Multiligament Knee Injuries: Updates of the Debates.

IF 1.1 4区医学 Q3 ORTHOPEDICS

Indian Journal of Orthopaedics Pub Date : 2025-04-11 eCollection Date: 2025-04-01 DOI:10.1007/s43465-025-01375-9

Elsayed Morsi, Adel Adawy, Mohamed Rabie, Ahmed Abdelrazek, Mohamed Elashab, Aya Morsi

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引用次数: 0

Abstract

Background: Multiligament knee injuries (MLKI) constitute a complex and challenging problem. They can have life-modifying consequences, such as the development of osteoarthritis, and an inability to return to work or sport. At present, there is insufficient high-level evidence or expert consensus to support one management strategy over another.

Purpose: The purpose of this article is to review the updates of the debates about multiligament knee injuries, diagnosis, treatment options, and rehabilitation protocols. This article also aimed to elucidate expert opinions on controversial issues in MLKI from scholars from Egypt and the Arab world.

Study design: Comprehensive review; Level of evidence, 5.

Methods: Medline, Embase, PubMed, and Physiotherapy Evidence Database (PEDro) databases were searched between inception and February 2024. The terms: 'multi-ligament' OR 'multiligament' OR 'multi ligament' OR multiple ligaments' AND 'knee' were used to extract relevant studies.

Results: Overall, 1009 eligible studies were identified. After applying inclusion and exclusion criteria, there were 251 articles; of which there were 24 systematic reviews and 227 clinical studies.

Conclusion: The relative rarity of MLKI makes it difficult to perform good-powered prospective randomized studies evaluating these injuries. The debates are expected due to the diversity of presentations of MLKI with regard to types of injured ligaments, site of injury within the ligament, time of presentation, and the different management methods. Thorough knowledge and experience are mandatory to tailor a diagnostic workup and management plan for each case.

查看原文本刊更多论文

膝关节多韧带损伤：争论的最新进展。

背景：膝关节多韧带损伤（MLKI）是一个复杂而具有挑战性的问题。它们可能会导致改变生活的后果，如骨关节炎的发展，以及无法重返工作或运动。目前，没有足够的高层次证据或专家共识来支持一种管理策略优于另一种。目的：本文的目的是回顾关于膝关节多韧带损伤、诊断、治疗选择和康复方案的争论的最新进展。本文亦旨在阐述埃及和阿拉伯世界学者对MLKI争议问题的专家意见。研究设计：综合评价；证据等级，5。方法：检索Medline， Embase， PubMed和物理治疗证据数据库（PEDro）数据库，检索时间为成立至2024年2月。用“multi-ligament”OR“multiligament”OR“multi-ligament”OR“multiple ligament”OR“multiple ligament”AND“knee”提取相关研究。结果：总的来说，1009项符合条件的研究被确定。应用纳入和排除标准后，共有251篇；其中系统综述24篇，临床研究227篇。结论：MLKI的相对罕见性使得评估这些损伤的前瞻性随机研究变得困难。由于MLKI的表现在韧带损伤类型、韧带损伤部位、表现时间和不同的治疗方法等方面的多样性，预计会出现争论。全面的知识和经验是强制性的，以量身定制诊断检查和管理计划，为每个病例。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Indian Journal of Orthopaedics ORTHOPEDICS-

CiteScore

1.80

自引率

0.00%

发文量

185

审稿时长

9 months

期刊介绍： IJO welcomes articles that contribute to Orthopaedic knowledge from India and overseas. We publish articles dealing with clinical orthopaedics and basic research in orthopaedic surgery. Articles are accepted only for exclusive publication in the Indian Journal of Orthopaedics. Previously published articles, articles which are in peer-reviewed electronic publications in other journals, are not accepted by the Journal. Published articles and illustrations become the property of the Journal. The copyright remains with the journal. Studies must be carried out in accordance with World Medical Association Declaration of Helsinki.