سامانه مدیریت نشریات علمی دانشگاه علوم پزشکی مشهد

Braaten, Jacob, Scheier, Foley, Rodriguez, Ariel, Monson, Jill, LaPrade, Robert. (1401). Modern Treatment Principles for Multiligament Knee Injuries. , 10(11), 937-950. doi: 10.22038/abjs.2021.60188.2971
Jacob A. Braaten; Foley J. Scheier; Ariel N. Rodriguez; Jill Monson; Robert F. LaPrade. "Modern Treatment Principles for Multiligament Knee Injuries". , 10, 11, 1401, 937-950. doi: 10.22038/abjs.2021.60188.2971
Braaten, Jacob, Scheier, Foley, Rodriguez, Ariel, Monson, Jill, LaPrade, Robert. (1401). 'Modern Treatment Principles for Multiligament Knee Injuries', , 10(11), pp. 937-950. doi: 10.22038/abjs.2021.60188.2971
Braaten, Jacob, Scheier, Foley, Rodriguez, Ariel, Monson, Jill, LaPrade, Robert. Modern Treatment Principles for Multiligament Knee Injuries. , 1401; 10(11): 937-950. doi: 10.22038/abjs.2021.60188.2971

Modern Treatment Principles for Multiligament Knee Injuries

The Archives of Bone and Joint Surgery
مقاله 2، دوره 10، شماره 11، بهمن 2022، صفحه 937-950    اصل مقاله (1.63 M)
نوع مقاله: CURRENT CONCEPTS REVIEW
شناسه دیجیتال (DOI): 10.22038/abjs.2021.60188.2971
نویسندگان
Jacob A. Braaten1؛ Foley J. Scheier2؛ Ariel N. Rodriguez3؛ Jill Monson4؛ Robert F. LaPrade* 5
11 Twin Cities Orthopedics, Edina-Crosstown, 4010 W 65th St, Edina, MN 55435, USA 2 University of Minnesota Medical School, 420 Delaware St SE, Minneapolis, MN 55455 USA
21 Twin Cities Orthopedics, Edina-Crosstown, 4010 W 65th St, Edina, MN 55435, USA 3 University of North Dakota School of Medicine and Health Sciences, 1301 N Columbia Rd, Grand Forks, ND 58203, USA
31 Twin Cities Orthopedics, Edina-Crosstown, 4010 W 65th St, Edina, MN 55435, USA 4 Georgetown University School of Medicine, 3900 Reservoir Rd NW, Washington, DC 20007, USA
45 Twin Cities Orthopedics, 2700 Vikings Cir, Eagan, MN 55121, USA 6 Training Haus, 2645 Vikings Cir Suite 200, Eagan, MN 55121, USA
5Twin Cities Orthopedics, Edina-Crosstown, 4010 W 65th St, Edina, MN 55435, USA
چکیده
Multiligament knee injuries are complex injuries that must be addressed with a comprehensive diagnostic workup and
treatment plan. Multiligament injuries are commonly observed with concomitant meniscal, chondral, and neurovascular
injuries, requiring a thorough clinical assessment and radiographic evaluation. Due to the higher failure rates associated
with knee ligament repair following multiligament knee injury, the current literature favors single-stage anatomic knee
reconstructions. Recent studies have also optimized graft sequencing and reconstruction tunnel orientation to prevent
graft elongation and reduce the risk of tunnel convergence. In addition, anatomic-based ligament reconstruction
techniques and the usage of suture anchors now allow for early postoperative knee motion without the risk of stretching
out the graft. Rehabilitation following multiligament knee reconstruction should begin on postoperative day one and
typically requires 9-12 months. The purpose of this article is to review the latest principles of the surgically relevant
anatomy, biomechanics, evaluation, treatment, rehabilitation, and outcomes of multiligament knee injuries.
