title: Surgical management of combined anterior or posterior cruciate ligament and posterolateral corner tears: for what functional results?
abstract: BACKGROUND
  Management of combined anterior or posterior cruciate ligament and posterolateral corner tears is still poorly codified. The aim of this study was to evaluate functional outcome after complete surgical treatment.
  
  
  METHODS
  This retrospective multicenter study included 53 patients. Mean age was 29.8 yrs. (15-49). The anterior and posterior cruciate ligaments were involved in respectively 48 and 5 cases. Mean time to surgery was 25.6 months (0-184), and in 10 cases less than 21 days. Nine patients were sedentary workers and 29 non-sedentary (13 laborers). All ligament injuries were treated surgically. Mean follow-up was 49 months (12-146). Last follow-up assessment used IKDC, Lysholm and KOOS scores.
  
  
  RESULTS
  At last follow-up, IKDC score graded 14 patients A, 25 B, 8 C and 6 D, versus 0 A, 4 B, 25 C, 22 D and 2 ungraded preoperatively. Mean subjective IKDC and Lysholm scores were respectively 72.8 (11.5-100) and 77.5 (37-100). Mean KOOS scores (pain, symptoms, daily life, sports, quality of life) were respectively 78 (3-100), 70 (25-100), 88 (47-100), 53 (0-100) and 50 (0-100). Posterolateral laxity was corrected in all but two cases. All sedentary workers and 86.7% of non-sedentary workers could return to work. The job had to be changed in 10% of cases overall, but in 25% of cases for laborers.
  
  
  CONCLUSIONS
  The present results are comparable with those of the literature. The strategy of combined surgical treatment showed functional efficacy, usually associated with return to work except for some laborers. There was a non-significant trend in favor of acute-phase ligament reconstruction.
  
  
  METHODS
  IV (retrospective series).
authors.affiliation: Clinique Drouot, 20, rue Laffitte, 75009 Paris, France.
authors.forename: A
authors.initials: A
authors.lastname: Wajsfisz
authors.affiliation: Hôpital d'instruction des Armées-Begin, 69, avenue de Paris, 94160 Saint-Mandé, France.
authors.forename: X
authors.initials: X
authors.lastname: Bajard
authors.affiliation: Service d'orthopédie traumatologie, centre hospitalier universitaire de Grenoble, hôpital Sud, 38434 Échirolles cedex, France.
authors.forename: S
authors.initials: S
authors.lastname: Plaweski
authors.affiliation: Cabinet Goethe, 23, avenue Niel, 75017 Paris, France.
authors.forename: P
authors.initials: P
authors.lastname: Djian
authors.affiliation: Lyon-ortho-clinic, 29B, avenue des Sources-Bâtiment-Trait-d'Union, 69009 Lyon, France.
authors.forename: G
authors.initials: G
authors.lastname: Demey
authors.affiliation: Médipole Garonne, 45, rue de Gironis, 31100 Toulouse, France.
authors.forename: R
authors.initials: R
authors.lastname: Limozin
authors.affiliation: Clinique du sport de merignac, 4, rue Negrevergne, 33700 Mérignac, France.
authors.forename: V
authors.initials: V
authors.lastname: Bousquet
authors.affiliation: Service d'orthopédie traumatologie, centre hospitalo-universitaire de Caen, avenue de la Côte-de-Nacre, 14033 Caen cedex 9, France.
authors.forename: G
authors.initials: G
authors.lastname: Rocheconcar
authors.affiliation: Cabinet médical ICOS, 118, rue Jean-Mermoz, 13008 Marseille, France.
authors.forename: M-L
authors.initials: ML
authors.lastname: Louis
authors.affiliation: Service d'orthopédie traumatologie, hôpitaux universitaire de Strasbourg, 67091 Strasbourg, France.
authors.forename: J
authors.initials: J
authors.lastname: Arndt
authors.affiliation: Service d'orthopédie traumatologie, centre hospitalo-universitaire de Caen, avenue de la Côte-de-Nacre, 14033 Caen cedex 9, France.
authors.forename: M
authors.initials: M
authors.lastname: Azar
authors.affiliation: Centre Santy, 24, avenue Paul-Santy, 69008 Lyon, France.
authors.forename: B
authors.initials: B
authors.lastname: Sonnery-Cottet
authors.affiliation: Service d'orthopédie traumatologie, centre hospitalier de Versailles, 78150 le Chesnay, France. Electronic address: pboisrenoult@ch-versailles.fr.
authors.forename: P
authors.initials: P
authors.lastname: Boisrenoult
mesh_terms: D000293:Adolescent; D000328:Adult; D016118:Anterior Cruciate Ligament / Q000601:surgery; D000070598:Anterior Cruciate Ligament Injuries; D005260:Female; D006801:Humans; D007718:Knee Injuries / Q000503:physiopathology / Q000601:surgery*; D007719:Knee Joint / Q000503:physiopathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000379:methods*; D016119:Posterior Cruciate Ligament / Q000293:injuries* / Q000601:surgery; D011788:Quality of Life; D016059:Range of Motion, Articular / Q000502:physiology*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult
keywords: Anterior cruciate ligament; Functional results; Knee; Multiligament; Posterior cruciate ligament; Posterolateral corner; Reconstruction