Intraoperative and early (90-day) postoperative complications and associated variables with multiligamentous knee reconstruction: 15-year experience from a single academic institution
Arthroscopy Jun 03, 2021
Axibal DP, Yeatts NC, Hysong AA, et al. - This study attempted to ascertain the rate of intraoperative and early postoperative (90-day) complications of multiligamentous knee reconstruction surgeries, both medical and surgical, and correlated variables from the 15-year experience of a single academic institution. Individuals treated at a single academic institution between 2005-2019 who had undergone multi-ligament knee surgery were identified. Researchers retrospectively recorded individual demographics, mechanism of injury, associated injuries of patients with intraoperative and postoperative complications, time from injury to multiligamentous knee reconstruction, and surgical data including tourniquet time, procedure time, and type of procedures. The study enrolled 301 knees in 296 patients. A low intraoperative complication rate and high early postoperative complication rate with multiligamentous knee surgery were observed. It has been considered that surgeons should be wary of the elevated intraoperative and postoperative complications correlated with longer procedure times, inside-out meniscal repair, tibial-based posterolateral corner (PLC) reconstruction, PLC reconstruction, and shorter time to surgery.
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