Level of evidence: V
کلیدواژه‌ها
Anterior cruciate؛ Multiple ligament reconstruction؛ Posterior cruciate
مراجع
  1. Schenck R. Classification of knee dislocation. Operative Techniques in Sports Medicine. 2003;11:193-8. https://doi.org/10.1053/otsm.2003.35918
  2. LaPrade RF, Johansen S, Wentorf FA, Engebretsen L, Esterberg JL, Tso A. An analysis of an anatomical posterolateral knee reconstruction: an in vitro biomechanical study and development of a surgical technique. Am J Sports Med. 2004;32(6):1405-14. doi: 10.1177/0363546503262687.
  3. James EW, LaPrade CM, LaPrade RF. Anatomy and biomechanics of the lateral side of the knee and surgical implications. Sports Med Arthrosc Rev. 2015;23(1):2-9. doi: 10.1097/JSA.0000000000000040.
  4. Laprade RF, Wijdicks CA. Surgical technique: development of an anatomic medial knee recon-struction. Clin Orthop Relat Res. 2012;470(3):806-14. doi: 10.1007/s11999-011-2061-1.
  5. LaPrade RF, Ly TV, Wentorf FA, Engebretsen L. The posterolateral attachments of the knee: a qualitative and quantitative morphologic analysis of the fibular collateral ligament, popliteus tendon, popliteofibular ligament, and lateral gastrocnemius tendon. Am J Sports Med. 2003;31(6):854-60. doi: 10.1177/03635465030310062101.
  6. Kennedy NI, LaPrade RF, Goldsmith MT, et al. Posterior cruciate ligament graft fixation angles, part 2: biomechanical evaluation for anatomic double-bundle reconstruction. Am J Sports Med. 2014;42(10):2346-55. doi: 10.1177/0363546514541226.
  7. Mook WR, Miller MD, Diduch DR, Hertel J, Boachie-Adjei Y, Hart JM. Multiple-ligament knee injuries: a systematic review of the timing of operative intervention and postoperative rehabilitation. J Bone Joint Surg Am. 2009;91(12):2946-57. doi: 10.2106/JBJS.H.01328.
  8. Hatch GFR, 3rd, Villacis D, Damodar D, Dacey M, Yi A. Quality of Life and Functional Outcomes after Multiligament Knee Reconstruction. J Knee Surg. 2018;31(10):970-8. doi: 10.1055/s-0038-1626737.
  9. LaPrade RF, Chahla J, DePhillipo NN, Cram T, Kennedy MI, Cinque M, et al. Single-Stage Multiple-Ligament Knee Reconstructions for Sports-Related Injuries: Outcomes in 194 Patients. Am J Sports Med. 2019;47(11):2563-71. doi: 10.1177/0363546519864539.
  10. Ziegler CG, Pietrini SD, Westerhaus BD, et al. Arthroscopically pertinent landmarks for tunnel positioning in single-bundle and double-bundle anterior cruciate ligament reconstructions. Am J Sports Med. 2011;39(4):743-52. doi: 1177/0363546510387511.
  11. Steineman BD, Moulton SG, Haut Donahue TL, et al. Overlap Between Anterior Cruciate Ligament and Anterolateral Meniscal Root Insertions: A Scanning Electron Microscopy Study. Am J Sports Med. 2017;45(2):362-8. doi: 10.1177/0363546516666817.
  12. Siegel L, Vandenakker-Albanese C, Siegel D. Anterior cruciate ligament injuries: anatomy, physiology, biomechanics, and management. Clin J Sport Med. 2012;22(4):349-55. doi: 10.1097/JSM.0b013e3182580cd0.
  13. Pache S, Aman ZS, Kennedy M, et al. Posterior Cruciate Ligament: Current Concepts Review. Arch Bone Jt Surg. 2018;6(1):8-18.
  14. Anderson CJ, Ziegler CG, Wijdicks CA, Engebretsen L, LaPrade RF. Arthroscopically pertinent anatomy of the anterolateral and posteromedial bundles of the posterior cruciate ligament. J Bone Joint Surg Am. 2012;94(21):1936-45. doi: 10.2106/JBJS.K.01710.
  15. LaPrade RF, Engebretsen AH, Ly TV, Johansen S, Wentorf FA, Engebretsen L. The anatomy of the medial part of the knee. J Bone Joint Surg Am. 2007;89(9):2000-10. doi: 10.2106/JBJS.F.01176.
