{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T10:38:44Z","timestamp":1785494324077,"version":"3.56.0"},"reference-count":46,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,10,27]],"date-time":"2021-10-27T00:00:00Z","timestamp":1635292800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,10,27]],"date-time":"2021-10-27T00:00:00Z","timestamp":1635292800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Musculoskelet Disord"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>There is still a lack of clinical data in arthroscopic treatment for treating multiple ligament injuries. This study aims to evaluate the clinical outcomes of patients with multiple ligament injuries undergoing treatment based on the classification stage and type of injury.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>A prospective, clinical trial on multiple ligament injuries was planned, which included 95 patients (58 men and 37 women; age: 42.8\u2009\u00b1\u200911.9 [range, 18\u201363] years) from October 2017 to June 2018. Injuries were classified into three stages (emergency stage &lt;\u200924\u2009h; acute stage: 24\u2009h to 3\u2009weeks, and chronic stage: &gt;\u20093\u2009weeks) and six types (KD I\u2013VI) based on injuries time and structures, which indicated appropriate treatments. The clinical outcomes were evaluated at 2, 4, 6, 8, and 12\u2009weeks and at 6, 9, 12\u2009months and 24\u2009months after surgery. The final choices in efficacy index included International Knee Documentation Committee (IKDC) score, Lysholm score, visual analog scale (VAS) score, and range of motion.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>During the follow-up, all patients exhibited statistically significant functional improvement in the injured limb compared with their preoperative situation. The mean postoperative scores of acute stage patients at 2-year follow-up were IKDC subjective score, 77.54\u2009\u00b1\u200911.53; Lysholm score, 85.96\u2009\u00b1\u20099.39; Tegner score, 4.13\u2009\u00b1\u20091.08; and VAS score, 1.21\u2009\u00b1\u20090.76. The mean postoperative scores of chronic stage patents at 2-year follow-up were IKDC subjective score, 74.61\u2009\u00b1\u200912.38; Lysholm score, 81.71\u2009\u00b1\u200910.80; Tegner score, 3.96\u2009\u00b1\u20091.14; and VAS score, 1.71\u2009\u00b1\u20090.60. The IKDC subjective score, Lysholm score, and Tegner score were significantly improved (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.01) and the VAS score was significantly decreased (<jats:italic>P\u2009&lt;<\/jats:italic>\u00a00.01) at 2-year follow-up. Regarding the multiple ligament injuries classification, patients with more structural damage in stages V and VI showed less progress in functional recovery than those in stages I\u2013IV.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>This new classification with three stages and six types helps to identify the severity of injury and plan the management effectively. The outcomes were encouraging and the subjective functional results showed significant improvement at 2-year follow-up.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Study design<\/jats:title>\n                <jats:p>Prospective clinical trial.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Level of evidence<\/jats:title>\n                <jats:p>II<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12891-021-04596-9","type":"journal-article","created":{"date-parts":[[2021,10,27]],"date-time":"2021-10-27T15:04:30Z","timestamp":1635347070000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Results of multiple ligament reconstruction after knee dislocation\u2014\u2014A prospective study with 95 patients and minimum 2-year follow up"],"prefix":"10.1186","volume":"22","author":[{"given":"Tao","family":"Li","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Xiong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhong","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xin","family":"Tang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gang","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qi","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei Li","family":"Fu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jian","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,10,27]]},"reference":[{"issue":"11","key":"4596_CR1","doi-asserted-by":"publisher","first-page":"1198","DOI":"10.1016\/j.injury.2010.11.018","volume":"42","author":"NR Howells","year":"2011","unstructured":"Howells NR, Brunton LR, Robinson J, Porteus AJ, Eldridge JD, Murray JR. 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Written informed consent was obtained for all patients prior to their inclusion in the study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"The patients shown in Figs.\u00a0, , ,  and  were provided written informed consent for the publication of these photos and images.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"904"}}