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Research Paper | Orthopaedic Surgery | Malaysia | Volume 13 Issue 2, February 2024 | Popularity: 5.4 / 10

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Demography and Complications of Multiligament Knee Reconstruction Surgery in a Tertiary Center - 7 Years' Experience

Thevarayan Somasundaram, Siti Hawa Tahir, Che Wan Mohd Shaiful Nizam

Abstract: Background: Multiligament knee injury (MLKI) is a complex knee ligament injury usually resulting from high-velocity trauma. Due to its low incidence rate, consensus for MLKI management is still lacking in the literature. The main purpose of this study was to identify patient demographics, mode of injury, type of reconstruction and complications, collected restrospectively. Methods: Medical records of MLKI patients were manually retrieved. Data collection was done retrospectively by tracing medical records from the years2015 to 2022. Patients presenting with comorbidities were excluded. Demographic information, symptoms, and complications reported pre- and post-operatively during follow-up were collected. Data was cross-checked, and outcomes were evaluated. Results: Sixty-six patients were included. The average age of patients was 29.6 years, with 80.3% being male. Three modes of injury were reported: motor vehicle accidents (81.8%), sports-related injuries (9.1%), and falls (9.1%). The most common type of reconstruction performed was ACL and PCL combination (63.6%). The most common symptom reported was instability (68.2%), followed by pain, swelling, and deformity. Post-operative complications mainly reported were pain and instability. About 32% of patients experienced no complications. Other complications noted included stiffness, infection, and numbness. Conclusion: The vast majority of patients sustaining MLKI were male, while the predominant mode of injury was motor vehicle accident. Common symptoms reported pre-operatively was knee instability and pain. Persistent instability was the most common complication noted postoperatively.

Keywords: multiligament knee injury, orthopedic, reconstruction surgery, post-operative complication

Edition: Volume 13 Issue 2, February 2024

Pages: 1326 - 1330

DOI: https://www.doi.org/10.21275/SR24215084933

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