keating JF, Nutton RW (2003) Ligament repair and reconstruction in traumatic dislocation of the knee. J Bone Joint Surg Br 85(6):845–851PubMed Liow RY, McNicholas MJ, Keating JF, Nutton RW (2003) Ligament repair and reconstruction in traumatic dislocation of the knee. J Bone Joint Surg Br 85(6):845–851PubMed
14.
go back to reference Ohkoshi Y, Nagasaki S, Shibata N, Yamamoto K, Hashimoto T, Yamane S (2002) Two-stage reconstruction with autografts for knee dislocations. Clin Orthop Relat Res (398):169-175 Ohkoshi Y, Nagasaki S, Shibata N, Yamamoto K, Hashimoto T, Yamane S (2002) Two-stage reconstruction with autografts for knee dislocations. Clin Orthop Relat Res (398):169-175
15.
go back to reference Shapiro MS, Freedman EL (1995) Allograft reconstruction of the anterior and posterior cruciate ligaments after traumatic knee dislocation. Am J Sports Med 23(5):580–587PubMedCrossRef Shapiro MS, Freedman EL (1995) Allograft reconstruction of the anterior and posterior cruciate ligaments after traumatic knee dislocation. Am J Sports Med 23(5):580–587PubMedCrossRef
17.
go back to reference Tzurbakis M, Diamantopoulos A, Xenakis T, Georgoulis A (2006) Surgical treatment of multiple knee ligament injuries in 44 patients: 2-8 years follow-up results. Knee Surg Sports Traumatol Arthrosc 14(8):739–749. doi:10.1007/s00167-006-0039-4 PubMedCrossRef Tzurbakis M, Diamantopoulos A, Xenakis T, Georgoulis A (2006) Surgical treatment of multiple knee ligament injuries in 44 patients: 2-8 years follow-up results. Knee Surg Sports Traumatol Arthrosc 14(8):739–749. doi:10.​1007/​s00167-006-0039-4 PubMedCrossRef
18.
go back to reference Yeh WL, Tu YK, Su JY, Hsu RW (1999) Knee dislocation: Treatment of high-velocity knee dislocation. J Trauma 46(4):693–701PubMedCrossRef Yeh WL, Tu YK, Su JY, Hsu RW (1999) Knee dislocation: Treatment of high-velocity knee dislocation. J Trauma 46(4):693–701PubMedCrossRef
19.
go back to reference Mascarenhas R, Macdonald PB (2008) Anterior cruciate ligament reconstruction: A look at prosthetics - past, present and possible future. Mcgill J Med 11(1):29–37PubMed Mascarenhas R, Macdonald PB (2008) Anterior cruciate ligament reconstruction: A look at prosthetics - past, present and possible future. Mcgill J Med 11(1):29–37PubMed
21.
go back to reference Nau T, Lavoie P, Duval N (2002) A new generation of artificial ligaments in reconstruction of the anterior cruciate ligament. Two-year follow-up of a randomised trial. J Bone Joint Surg Br 84:356–360PubMedCrossRef Nau T, Lavoie P, Duval N (2002) A new generation of artificial ligaments in reconstruction of the anterior cruciate ligament. Two-year follow-up of a randomised trial. J Bone Joint Surg Br 84:356–360PubMedCrossRef
23.
go back to reference Li B, Wen Y, Wu H, Qian Q, Wu Y, Lin X (2009) Arthroscopic single-bundle posterior cruciate ligament reconstruction: Retrospective review of hamstring tendon graft versus lars artificial ligament. Int Orthop 33(4):991–996. doi:10.1007/s00264-008-0628-6 PubMedCrossRef Li B, Wen Y, Wu H, Qian Q, Wu Y, Lin X (2009) Arthroscopic single-bundle posterior cruciate ligament reconstruction: Retrospective review of hamstring tendon graft versus lars artificial ligament. Int Orthop 33(4):991–996. doi:10.​1007/​s00264-008-0628-6 PubMedCrossRef
24.
go back to reference Xu Y, Dong Q, Zhou H, Shen G, Wang X, Zhou Z, Zheng Z (2008) [a clinical report on arthroscopic reconstruction of posterior cruciate ligament using ligament advanced reinforcement system]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 22 (10):1184-1188 Xu Y, Dong Q, Zhou H, Shen G, Wang X, Zhou Z, Zheng Z (2008) [a clinical report on arthroscopic reconstruction of posterior cruciate ligament using ligament advanced reinforcement system]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 22 (10):1184-1188
25.
go back to reference Talbot M, Berry G, Fernandes J, Ranger P (2004) Knee dislocations: Experience at the hopital du sacre-coeur de montreal. Can J Surg 47(1):20–24PubMed Talbot M, Berry G, Fernandes J, Ranger P (2004) Knee dislocations: Experience at the hopital du sacre-coeur de montreal. Can J Surg 47(1):20–24PubMed
26.
go back to reference Schenck RC Jr (1994) The dislocated knee. Instr Course Lect 43:127–136PubMed Schenck RC Jr (1994) The dislocated knee. Instr Course Lect 43:127–136PubMed
27.
go back to reference Hewett TE, Noyes FR, Lee MD (1997) Diagnosis of complete and partial posterior cruciate ligament ruptures. Stress radiography compared with kt-1000 arthrometer and posterior drawer testing. Am J Sports Med 25(5):648–655PubMedCrossRef Hewett TE, Noyes FR, Lee MD (1997) Diagnosis of complete and partial posterior cruciate ligament ruptures. Stress radiography compared with kt-1000 arthrometer and posterior drawer testing. Am J Sports Med 25(5):648–655PubMedCrossRef
28.
Metadata
Title
Evaluation of reconstructive surgery using artificial ligaments in 71 acute knee dislocations
Authors
Pierre Ranger
Alexandre Renaud
Philippe Phan
Philippe Dahan
Eros De Oliveira Jr
Josee Delisle
Publication date
01-10-2011
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 10/2011
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-010-1154-x

Other articles of this Issue 10/2011

International Orthopaedics 10/2011 Go to the issue