Journal of AdvancedMedical and Dental Sciences Research

Background: Multiple ligament injuries (MLIs) are rare but potentially disabling traumatic events that involve at least two of the 4 major ligaments of the knee. The present study compared above three techniques in management of multiple ligament knee injury. Materials & Methods: 60 patients diagnosed with multiple ligament knee injury of either gender was divided into groups of 20 each. In group I, one staged surgery, in group II, two staged surgery and in group III, only extraarticular (EA) ligaments were repaired or reconstructed. Parameters such as lysholm score, international knee documentation committee, knee injury and osteoarthritis outcome score were recorded. Results: The mean pre- Lysholm score was 1.6, 1.2 and 1.4, follow up (months) was 34.2, 35.4 and 33.2, post- Lysholm score was 90.3, 85.2 and 83.1, pre- IKDC was 20 in each group and post- IKDC A was seen in 6, 5 and 4, B in10, 12 and 11 and C in 4, 3 and 5 in group I, II and III respectively. The mean pain was 95.4, 97.2 and 93.5, activity of daily living was 91.2, 87.6 and 88.4, sports was 90.4, 85.2 and 79.6, knee symptoms was 90.1, 86.3 and 81.3 and quality of life was 89.5, 86.3 and 83.1 in group I, II and III respectively. The difference was significant (P< 0.05). Conclusion: All methods of knee ligament injury resulted in better clinical and functional outcome.