  16. Cinque ME, Chahla J, Kruckeberg BM, DePhillipo NN, Moatshe G, LaPrade RF. Posteromedial Corner Knee Injuries: Diagnosis, Management, and Outcomes: A Critical Analysis Review. JBJS Rev. 2017;5(11):e4. doi: 10.2106/JBJS.RVW.17.00004.
  17. LaPrade MD, Kennedy MI, Wijdicks CA, LaPrade RF. Anatomy and biomechanics of the medial side of the knee and their surgical implications. Sports Med Arthrosc Rev. 2015;23(2):63-70. doi: 10.1097/JSA.0000000000000054.
  18. Moorman CT, 3rd, LaPrade RF. Anatomy and biomechanics of the posterolateral corner of the knee. J Knee Surg. 2005;18(2):137-45. doi: 10.1055/s-0030-1248172.
  19. Chahla J, Moatshe G, Dean CS, LaPrade RF. Posterolateral Corner of the Knee: Current Concepts. Arch Bone Jt Surg. 2016;4(2):97-103.
  20. Serra Cruz R, Mitchell JJ, Dean CS, Chahla J, Moatshe G, LaPrade RF. Anatomic Posterolateral Corner Reconstruction. Arthrosc Tech. 2016;5(3):e563-72. doi: 10.1016/j.eats.2016.02.006.
  21. Geeslin AG, LaPrade RF. Outcomes of treatment of acute grade-III isolated and combined posterolateral knee injuries: a prospective case series and surgical technique. J Bone Joint Surg Am. 2011;93(18):1672-83. doi: 10.2106/JBJS.J.01639.
  22. Moatshe G, Chahla J, Brady AW, et al. The Influence of Graft Tensioning Sequence on Tibiofemoral Orientation During Bicruciate and Posterolateral Corner Knee Ligament Reconstruction: A Biomechanical Study. Am J Sports Med. 2018;46(8):1863-9. doi: 10.1177/0363546517751917.
  23. Domnick C, Raschke MJ, Herbort M. Biomechanics of the anterior cruciate ligament: Physiology, rupture and reconstruction techniques. World J Orthop. 2016;7(2):82-93. doi: 10.5312/wjo.v7.i2.82.
  24. Duthon VB, Barea C, Abrassart S, Fasel JH, Fritschy D, Ménétrey J. Anatomy of the anterior cruciate ligament. Knee Surg Sports Traumatol Arthrosc. 2006;14(3):204-13. doi: 10.1007/s00167-005-0679-9.
  25. Svantesson E, Hamrin Senorski E, Alentorn-Geli E, et al. Increased risk of ACL revision with non-surgical treatment of a concomitant medial collateral ligament injury: a study on 19,457 patients from the Swedish National Knee Ligament Registry. Knee Surg Sports Traumatol Arthrosc. 2019;27(8):2450-9. doi: 10.1007/s00167-018-5237-3.
  26. O’Brien SJ, Warren RF, Pavlov H, Panariello R, Wickiewicz TL. Reconstruction of the chronically insufficient anterior cruciate ligament with the central third of the patellar ligament. J Bone Joint Surg Am. 1991;73(2):278-86.
  27. LaPrade RF, Resig S, Wentorf F, Lewis JL. The effects of grade III posterolateral knee complex injuries on anterior cruciate ligament graft force. A biomechanical analysis. Am J Sports Med. 1999;27(4):469-75. doi: 10.1177/03635465990270041101.
  28. Boutefnouchet T, Bentayeb M, Qadri Q, Ali S. Long-term outcomes following single-bundle transtibial arthroscopic posterior cruciate ligament reconstruction. Int Orthop. 2013;37(2):337-43. doi: 10.1007/s00264-012-1609-3.
  29. Fox RJ, Harner CD, Sakane M, Carlin GJ, Woo SL. Determination of the in situ forces in the human posterior cruciate ligament using robotic technology. A cadaveric study. Am J Sports Med. 1998;26(3):395-401. doi: 10.1177/03635465980260030901.
  30. Wijdicks CA, Kennedy NI, Goldsmith MT, et al. Kinematic analysis of the posterior cruciate ligament, part 2: a comparison of anatomic single- versus double-bundle reconstruction. Am J Sports Med. 2013;41(12):2839-48. doi: 10.1177/0363546513504384.
