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Delayed multiligame...
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Zsidai, Balint,1993Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics
(författare)
Delayed multiligament PCL reconstruction is associated with a higher prevalence of intraarticular injury and may influence treatment
- Artikel/kapitelEngelska2023
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LIBRIS-ID:oai:gup.ub.gu.se/327462
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https://gup.ub.gu.se/publication/327462URI
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https://doi.org/10.1186/s12891-023-06638-wDOI
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BackgroundThe aim of this study was to investigate differences in concomitant injury patterns and their treatment in patients undergoing early (<= 12 weeks) and delayed (> 12 weeks) primary multiligament posterior cruciate ligament (PCL) reconstruction (PCL-R).MethodsThis study was a retrospective chart review of patients undergoing primary multiligament PCL-R at a single institution between 2008 and 2020. Multiligament PCL-R was defined as PCL-R and concurrent surgical treatment of one or more additional knee ligament(s). Exclusion criteria included isolated PCL-R, PCL repair, and missing data for any variable. Patients were dichotomized into early (<= 12 weeks) and delayed (> 12 weeks) PCL-R groups based on the time elapsed between injury and surgery. Between-group comparison of variables were conducted with the Chi-square, Fisher's exact, and independent samples t-tests.ResultsA total of 148 patients were eligible for analysis, with 57 (38.5%) patients in the early and 91 (61.1%) patients in the delayed multiligament PCL-R groups. Concomitant LCL/PLC reconstruction (LCL-R/PLC-R) was performed in 55 (60%) of delayed multiligament PCL-Rs and 23 (40%) of early PCL-Rs (p = 0.02). Despite similar rates of meniscus injury, concomitant meniscus surgery was significantly more prevalent in the early (n = 25, 44%) versus delayed (n = 19, 21%) multiligament PCL-R group (p = 0.003), with a significantly greater proportion of medial meniscus surgeries performed in the early (n = 16, 28%) compared to delayed (n = 13, 14%) PCL-R group (p = 0.04). The prevalence of knee cartilage injury was significantly different between the early (n = 12, 24%) and delayed (n = 41, 46%) multiligament PCL-R groups (p = 0.01), with more frequent involvement of the lateral (n = 17, 19% vs. n = 3, 5%, respectively; p = 0.04) and medial (n = 31, 34% vs. n = 6, 11%, respectively; p = 0.005) femoral condyles in the delayed compared to the early PCL-R group.ConclusionsGiven higher rates of chondral pathology and medial meniscus surgery seen in delayed multiligament PCL-R, early management of PCL-based multiligament knee injury is recommended to restore knee stability and potentially prevent the development of further intraarticular injury.
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Engler, I. D.
(författare)
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Narup, Eric,1996Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics(Swepub:gu)xnarer
(författare)
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Lin, R. T.
(författare)
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Nazzal, E. M.
(författare)
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Winkler, P. W.
(författare)
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Samuelsson, Kristian,1977Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics(Swepub:gu)xsakri
(författare)
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Irrgang, J. J.
(författare)
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Musahl, VolkerGothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics
(författare)
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Göteborgs universitetInstitutionen för kliniska vetenskaper, Avdelningen för ortopedi
(creator_code:org_t)
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Ingår i:Bmc Musculoskeletal Disorders24:1
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Zsidai, Balint, ...
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Engler, I. D.
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Narup, Eric, 199 ...
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Lin, R. T.
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Nazzal, E. M.
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Winkler, P. W.
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Samuelsson, Kris ...
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Irrgang, J. J.
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Musahl, Volker
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