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SAS Journal of Surgery | Volume-8 | Issue-03
Acute number one Repair of Extraarticular Ligaments and Staged Surgery in More than One Ligament Knee Injuries
Mohammad Imdadul Hoque Shakil, Nahida Islam
Published: March 11, 2022 | 146 99
DOI: 10.36347/sasjs.2022.v08i03.004
Pages: 80-89
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Abstract
Background: The motive of this observe is to compare the consequences of acute number one repair of extraarticular ligaments with staged surgical treatment for acute knee dislocations (KDs) and multiligament knee injuries (MLKIs). Materials and methods: The atudy has conducted in Department of Orthopedic, UHC sadar, Mymensingh. During the period of January 2013 and May 2021, 67 consecutive patients identified with MLKI or KD have been noted or visited our institution. Of these, 37 sufferers who underwent acute restore of extraarticular ligaments inside three weeks of damage had been included on this observe. These patients were retrospectively categorised into two corporations: people who underwent best primary repair (repair group) and people who underwent staged reconstructive surgical operation (staged group). Follow-up exam protected range of motion (ROM), knee joint balance (Lachman test, posterior drawer take a look at, and varus and valgus stress test), Lysholm knee score, Tegner interest scale, and Knee damage and Osteoarthritis and effect Score (KOOS). Results: Twelve of the 37 sufferers did not want or preference similarly surgical treatment and were protected inside the restore institution. No great distinction becomes determined in demographic facts among the restore and staged businesses. Although staged surgery decreased high-quality posterior drawer check results, no giant difference became located between the 2 businesses concerning ROM, different knee joint balance tests, Lysholm rankings, Tegner scale, or KOOS. Conclusions: all patients lower back to their activities of each day residing and preinjury career ranges. Acute primary restore of extraarticular ligaments gives critical knee stability without varus/valgus instability and may lessen the need for next cruciate ligament reconstruction.