{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:55:23Z","timestamp":1787169323475,"version":"build-2736575974"},"reference-count":91,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2024,9,1]],"date-time":"2024-09-01T00:00:00Z","timestamp":1725148800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Journal of Sports Medicine"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>There is a paucity of outcomes data on surgical reconstruction for multiligament knee injury (MLKI) in the orthopaedic literature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To examine functional and return-to-sports (RTS) outcomes and revision rates after single-stage reconstruction for MLKIs in a cohort containing a large proportion of competitive athletes over a 20-year period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Case series; Level of evidence, 4.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We identified all patients at our institution who underwent surgical reconstruction for an anterior cruciate ligament (ACL) or bicruciate (ACL-posterior cruciate ligament) MLKI between 2001 and 2020 and had \u22652 years of postoperative outcome data. Patient-reported outcomes were evaluated using the International Knee Documentation Committee (IKDC) form, a surgical satisfaction survey, and questions about subsequent knee surgery and RTS administered via telephone. Summary statistics for all outcomes data were calculated, and predictors of IKDC scores at follow-up were examined using univariable linear regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Out of 151 patients eligible for this study, outcomes data were collected in 119 patients (79%). The mean follow-up time was 8.3 \u00b1 4.4 years, and the mean IKDC score at follow-up was 79 \u00b1 17. A total of 83 competitive athletes were included; 62 of these athletes attempted to return to preinjury sport. Among the 62 who attempted RTS, 50 (81%) were successful, and 12 were unable to return due to limitations from their surgery. At follow-up, 112 of the overall cohort of 119 patients (94%) were either satisfied or very satisfied with their surgical outcome, and 91% stated the surgery met or exceeded their expectations. In addition, 24% had subsequent ipsilateral knee operations after their index multiligament knee reconstruction. Older age at surgery and female sex were associated with worse IKDC scores at follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Despite the severity of the injuries in our cohort, we found high levels of patient-reported function and a high rate of successful RTS in the competitive athletes. Older age and female sex were associated with worse patient-reported knee function at follow-up.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23259671241266619","type":"journal-article","created":{"date-parts":[[2024,9,6]],"date-time":"2024-09-06T21:16:51Z","timestamp":1725657411000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Outcomes of Surgical Treatment for Multiligament Knee Injuries in a Cohort Including Competitive Athletes With Long-Term Follow-Up"],"prefix":"10.1177","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6890-7878","authenticated-orcid":false,"given":"Eric A.","family":"Mussell","sequence":"first","affiliation":[{"name":"Andrews Sports Medicine and Orthopaedic Center, Birmingham, Alabama, USA"},{"name":"The American Sports Medicine Institute, Birmingham, Alabama, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2838-729X","authenticated-orcid":false,"given":"Anna E.","family":"Crawford","sequence":"additional","affiliation":[{"name":"Andrews Sports Medicine and Orthopaedic Center, Birmingham, Alabama, USA"},{"name":"The American Sports Medicine Institute, Birmingham, Alabama, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8533-3661","authenticated-orcid":false,"given":"Matthew P.","family":"Ithurburn","sequence":"additional","affiliation":[{"name":"The American Sports Medicine Institute, Birmingham, Alabama, USA"},{"name":"Department of Physical Therapy, School of Health Professions, University of Alabama at Birmingham, Birmingham, Alabama, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Branum O.","family":"Layton","sequence":"additional","affiliation":[{"name":"Andrews Sports Medicine and Orthopaedic Center, Birmingham, Alabama, USA"},{"name":"The American Sports Medicine Institute, Birmingham, Alabama, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9029-8749","authenticated-orcid":false,"given":"Glenn S.","family":"Fleisig","sequence":"additional","affiliation":[{"name":"The American Sports Medicine Institute, Birmingham, Alabama, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcus A.","family":"Rothermich","sequence":"additional","affiliation":[{"name":"Andrews Sports Medicine and Orthopaedic Center, Birmingham, Alabama, USA"},{"name":"The American Sports Medicine Institute, Birmingham, Alabama, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benton A.","family":"Emblom","sequence":"additional","affiliation":[{"name":"Andrews Sports Medicine and Orthopaedic Center, Birmingham, Alabama, USA"},{"name":"The American Sports Medicine Institute, Birmingham, Alabama, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael K.","family":"Ryan","sequence":"additional","affiliation":[{"name":"Andrews Sports Medicine and Orthopaedic Center, Birmingham, Alabama, USA"},{"name":"The American Sports Medicine Institute, Birmingham, Alabama, USA"},{"name":"Prevea Health Orthopaedics and Sports Medicine, Green Bay, Wisconsin, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey R.","family":"Dugas","sequence":"additional","affiliation":[{"name":"Andrews Sports Medicine and Orthopaedic Center, Birmingham, Alabama, USA"},{"name":"The American Sports Medicine Institute, Birmingham, Alabama, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James R.","family":"Andrews","sequence":"additional","affiliation":[{"name":"Andrews Sports Medicine and Orthopaedic Center, Birmingham, Alabama, USA"},{"name":"The American Sports Medicine Institute, Birmingham, Alabama, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr","given":"E. 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