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Western China Classification and Minimally Invasive Surgical Treatment Strategies of the Multiple Ligament Injury Knee

Received: 27 June 2022    Accepted: 13 July 2022    Published: 22 July 2022
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Abstract

Objective: 1. Multiple ligament injuries of the knee (MLIK) often lead to severe injury, with high dysfunctiong but there is no special classification and corresponding minimally invasive surgical treatment strategy for MLIK, so according to the different degrees of the multiple ligament injury knee, summarize the different types of the multiple ligament injury knee, and develop a systematic classification method suitable for clinical surgeons to quickly understand and master; 2. According to the classification results of the multiple ligament injury knee, the corresponding minimally invasive surgical treatment strategies were developed to facilitate clinicians to make accurate judgment and treatment in a timely manner. Methods: 30 cases of the multiple ligament injury knee were summarized in our hospital, and the preliminary classification and minimally invasive surgical treatment strategies were proposed. A total of 50 cases of patients with the multiple ligament injury knee were collected in our hospital. Diagnosis and treatment were conducted according to the preliminary classification and surgical treatment strategies summarized in the early stage. The classification diagnosis and treatment effect were verified after the operation according to knee function score, etc., and the modification was carried out in stages. Finally, 80 cases of multiple ligament injuries of knee joint were summarized. Results: A systematic classification method and minimally invasive surgical treatment strategy were developed for the multiple ligament injury knee. Conclusion: The classification method and minimally nvasive surgical treatment strategy for the multiple ligament injury knee are convenient for general clinical surgeons to quickly understand and master, make accurate judgment and treatment, and suitable for clinical popularization and application.

Published in Clinical Medicine Research (Volume 11, Issue 4)
DOI 10.11648/j.cmr.20221104.13
Page(s) 102-108
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Multiple Ligament Injury Knee, Classification, Minimally Invasive Surgical Treatment Strategies

References
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[4] Lachman J R, Rehma S, Pipitone PS. Traumatic knee dislocations: evaluation, managemen -t, and surgical treatment. Orthop Clin North Am, 2015, 46 (4): 479-493.
[5] Malotin T, Matejka T, Matejka J. Diagnosis, Treatment and Complications of Knee Dislocation: a Retrospective Study. Acta Chir Orthop Traumatol Cech. 2021; 88 (2): 107-116.
[6] Levy BA, Dajani KA, Whelan DB, et al. Decision making in the multili-gament injured knee: an evidence-based systematic review. Arthroscopy, 2009, 25 (4): 430-438.
[7] Howells Nick R, Brunton Luke R, Robinson James, Porteus Andrew J, Eldridge Jonathan D, Murray James R. Acute knee dislocation: an evidence based approach to the management of the multiligament injured knee [J]., 2011, 42 (11): 1198-1204.
[8] Darcy G, Edwards E, Hau R. E, Epidemiology and outcomes of traumatic knee dislocations: Isolated vs multi-trauma injuries, Injury. 2018 Jun; 49 (6): 1183-1187.
[9] Gregory C. Fanelli. The multiple ligament injured knee: A practical guide to management [M]. USA: springer, 2014: 60.
[10] Li Jian, Chen Gang, Li Qi. Importance of wASSi classification in diagnosis and treatment of multiple ligament injuries due to knee dislocation introduction. The 24th Chinese Integrated Traditional and Western Orthopedics Annual Conference Proceedings [A], 2016, 355-356.
[11] Bernhoff K, Michaëlsson K, Björck M. Incidence and outcome of Popliteal Artery Injury Associated with Knee Dislocations, Ligamentous Injuries, and Close to Knee Fractures: A Nationwide Population Based cohort study. Eur J Vasc Endovasc Surg. 2021 Feb; 61 (2): 297-304.
[12] Sanders TL, Johnson NR, Levy NM, et al. Effect of Vascular Injury on Functional Ourtcome in Knees with Multi-ligament Injury: A Matched-Cohort Analysis. J Bone Joint Surg Am. 2017 Sep 20; 99 (18): 1565-1571.
[13] Peskun CJ, Whelan DB. Outcomes of operative and nonoperative treatment of multiligament knee injuries: an evidence-based review. Sports Med Arthrosc, 2011, 19 (2): 167-173.
[14] Harner CD, Waltrip RL, Bennett CH, et al. Surgical management of knee dislocations. J Bone Joint Surg (Am), 2004, 86-A (2): 262-273.
[15] Heitmann M, Akoto R, Krause M, et al. Knee Surg Sports Traumatol Arthrosc. 2019, Aug; 27 (8): 2710-2718.
Cite This Article
  • APA Style

    Yang Songyun, Li Gangchi, Chen Gang, He Xingchuan. (2022). Western China Classification and Minimally Invasive Surgical Treatment Strategies of the Multiple Ligament Injury Knee. Clinical Medicine Research, 11(4), 102-108. https://doi.org/10.11648/j.cmr.20221104.13

