Orthopedics. 2024 Jul-Aug;47(4):238-243. doi: 10.3928/01477447-20240424-02. Epub 2024 May 1.
Multiligament knee injury (MLKI) is a severe subclass of orthopedic injury and can result in significant functional impairment. Novel MLKI graft constructs such as suture augmentation aim to enhance graft strength and optimize knee stability. The purpose of this study was to present patient-reported outcome measurements of a cohort at a minimum follow-up of 2 years after multiligament knee reconstruction (MLKR) with suture augmentation.
A retrospective chart review was performed to identify patients who underwent MLKR with suture augmentation. Demographic and injury-specific variables were gathered preoperatively and postoperatively. Patients were contacted at a minimum of 2 years postoperatively to collect Patient-Reported Outcomes Measurement Information System, Multiligament Quality of Life, and Lysholm knee scores.
Twenty-seven patients underwent MLKR with suture augmentation, with 15 being female (55.6%) and 12 being male (44.4%). The mean pain score was 49.93±9.96, the mean physical function score was 49.56±10.94, and the mean mobility score was 47.56±8.58. The mean physical impairment score was 33.96±23.69, the mean emotional impairment score was 36.55±26.60, the mean activity limitation score was 28.00±25.61, and the mean societal involvement score was 30.09±27.45. The mean Lysholm knee score for the cohort was 67.93±22.36.
Patients who underwent MLKR with suture augmentation had satisfactory scores across all patient-reported outcome measurements. On the basis of these criteria, the average patient achieved an acceptable clinical outcome, demonstrating that MLKR with suture augmentation is a safe and efficacious surgical technique for the treatment of MLKI. [. 2024;47(4):238-243.].
多韧带膝关节损伤(MLKI)是一种严重的骨科损伤类别,可导致显著的功能障碍。新型 MLKI 移植物结构,如缝线增强,旨在增强移植物强度并优化膝关节稳定性。本研究旨在报告多韧带膝关节重建(MLKR)后接受缝线增强的患者队列至少 2 年的患者报告结局测量值。
对接受 MLKR 缝线增强的患者进行回顾性图表审查。收集术前和术后的人口统计学和损伤特异性变量。在术后至少 2 年联系患者,收集患者报告的测量信息系统、多韧带生活质量和 Lysholm 膝关节评分。
27 例患者接受了 MLKR 缝线增强,其中 15 例为女性(55.6%),12 例为男性(44.4%)。平均疼痛评分为 49.93±9.96,平均身体功能评分为 49.56±10.94,平均活动度评分为 47.56±8.58。平均身体功能障碍评分为 33.96±23.69,平均情绪功能障碍评分为 36.55±26.60,平均活动受限评分为 28.00±25.61,平均社会参与评分为 30.09±27.45。该队列的平均 Lysholm 膝关节评分为 67.93±22.36。
接受 MLKR 缝线增强的患者在所有患者报告结局测量中均获得满意的评分。基于这些标准,平均患者获得了可接受的临床结果,表明 MLKR 缝线增强是治疗 MLKI 的一种安全有效的手术技术。[2024;47(4):238-243.]。