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[A modified Laprade technique in treatment of lateral multi-ligament injuries of knee].

Abstract

Objective

To evaluate the short-term effectiveness of a modified Laprade technique in the treatment of lateral multi-ligament injuries of knee by anatomical reconstruction of posterolateral complex (PLC) and anterior lateral ligament (ALL).

Methods

Between June 2013 and July 2015, 13 cases of lateral multi-ligament injuries of knee were treated. There were 9 males and 4 females with an average age of 38 years (range, 23-49 years). The injury was caused by traffic accident in 7 cases, falling from height in 4 cases, and sport injury in 2 cases. The time between injury and operation was 18-92 days (mean, 43 days). The results of anterior and posterior drawer tests and Lachmann test were positive, and all cases complicated by varus and external rotation instability. The Lysholm score of the knee was 38.4±7.7. According to International Knee Documentation Committee (IKDC) scoring, all were rated as grade D. According to Fanelli classification criteria, all were classified as type C. Anterior cruciate ligament, posterior cruciate ligament, PLC, and ALL were reconstructed simultaneously with autogenous tendon.

Results

All incisions healed at stage I and no complication occurred. All patients were followed up 12-36 months (mean, 19 months). At last follow-up, the results of anterior and posterior drawer tests and Lachmann test were negative; 2 cases had varus instability, and 1 cases had external rotation instability. There was no anterior external rotation instability. The Lysholm score of the knee was 88.6 ±12.7, showing significant difference when compared with preoperative score (t=13.852, P=0.000). According to IKDC scoring, 8 cases were rated as grade A, 4 as grade B, and 1 as grade C; significant difference was found when compared with preoperative value (Z=3.182, P=0.000).

Conclusion

In the treatment of lateral multi-ligament injuries knee, anatomical reconstruction of PLC and ALL with a modified Laprade technique can obtain good short-term effectiveness.

Authors+Show Affiliations

No.2 Department of Knee Injury, Luoyang Orthopedic-Traumatological Hospital, Henan Orthopedic Hospital, Luoyang Henan, 471000, P.R.China.No.2 Department of Knee Injury, Luoyang Orthopedic-Traumatological Hospital, Henan Orthopedic Hospital, Luoyang Henan, 471000, P.R.China.No.2 Department of Knee Injury, Luoyang Orthopedic-Traumatological Hospital, Henan Orthopedic Hospital, Luoyang Henan, 471000, P.R.China.yml0708@sina.com.

Pub Type(s)

Journal Article

Language

chi

PubMed ID

29806426

Citation

Quan, Songtao, et al. "[A Modified Laprade Technique in Treatment of Lateral Multi-ligament Injuries of Knee]." Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi = Zhongguo Xiufu Chongjian Waike Zazhi = Chinese Journal of Reparative and Reconstructive Surgery, vol. 31, no. 8, 2017, pp. 922-925.
Quan S, Cai L, Yang M. [A modified Laprade technique in treatment of lateral multi-ligament injuries of knee]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2017;31(8):922-925.
Quan, S., Cai, L., & Yang, M. (2017). [A modified Laprade technique in treatment of lateral multi-ligament injuries of knee]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi = Zhongguo Xiufu Chongjian Waike Zazhi = Chinese Journal of Reparative and Reconstructive Surgery, 31(8), pp. 922-925. doi:10.7507/1002-1892.201702026.
Quan S, Cai L, Yang M. [A Modified Laprade Technique in Treatment of Lateral Multi-ligament Injuries of Knee]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2017 08 15;31(8):922-925. PubMed PMID: 29806426.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [A modified Laprade technique in treatment of lateral multi-ligament injuries of knee]. AU - Quan,Songtao, AU - Cai,Litao, AU - Yang,Minglu, PY - 2018/5/29/entrez PY - 2018/5/29/pubmed PY - 2018/7/24/medline KW - Knee joint KW - anatomical reconstruction KW - ligament injury KW - modified Laprade technique SP - 922 EP - 925 JF - Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery JO - Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi VL - 31 IS - 8 N2 - Objective: To evaluate the short-term effectiveness of a modified Laprade technique in the treatment of lateral multi-ligament injuries of knee by anatomical reconstruction of posterolateral complex (PLC) and anterior lateral ligament (ALL). Methods: Between June 2013 and July 2015, 13 cases of lateral multi-ligament injuries of knee were treated. There were 9 males and 4 females with an average age of 38 years (range, 23-49 years). The injury was caused by traffic accident in 7 cases, falling from height in 4 cases, and sport injury in 2 cases. The time between injury and operation was 18-92 days (mean, 43 days). The results of anterior and posterior drawer tests and Lachmann test were positive, and all cases complicated by varus and external rotation instability. The Lysholm score of the knee was 38.4±7.7. According to International Knee Documentation Committee (IKDC) scoring, all were rated as grade D. According to Fanelli classification criteria, all were classified as type C. Anterior cruciate ligament, posterior cruciate ligament, PLC, and ALL were reconstructed simultaneously with autogenous tendon. Results: All incisions healed at stage I and no complication occurred. All patients were followed up 12-36 months (mean, 19 months). At last follow-up, the results of anterior and posterior drawer tests and Lachmann test were negative; 2 cases had varus instability, and 1 cases had external rotation instability. There was no anterior external rotation instability. The Lysholm score of the knee was 88.6 ±12.7, showing significant difference when compared with preoperative score (t=13.852, P=0.000). According to IKDC scoring, 8 cases were rated as grade A, 4 as grade B, and 1 as grade C; significant difference was found when compared with preoperative value (Z=3.182, P=0.000). Conclusion: In the treatment of lateral multi-ligament injuries knee, anatomical reconstruction of PLC and ALL with a modified Laprade technique can obtain good short-term effectiveness. SN - 1002-1892 UR - https://www.unboundmedicine.com/medline/citation/29806426/[A_modified_Laprade_technique_in_treatment_of_lateral_multi_ligament_injuries_of_knee]_ DB - PRIME DP - Unbound Medicine ER -