Clinical Outcomes Of Multi-ligament Knee Injuries In Assiut University Hospitals

The arabic translated and validated Lysholm Knee Score

Multi-ligament knee injuries (MLKI) are devastating injuries. They are defined as injuries to
 at least two of the four major ligaments in the knee: anterior cruciate ligament, posterior
 cruciate ligament, lateral collateral ligament (and posterolateral corner) and medial
 collateral ligament (and posteromedial corner). These injuries are commonly classified using
 the Schenck classification system. The incidence of these injuries has been reported to be
 around 0.02-0.20% of all orthopaedic injuries. However, this is likely to be an
 underestimation due to spontaneous knee reduction and missed injuries. The immediate
 management of these injuries is crucial in identifying and treating any vascular and nerve
 injury. The literature has shown poor outcome and residual instability in those who were
 treated non-operatively. However, the optimal surgical treatment for these injuries is not
 known, with differences in opinion amongst treating clinicians. There are controversies in
 the timing of surgery (early versus delayed), single-staged or two-staged procedures and
 whether the damaged ligaments should be repaired or reconstructed