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    ACS Style

    Yang Songyun; Li Gangchi; Chen Gang; He Xingchuan. Western China Classification and Minimally Invasive Surgical Treatment Strategies of the Multiple Ligament Injury Knee. Clin. Med. Res. 2022, 11(4), 102-108. doi: 10.11648/j.cmr.20221104.13

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    AMA Style

    Yang Songyun, Li Gangchi, Chen Gang, He Xingchuan. Western China Classification and Minimally Invasive Surgical Treatment Strategies of the Multiple Ligament Injury Knee. Clin Med Res. 2022;11(4):102-108. doi: 10.11648/j.cmr.20221104.13

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  • @article{10.11648/j.cmr.20221104.13,
      author = {Yang Songyun and Li Gangchi and Chen Gang and He Xingchuan},
      title = {Western China Classification and Minimally Invasive Surgical Treatment Strategies of the Multiple Ligament Injury Knee},
      journal = {Clinical Medicine Research},
      volume = {11},
      number = {4},
      pages = {102-108},
      doi = {10.11648/j.cmr.20221104.13},
      url = {https://doi.org/10.11648/j.cmr.20221104.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.20221104.13},
      abstract = {Objective: 1. Multiple ligament injuries of the knee (MLIK) often lead to severe injury, with high dysfunctiong but there is no special classification and corresponding minimally invasive surgical treatment strategy for MLIK, so according to the different degrees of the multiple ligament injury knee, summarize the different types of the multiple ligament injury knee, and develop a systematic classification method suitable for clinical surgeons to quickly understand and master; 2. According to the classification results of the multiple ligament injury knee, the corresponding minimally invasive surgical treatment strategies were developed to facilitate clinicians to make accurate judgment and treatment in a timely manner. Methods: 30 cases of the multiple ligament injury knee were summarized in our hospital, and the preliminary classification and minimally invasive surgical treatment strategies were proposed. A total of 50 cases of patients with the multiple ligament injury knee were collected in our hospital. Diagnosis and treatment were conducted according to the preliminary classification and surgical treatment strategies summarized in the early stage. The classification diagnosis and treatment effect were verified after the operation according to knee function score, etc., and the modification was carried out in stages. Finally, 80 cases of multiple ligament injuries of knee joint were summarized. Results: A systematic classification method and minimally invasive surgical treatment strategy were developed for the multiple ligament injury knee. Conclusion: The classification method and minimally nvasive surgical treatment strategy for the multiple ligament injury knee are convenient for general clinical surgeons to quickly understand and master, make accurate judgment and treatment, and suitable for clinical popularization and application.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - Western China Classification and Minimally Invasive Surgical Treatment Strategies of the Multiple Ligament Injury Knee
    AU  - Yang Songyun
    AU  - Li Gangchi
    AU  - Chen Gang
    AU  - He Xingchuan
    Y1  - 2022/07/22
    PY  - 2022
    N1  - https://doi.org/10.11648/j.cmr.20221104.13
    DO  - 10.11648/j.cmr.20221104.13
    T2  - Clinical Medicine Research
    JF  - Clinical Medicine Research
    JO  - Clinical Medicine Research
    SP  - 102
    EP  - 108
    PB  - Science Publishing Group
    SN  - 2326-9057
    UR  - https://doi.org/10.11648/j.cmr.20221104.13
    AB  - Objective: 1. Multiple ligament injuries of the knee (MLIK) often lead to severe injury, with high dysfunctiong but there is no special classification and corresponding minimally invasive surgical treatment strategy for MLIK, so according to the different degrees of the multiple ligament injury knee, summarize the different types of the multiple ligament injury knee, and develop a systematic classification method suitable for clinical surgeons to quickly understand and master; 2. According to the classification results of the multiple ligament injury knee, the corresponding minimally invasive surgical treatment strategies were developed to facilitate clinicians to make accurate judgment and treatment in a timely manner. Methods: 30 cases of the multiple ligament injury knee were summarized in our hospital, and the preliminary classification and minimally invasive surgical treatment strategies were proposed. A total of 50 cases of patients with the multiple ligament injury knee were collected in our hospital. Diagnosis and treatment were conducted according to the preliminary classification and surgical treatment strategies summarized in the early stage. The classification diagnosis and treatment effect were verified after the operation according to knee function score, etc., and the modification was carried out in stages. Finally, 80 cases of multiple ligament injuries of knee joint were summarized. Results: A systematic classification method and minimally invasive surgical treatment strategy were developed for the multiple ligament injury knee. Conclusion: The classification method and minimally nvasive surgical treatment strategy for the multiple ligament injury knee are convenient for general clinical surgeons to quickly understand and master, make accurate judgment and treatment, and suitable for clinical popularization and application.
    VL  - 11
    IS  - 4
    ER  - 

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Author Information
  • Affiliated Santai Hospital of Chuanbei Medical College, Santai, China

  • Affiliated Santai Hospital of Chuanbei Medical College, Santai, China

  • West China Hospital, Sichuan University, Chengdu, China

  • Affiliated Hospital of Zunyi Medical University, Zunyi, China

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