  31. Logterman SL, Wydra FB, Frank RM. Posterior Cruciate Ligament: Anatomy and Biomechanics. Curr Rev Musculoskelet Med. 2018;11(3):510-4. doi: 10.1007/s12178-018-9492-1.
  32. LaPrade RF, Muench C, Wentorf F, Lewis JL. The effect of injury to the posterolateral structures of the knee on force in a posterior cruciate ligament graft: a biomechanical study. Am J Sports Med. 2002;30(2):233-8. doi: 10.1177/03635465020300021501.
  33. Griffith CJ, LaPrade RF, Johansen S, Armitage B, Wijdicks C, Engebretsen L. Medial knee injury: Part 1, static function of the individual components of the main medial knee structures. Am J Sports Med. 2009;37(9):1762-70. doi: 10.1177/0363546509333852.
  34. Robinson JR, Bull AM, Thomas RR, Amis AA. The role of the medial collateral ligament and posteromedial capsule in controlling knee laxity. Am J Sports Med. 2006;34(11):1815-23. doi: 10.1177/0363546506289433.
  35. LaPrade RF, Wozniczka JK, Stellmaker MP, Wijdicks CA. Analysis of the static function of the popliteus tendon and evaluation of an anatomic reconstruction: the “fifth ligament” of the knee. Am J Sports Med. 2010;38(3):543-9. doi: 10.1177/0363546509349493.
  36. Moatshe G, Chahla J, LaPrade RF, Engebretsen L. Diagnosis and treatment of multiligament knee injury: state of the art. Journal of ISAKOS. 2017;2(3):152-61. https://doi.org/10.1136/jisakos-2016-000072
  37. Moatshe G, Dornan GJ, Løken S, Ludvigsen TC, LaPrade RF, Engebretsen L. Demographics and Injuries Associated With Knee Dislocation: A Prospective Review of 303 Patients. Orthop J Sports Med. 2017;5(5):2325967117706521. doi: 10.1177/2325967117706521.
  38. Skendzel JG, Sekiya JK, Wojtys EM. Diagnosis and management of the multiligament-injured knee. J Orthop Sports Phys Ther. 2012;42(3):234-42. doi: 10.2519/jospt.2012.3678.
  39. Buyukdogan K, Laidlaw MS, Miller MD. Surgical Management of the Multiple-Ligament Knee Injury. Arthrosc Tech. 2018;7(2):e147-e64. doi: 10.1016/j.eats.2017.08.079.
  40. Bronstein RD, Schaffer JC. Physical Examination of Knee Ligament Injuries. J Am Acad Orthop Surg. 2017;25(4):280-7. doi: 10.5435/JAAOS-D-15-00463.
  41. Rocha de Faria JL, Pedrinha ISM, Pavão DM, et al. Stress Radiography for Multiligament Knee Injuries: A Standardized, Step-by-Step Technique. Arthrosc Tech. 2020;9(12):e1885-e92. doi: 10.1016/j.eats.2020.08.015.
  42. James EW, Williams BT, LaPrade RF. Stress radiography for the diagnosis of knee ligament injuries: a systematic review. Clin Orthop Relat Res. 2014;472(9):2644-57. doi: 10.1007/s11999-014-3470-8.
  43. Helito P, Peters B, Helito C, Dyck P. Imaging evaluation of the multiligament injured knee. Annals of Joint. 2018;3(9):UNSP-80.
  44. Laprade RF, Bernhardson AS, Griffith CJ, Macalena JA, Wijdicks CA. Correlation of valgus stress radiographs with medial knee ligament injuries: an in vitro biomechanical study. Am J Sports Med. 2010;38(2):330-8. doi: 10.1177/0363546509349347.
  45. Jackman T, LaPrade RF, Pontinen T, Lender PA. Intraobserver and interobserver reliability of the kneeling technique of stress radiography for the evaluation of posterior knee laxity. Am J Sports Med. 2008;36(8):1571-6. doi: 1177/0363546508315897.
