gms | German Medical Science

Deutscher Kongress für Orthopädie und Unfallchirurgie (DKOU 2017)

24.10. - 27.10.2017, Berlin

Multiligament knee injuries in high energy traumatism

Meeting Abstract

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  • presenting/speaker Manuel Godino - Costal del Sol Hospital, Marbella, Spain
  • Francisco J. Pascual - Costal del Sol Hospital, Marbella, Spain
  • Manuel Vides - Costal del Sol Hospital, Marbella, Spain
  • Enrique Guerado - Costal del Sol Hospital, Marbella, Spain

Deutscher Kongress für Orthopädie und Unfallchirurgie (DKOU 2017). Berlin, 24.-27.10.2017. Düsseldorf: German Medical Science GMS Publishing House; 2017. DocIN28-1210

doi: 10.3205/17dkou076, urn:nbn:de:0183-17dkou0761

Veröffentlicht: 23. Oktober 2017

© 2017 Godino et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe



Objectives: Multiligament knee injuries in high-energy trauma are uncommon, delaying their diagnosis and treatment in many cases as they are patients with potential hemodynamic instability. Our main objective is to know the tendencies of these patients in times of diagnosis and treatment as well as the percentage of lesions initially unnoticed.

Methods: Descriptive study of historical cohort of 16 patients with multiligament knee injuries: anterior cruciate ligament, posterior cruciate, lateral, medial and / or posterolateral complex, by high-energy trauma intervened in our center. Descriptive analysis with measures of position and distribution of frequencies for qualitative. Differences between dichotomous variables Vs quantitative by Mann-Whitney U test. Correlation of quantitative variables with correlation coefficient was Spearman. Level of significance p <0.05.

Results and Conclusion: The 68.8% of the injuries are caused by motorcycle accidents, with 12.5% being isolated multiligament. Clinical radiological dislocation in 12.5%. Diagnosis of confirmation by magnetic resonance 62.5%, computerized tomography 18.8% or arthroscopy 18.8%, with median of 12 days from the trauma. Treatment by reconstruction (81.3%), repair with suture (6.3%) or osteosynthesis (12.5%). Treated in a single surgical time of all his ligament injuries 56.3%; Greater joint mobility in this group compared to those treated in more than one surgical time (p = 0.045). Median time to intervention 43 days, intervening in the first 21 days 31.25%. Injuries unnoticed initially 37.5%. Post-surgical immobilization in 93.8%; Median of 6 days; Greater joint mobility the shorter the immobilization time (p = 0.467). 93.8% benefited from post-surgical rehabilitative treatment.

In our series, we observed that patients with multiligament knee injuries by high-energy knee injuries have a median definitive diagnosis of 12 days and treatment 43 days and unnoticed 37.5%.