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- Title
Knee dislocations: experience at the Hôpital du Sacré-Coeur de Montréal.
- Authors
Talbot M; Berry G; Fernandes J; Ranger P; Talbot, Max; Berry, Greg; Fernandes, Julio; Ranger, Pierre
- Abstract
<bold>Introduction: </bold>Although many options exist for ligament reconstruction in knee dislocations, the optimal treatment remains controversial. Allografts and autografts have both been used to reconstruct the cruciate ligaments. We present the results of reconstruction using artificial ligaments at Hôpital du Sacré-Coeur in Montréal. <bold>Methods: </bold>We reviewed the treatment of all patients with knee dislocations seen between June 1996 and October 1999. The Lysholm score, ACL-quality of life (QoL) questionnaire, physical examination and Telos instrumented laxity measurement were used to evaluate the results. <bold>Results: </bold>Twenty patients (21 knees) participated in the study. The mean (and standard deviation [SD]) Lysholm score was 71.7 (18). Results from the ACL-QoL questionnaire showed a global impairment in QoL. Mean (and SD) range of motion and flexion were 118 degrees (10.9 degrees) and 2 degrees (2.9 degrees) respectively. Mean (and SD) radiologic laxity evaluated with Telos for the anterior and posterior cruciate ligaments were 6.1 (5.7) mm and 7.3 (4.5) mm respectively. <bold>Conclusions: </bold>Knee reconstruction with artificial ligaments shows promise, but further studies are necessary before it can be recommended for widespread use. This is the first study to show specifically a severe impairment in QoL in this patient population.
- Publication
Canadian Journal of Surgery, 2004, Vol 47, Issue 1, p20
- ISSN
0008-428X
- Publication type
journal article