  46. Peskun CJ, Whelan DB. Outcomes of operative and nonoperative treatment of multiligament knee injuries: an evidence-based review. Sports Med Arthrosc Rev. 2011;19(2):167-73. doi: 10.1097/JSA.0b013e3182107d5f.
  47. Dedmond BT, Almekinders LC. Operative versus nonoperative treatment of knee dislocations: a meta-analysis. Am J Knee Surg. 2001;14(1):33-8.
  48. Levy BA, Dajani KA, Whelan DB, et al. Decision making in the multiligament-injured knee: an evidence-based systematic review. Arthroscopy. 2009;25(4):430-8. doi: 10.1016/j.arthro.2009.01.008.
  49. Mariani PP, Santoriello P, Iannone S, Condello V, Adriani E. Comparison of surgical treatments for knee dislocation. Am J Knee Surg. 1999;12(4):214-21.
  50. Stannard JP, Brown SL, Farris RC, McGwin G, Jr., Volgas DA. The posterolateral corner of the knee: repair versus reconstruction. Am J Sports Med. 2005;33(6):881-8. doi: 10.1177/0363546504271208.
  51. Levy BA, Dajani KA, Morgan JA, Shah JP, Dahm DL, Stuart MJ. Repair versus reconstruction of the fibular collateral ligament and posterolateral corner in the multiligament-injured knee. Am J Sports Med. 2010;38(4):804-9. doi: 10.1177/0363546509352459.
  52. Moatshe G, Brady AW, Slette EL, et al. Multiple Ligament Reconstruction Femoral Tunnels: Intertunnel Relationships and Guidelines to Avoid Convergence. Am J Sports Med. 2017;45(3):563-9. doi: 10.1177/0363546516673616.
  53. Moatshe G, Slette EL, Engebretsen L, LaPrade RF. Intertunnel Relationships in the Tibia During Reconstruction of Multiple Knee Ligaments: How to Avoid Tunnel Convergence. Am J Sports Med. 2016;44(11):2864-9. doi: 10.1177/0363546516656371.
  54. Wentorf FA, LaPrade RF, Lewis JL, Resig S. The influence of the integrity of posterolateral structures on tibiofemoral orientation when an anterior cruciate ligament graft is tensioned. Am J Sports Med. 2002;30(6):796-9. doi: 1177/03635465020300060701.
  55. Markolf KL, O’Neill G, Jackson SR, McAllister DR. Reconstruction of knees with combined cruciate deficiencies: a biomechanical study. J Bone Joint Surg Am. 2003;85(9):1768-74. doi: 10.2106/00004623-200309000-00016.
  56. Sun J, Wei XC, Li L, et al. Autografts vs Synthetics for Cruciate Ligament Reconstruction: A Systematic Review and Meta-Analysis. Orthop Surg. 2020;12(2):378-87. doi: 10.1111/os.12662.
  57. Wijdicks CA, Griffith CJ, Johansen S, Engebretsen L, LaPrade RF. Injuries to the medial collateral ligament and associated medial structures of the knee. J Bone Joint Surg Am. 2010;92(5):1266-80. doi: 10.2106/JBJS.I.01229.
  58. Richter M, Bosch U, Wippermann B, Hofmann A, Krettek C. Comparison of surgical repair or reconstruction of the cruciate ligaments versus nonsurgical treatment in patients with traumatic knee dislocations. Am J Sports Med. 2002;30(5):718-27. doi: 10.1177/03635465020300051601.
  59. Levy NM, Krych AJ, Hevesi M, et al. Does age predict outcome after multiligament knee reconstruction for the dislocated knee? 2- to 22-year follow-up. Knee Surg Sports Traumatol Arthrosc. 2015;23(10):3003-7. doi: 10.1007/s00167-015-3750-1.
  60. Hohmann E, Glatt V, Tetsworth K. Early or delayed reconstruction in multi-ligament knee injuries: A systematic review and meta-analysis. Knee. 2017;24(5):909-16. doi: 10.1016/j.knee.2017.06.011.
  61. Halewood C, Amis AA. Clinically relevant biomechanics of the knee capsule and ligaments. Knee Surg Sports Traumatol Arthrosc. 2015;23(10):2789-96. doi: 10.1007/s00167-015-3594-8.
