Non-Anatomic Reconstruction in Multiligament Knee Injuries: A Functional Approach
<i>Background/Objectives</i>: Multiligament knee injuries, involving damage to multiple stabilizing structures, present a significant challenge in orthopedic surgery, often resulting in knee instability and compromised function. While anatomic ligament reconstruction has been traditional...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2025-01-01
|
| Series: | Medicina |
| Subjects: | |
| Online Access: | https://www.mdpi.com/1648-9144/61/1/53 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832587993325502464 |
|---|---|
| author | Mihai Hurmuz Cătălin-Adrian Miu Daniel Ceachir Romulus-Fabian Tatu Mihai Andrei Bogdan Andor Alexandru Catalin Motofelea Călin Tudor Hozan |
| author_facet | Mihai Hurmuz Cătălin-Adrian Miu Daniel Ceachir Romulus-Fabian Tatu Mihai Andrei Bogdan Andor Alexandru Catalin Motofelea Călin Tudor Hozan |
| author_sort | Mihai Hurmuz |
| collection | DOAJ |
| description | <i>Background/Objectives</i>: Multiligament knee injuries, involving damage to multiple stabilizing structures, present a significant challenge in orthopedic surgery, often resulting in knee instability and compromised function. While anatomic ligament reconstruction has been traditionally advocated, non-anatomic techniques may provide effective alternatives, particularly for patients with moderate functional demands who do not require high-level athletic performance. <i>Material and methods</i>: In this study, we assessed the outcomes of a non-anatomic, hybrid surgical approach involving combined arthroscopic and open non-anatomic ligament reconstruction in 60 patients with multiligament knee injuries. Using simplified reconstruction methods for the medial collateral ligament (MCL) and lateral collateral ligament (LCL), we tailored the procedures to the needs of active, non-professional patients. Functional outcomes were evaluated using the International Knee Documentation Committee (IKDC) Questionnaire, Lysholm Knee Scoring Scale, and Knee Injury and Osteoarthritis Outcome Score (KOOS). <i>Results</i>: Postoperative improvements were significant, with the total IKDC score increasing from a median of 39.1 preoperatively to 75.9 postoperatively, Lysholm from 61.0 to 87.0, and KOOS from 47.6 to 85.7 (<i>p</i> < 0.01). The results demonstrated significant improvements across all scoring systems, with enhanced knee stability, reduced pain, and better quality of life. <i>Conclusions</i>: These findings support the feasibility of non-anatomic reconstructions as a practical solution for patients seeking a return to daily activities and recreational sports without the complexity of full anatomic reconstruction. |
| format | Article |
| id | doaj-art-5d34c00c56c24d5a992cf2d30ace0e64 |
| institution | Kabale University |
| issn | 1010-660X 1648-9144 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj-art-5d34c00c56c24d5a992cf2d30ace0e642025-01-24T13:40:23ZengMDPI AGMedicina1010-660X1648-91442025-01-016115310.3390/medicina61010053Non-Anatomic Reconstruction in Multiligament Knee Injuries: A Functional ApproachMihai Hurmuz0Cătălin-Adrian Miu1Daniel Ceachir2Romulus-Fabian Tatu3Mihai Andrei4Bogdan Andor5Alexandru Catalin Motofelea6Călin Tudor Hozan7Department XV, Discipline of Orthopedics, “Victor Babeș” University of Medicine and Pharmacy Timișoara, Eftimie Murgu Square 2, 300041 Timișoara, RomaniaDepartment XV, Discipline of Orthopedics, “Victor Babeș” University of Medicine and Pharmacy Timișoara, Eftimie Murgu Square 2, 300041 Timișoara, RomaniaDepartment XV, Discipline of Orthopedics, “Victor Babeș” University of Medicine and Pharmacy Timișoara, Eftimie Murgu Square 2, 300041 Timișoara, RomaniaDepartment XV, Discipline of Orthopedics, “Victor Babeș” University of Medicine and Pharmacy Timișoara, Eftimie Murgu Square 2, 300041 Timișoara, RomaniaOrthopedics Unit, “Dr. Victor Popescu” Emergency Military Clinical Hospital, Gheorghe Lazăr Street 7, 300080 Timișoara, RomaniaOrthopedics Unit, “Dr. Victor Popescu” Emergency Military Clinical Hospital, Gheorghe Lazăr Street 7, 300080 