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Short-Term Outcome of Multi-Ligament Knee Injury among Sudanese Patients.

Abstract

BACKGROUND

Multi-ligament knee injury is the state of having two or more of the major knee ligaments, namely: the anterior cruciate ligament (ACL), the posterior cruciate ligament (PCL), the medial collateral ligament (MCL), the lateral collateral ligament (LCL), the posteromedial corner (PMC), and the posterolateral corner (PLC). The knee is a hinge joint; this dictates two direction movements on the y-axis plane. The knee joints carry the weight load of the body uniquely. The role of the knee ligaments is not conserved only to maintain knee in a rigid position while standing, but also orchestrates the biomechanics of knee motion in harmony. Multi-ligament knee injury is very rare (incidence < 10:10,000 of trauma cases). Patients with multiple ligaments injuries of the knee become disabled for a long period. This disability rises from the pain and stiffness of the knee joint. A disability that might be associated with increased frequencies of sick leave from work, or much more dire consequences, such as quitting a job or being relieved of duty.

AIM

To assess the functional outcome of the knee of patients with a multi-ligament knee injury after treatment using a standard scoring system and to determine the recovery rates of each treatment option to a multi-ligament knee injury.

METHODS

it is a cross-sectional study conducted from January 2018 to January 2019. All patients with multi-ligament knee injuries that were diagnosed by MRI, and underwent reconstruction surgeries or on the waiting list, at Ribat University Hospital and Alyaa Specialized Hospital, Alkuwiti specialised hospital, and Haj Alsafi Hospital for the past 2 years were included. Lyshlome knee scoring scale was used to assess the functional outcome of each patient.

RESULTS

24 patients were enrolled in this study (16 had reconstruction surgery, 8 did not). 3 had excellent outcome (LKSS = 95 - 100), 8 of them had good score (LKSS = 84-94), 5 had fair outcome (LKSS = 65-83). All those who did not have reconstruction had a poor score (LKSS < 64).

CONCLUSION

Reconstruction of multi-ligament knee injury shows a good outcome than it was left alone. Post-operative physiotherapy increases the potential of reconstruction. While our data is limited because of the rare condition, we plan to expand our study area to include a larger sample size. We also recommend extending the post-operative physiotherapy to improve the outcome of a multi-ligament knee injury.

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  • Authors+Show Affiliations

    ,

    University of Khartoum, Khartoum, Sudan.

    National Ribat University, Khartoum, Sudan.

    Source

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    31198460

    Citation

    Ali, Amin Ahmed, and Mohamed Babiker Abdelwahab. "Short-Term Outcome of Multi-Ligament Knee Injury Among Sudanese Patients." Open Access Macedonian Journal of Medical Sciences, vol. 7, no. 9, 2019, pp. 1486-1493.
    Ali AA, Abdelwahab MB. Short-Term Outcome of Multi-Ligament Knee Injury among Sudanese Patients. Open Access Maced J Med Sci. 2019;7(9):1486-1493.
    Ali, A. A., & Abdelwahab, M. B. (2019). Short-Term Outcome of Multi-Ligament Knee Injury among Sudanese Patients. Open Access Macedonian Journal of Medical Sciences, 7(9), pp. 1486-1493. doi:10.3889/oamjms.2019.282.
    Ali AA, Abdelwahab MB. Short-Term Outcome of Multi-Ligament Knee Injury Among Sudanese Patients. Open Access Maced J Med Sci. 2019 May 15;7(9):1486-1493. PubMed PMID: 31198460.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Short-Term Outcome of Multi-Ligament Knee Injury among Sudanese Patients. AU - Ali,Amin Ahmed, AU - Abdelwahab,Mohamed Babiker, Y1 - 2019/05/15/ PY - 2019/02/28/received PY - 2019/05/05/revised PY - 2019/05/06/accepted PY - 2019/6/15/entrez PY - 2019/6/15/pubmed PY - 2019/6/15/medline KW - ACL KW - LCL KW - MCL KW - Multiligament knee injury KW - PCL KW - Sports medicine KW - Sudanese knee reconstruction outcome SP - 1486 EP - 1493 JF - Open access Macedonian journal of medical sciences JO - Open Access Maced J Med Sci VL - 7 IS - 9 N2 - BACKGROUND: Multi-ligament knee injury is the state of having two or more of the major knee ligaments, namely: the anterior cruciate ligament (ACL), the posterior cruciate ligament (PCL), the medial collateral ligament (MCL), the lateral collateral ligament (LCL), the posteromedial corner (PMC), and the posterolateral corner (PLC). The knee is a hinge joint; this dictates two direction movements on the y-axis plane. The knee joints carry the weight load of the body uniquely. The role of the knee ligaments is not conserved only to maintain knee in a rigid position while standing, but also orchestrates the biomechanics of knee motion in harmony. Multi-ligament knee injury is very rare (incidence < 10:10,000 of trauma cases). Patients with multiple ligaments injuries of the knee become disabled for a long period. This disability rises from the pain and stiffness of the knee joint. A disability that might be associated with increased frequencies of sick leave from work, or much more dire consequences, such as quitting a job or being relieved of duty. AIM: To assess the functional outcome of the knee of patients with a multi-ligament knee injury after treatment using a standard scoring system and to determine the recovery rates of each treatment option to a multi-ligament knee injury. METHODS: it is a cross-sectional study conducted from January 2018 to January 2019. All patients with multi-ligament knee injuries that were diagnosed by MRI, and underwent reconstruction surgeries or on the waiting list, at Ribat University Hospital and Alyaa Specialized Hospital, Alkuwiti specialised hospital, and Haj Alsafi Hospital for the past 2 years were included. Lyshlome knee scoring scale was used to assess the functional outcome of each patient. RESULTS: 24 patients were enrolled in this study (16 had reconstruction surgery, 8 did not). 3 had excellent outcome (LKSS = 95 - 100), 8 of them had good score (LKSS = 84-94), 5 had fair outcome (LKSS = 65-83). All those who did not have reconstruction had a poor score (LKSS < 64). CONCLUSION: Reconstruction of multi-ligament knee injury shows a good outcome than it was left alone. Post-operative physiotherapy increases the potential of reconstruction. While our data is limited because of the rare condition, we plan to expand our study area to include a larger sample size. We also recommend extending the post-operative physiotherapy to improve the outcome of a multi-ligament knee injury. SN - 1857-9655 UR - https://www.unboundmedicine.com/medline/citation/31198460/Short-Term_Outcome_of_Multi-Ligament_Knee_Injury_among_Sudanese_Patients L2 - https://dx.doi.org/10.3889/oamjms.2019.282 DB - PRIME DP - Unbound Medicine ER -