  62. Lutz GE, Palmitier RA, An KN, Chao EY. Comparison of tibiofemoral joint forces during open-kinetic-chain and closed-kinetic-chain exercises. J Bone Joint Surg Am. 1993;75(5):732-9. doi: 10.2106/00004623-199305000-00014.
  63. Markolf KL, O’Neill G, Jackson SR, McAllister DR. Effects of applied quadriceps and hamstrings muscle loads on forces in the anterior and posterior cruciate ligaments. Am J Sports Med. 2004;32(5):1144-9. doi: 10.1177/0363546503262198.
  64. Hart JM, Pietrosimone B, Hertel J, Ingersoll CD. Quadriceps activation following knee injuries: a systematic review. J Athl Train. 2010;45(1):87-97. doi: 10.4085/1062-6050-45.1.87.
  65. Toth MJ, Tourville TW, Voigt TB, et al. Utility of Neuromuscular Electrical Stimulation to Preserve Quadriceps Muscle Fiber Size and Contractility After Anterior Cruciate Ligament Injuries and Reconstruction: A Randomized, Sham-Controlled, Blinded Trial. Am J Sports Med. 2020;48(10):2429-37. doi: 10.1177/0363546520933622.
  66. Hughes L, Paton B, Rosenblatt B, Gissane C, Patterson SD. Blood flow restriction training in clinical musculoskeletal rehabilitation: a systematic review and meta-analysis. Br J Sports Med. 2017;51(13):1003-11. doi: 10.1136/bjsports-2016-097071.
  67. Ardern CL, Glasgow P, Schneiders A, et al. 2016 Consensus statement on return to sport from the First World Congress in Sports Physical Therapy, Bern. Br J Sports Med. 2016;50(14):853-64. doi: 10.1136/bjsports-2016-096278.
  68. Buckthorpe M. Optimising the Late-Stage Rehabilitation and Return-to-Sport Training and Testing Process After ACL Reconstruction. Sports Med. 2019;49(7):1043-58. doi: 10.1007/s40279-019-01102-z.
  69. Grindem H, Snyder-Mackler L, Moksnes H, Engebretsen L, Risberg MA. Simple decision rules can reduce reinjury risk by 84% after ACL reconstruction: the Delaware-Oslo ACL cohort study. Br J Sports Med. 2016;50(13):804-8. doi: 10.1136/bjsports-2016-096031.
  70. Davies GJ, McCarty E, Provencher M, Manske RC. ACL Return to Sport Guidelines and Criteria. Curr Rev Musculoskelet Med. 2017;10(3):307-14. doi: 10.1007/s12178-017-9420-9.
  71. Wellsandt E, Failla MJ, Snyder-Mackler L. Limb Symmetry Indexes Can Overestimate Knee Function After Anterior Cruciate Ligament Injury. J Orthop Sports Phys Ther. 2017;47(5):334-8. doi: 10.2519/jospt.2017.7285.
  72. Gokeler A, Welling W, Benjaminse A, Lemmink K, Seil R, Zaffagnini S. A critical analysis of limb symmetry indices of hop tests in athletes after anterior cruciate ligament reconstruction: A case control study. Orthop Traumatol Surg Res. 2017;103(6):947-51. doi: 10.1016/j.otsr.2017.02.015.
  73. LaPrade R, Floyd E, Falaas K, et al. The Posterior Cruciate Ligament: Anatomy, Biomechanics, and Double-Bundle Reconstruction. Journal of Arthroscopic Surgery and Sports Medicine. 2021;2(2):94-107.
  74. LaPrade RF, Cinque ME, Dornan GJ, et al. Double-Bundle Posterior Cruciate Ligament Reconstruction in 100 Patients at a Mean 3 Years’ Follow-up: Outcomes Were Comparable to Anterior Cruciate Ligament Reconstructions. Am J Sports Med. 2018;46(8):1809-18. doi: 10.1177/0363546517750855.
آمار
تعداد مشاهده مقاله: 947
تعداد دریافت فایل اصل مقاله: 914