Timișoara, RomaniaCenter for Molecular Research in Nephrology and Vascular Disease, Discipline of Nephrology, Department VII/Internal Medicine II, Faculty of Medicine, “Victor Babeș” University of Medicine and Pharmacy, 300041 Timișoara, RomaniaDepartment of Surgical Disciplines, Faculty of Medicine and Pharmacy, University of Oradea, 410087 Oradea, Romania<i>Background/Objectives</i>: Multiligament knee injuries, involving damage to multiple stabilizing structures, present a significant challenge in orthopedic surgery, often resulting in knee instability and compromised function. While anatomic ligament reconstruction has been traditionally advocated, non-anatomic techniques may provide effective alternatives, particularly for patients with moderate functional demands who do not require high-level athletic performance. <i>Material and methods</i>: In this study, we assessed the outcomes of a non-anatomic, hybrid surgical approach involving combined arthroscopic and open non-anatomic ligament reconstruction in 60 patients with multiligament knee injuries. Using simplified reconstruction methods for the medial collateral ligament (MCL) and lateral collateral ligament (LCL), we tailored the procedures to the needs of active, non-professional patients. Functional outcomes were evaluated using the International Knee Documentation Committee (IKDC) Questionnaire, Lysholm Knee Scoring Scale, and Knee Injury and Osteoarthritis Outcome Score (KOOS). <i>Results</i>: Postoperative improvements were significant, with the total IKDC score increasing from a median of 39.1 preoperatively to 75.9 postoperatively, Lysholm from 61.0 to 87.0, and KOOS from 47.6 to 85.7 (<i>p</i> < 0.01). The results demonstrated significant improvements across all scoring systems, with enhanced knee stability, reduced pain, and better quality of life. <i>Conclusions</i>: These findings support the feasibility of non-anatomic reconstructions as a practical solution for patients seeking a return to daily activities and recreational sports without the complexity of full anatomic reconstruction.https://www.mdpi.com/1648-9144/61/1/53knee instabilityligament reconstructionarthroscopicopen techniqueIKDC QuestionnaireLysholm Knee Scoring Scale |
| spellingShingle | Mihai Hurmuz Cătălin-Adrian Miu Daniel Ceachir Romulus-Fabian Tatu Mihai Andrei Bogdan Andor Alexandru Catalin Motofelea Călin Tudor Hozan Non-Anatomic Reconstruction in Multiligament Knee Injuries: A Functional Approach Medicina knee instability ligament reconstruction arthroscopic open technique IKDC Questionnaire Lysholm Knee Scoring Scale |
| title | Non-Anatomic Reconstruction in Multiligament Knee Injuries: A Functional Approach |
| title_full | Non-Anatomic Reconstruction in Multiligament Knee Injuries: A Functional Approach |
| title_fullStr | Non-Anatomic Reconstruction in Multiligament Knee Injuries: A Functional Approach |
| title_full_unstemmed | Non-Anatomic Reconstruction in Multiligament Knee Injuries: A Functional Approach |
| title_short | Non-Anatomic Reconstruction in Multiligament Knee Injuries: A Functional Approach |
| title_sort | non anatomic reconstruction in multiligament knee injuries a functional approach |
| topic | knee instability ligament reconstruction arthroscopic open technique IKDC Questionnaire Lysholm Knee Scoring Scale |
| url | https://www.mdpi.com/1648-9144/61/1/53 |
| work_keys_str_mv | AT mihaihurmuz nonanatomicreconstructioninmultiligamentkneeinjuriesafunctionalapproach AT catalinadrianmiu nonanatomicreconstructioninmultiligamentkneeinjuriesafunctionalapproach AT danielceachir nonanatomicreconstructioninmultiligamentkneeinjuriesafunctionalapproach AT romulusfabiantatu nonanatomicreconstructioninmultiligamentkneeinjuriesafunctionalapproach AT mihaiandrei nonanatomicreconstructioninmultiligamentkneeinjuriesafunctionalapproach AT bogdanandor nonanatomicreconstructioninmultiligamentkneeinjuriesafunctionalapproach AT alexandrucatalinmotofelea nonanatomicreconstructioninmultiligamentkneeinjuriesafunctionalapproach AT calintudorhozan nonanatomicreconstructioninmultiligamentkneeinjuriesafunctionalapproach |