DUAN Xin , YANG Yong , XIAO Guoqing , ZHANG Dagang , FU Weili , ZHANG Jun , LI Jian.
  • Department of Orthopaedics, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P.R.China.;
Knee joint; Joint dislocation; Multi ple l igament injuries; Arthroscopy; Repair and reconstruction
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【Abstract】 Objective To investigate the cl inical outcomes of the treatment of knee dislocation with multiple
l igaments injuries by anterior cruciate l igament (ACL) and posterior cruciate l igament (PCL) reconstruction under
arthroscopy and repair of the injured structures of the knee joint. Methods From July 2003 to August 2006, there were
24 patients with knee dislocation (19 males and 5 females), with the average age of 42 years (ranging from 20 years to 69
years), whose ACL and PCL were reconstructed under arthroscopy and whose collateral l igaments and other structures of the knee were repaired [8 with injuries of ACL, PCL, medial collateral l igament (MCL) and lateral collateral l igament (LCL); 12 with injuries of ACL, PCL and MCL; 4 with injuries of ACL, PCL and LCL]. There were 1 case with common peroneal nerve injury, 3 with medial meniscus injury and 7 with lateral meniscus injury. Every patient had single knee dislocation. The outcome was measured from the following aspects: range of the knee, compl ication, cl inical improvement and Lysholm scoring. Results Twenty-four patients were followed up for 11 months to 36 months, with the average time of 25 months.Eleven patients (45.8%) recovered to the normal sports level and 13 (54.2%) patients’ knee function improved significantly so that they could walk by themselves. Lachman test, anterior drawer test and posterior drawer test were negative in 24 patients. The side-to-side difference was less than 5 mm in 24 patients. There were 4 patients who had sl ight knee stiffness. One patient’ s feel ing and sports function of the general peroneal nerve improved to the normal level. Lysholm scale of the knee function was 41.8 ± 4.3 preoperatively and 87.0 ± 6.0 postoperatively (P  lt; 0.05). The movement ranges of the knee were (87.5 ± 12.5)° preoperatively and (125.0 ± 9.2)° postoperatively (P  lt; 0.05). Conclusion Reconstructing the ACL and PCL and repairing other structures of the knee is an effective method to treat dislocation of the knee.

Citation： DUAN Xin,YANG Yong,XIAO Guoqing,ZHANG Dagang,FU Weili,ZHANG Jun,LI Jian.. CLINICAL EFFECT OF ARTHROSCOPICALLY ASSISTED REPAIR AND RECONSTRUCTION FOR DISLOCATIONOF THE KNEE WITH MULTIPLE LIGAMENT INJURIES. Chinese Journal of Reparative and Reconstructive Surgery, 2008, 22(6): 673-675. doi: Copy