Anterior cruciate ligament reconstruction in the modern era: A patient-centered approach.

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Abstract

Conflict of interest statement: Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article. 11. Injury. 2017 Apr;48(4):861-865. doi: 10.1016/j.injury.2017.02.019. Epub 2017 Feb 22. Return to duty following combat-related multi-ligamentous knee injury. Barrow AE(1), Sheean AJ(2), Burns TC(3). Author information: (1)Orthopedic Resident, San Antonio Military Medical Center, Fort Sam Houston, TX, United States. Electronic address: aaron.e.barrow@gmail.com. (2)Orthopedic Resident, San Antonio Military Medical Center, Fort Sam Houston, TX, United States. (3)Staff Orthopedic Surgeon, San Antonio Military Medical Center, Fort Sam Houston, TX, United States. INTRODUCTION: This retrospective cohort study characterized injury patterns, treatment practices, and identified the return to duty (RTD) rate following combat-related multi-ligament knee injuries (MLKI). PATIENTS AND METHODS: We evaluated injury characteristics and treatment methods of 46 military service members who had sustained a MLKI during combat activity. The primary clinical outcome measure was ability to return to active military duty. Secondary outcomes included subjective pain score, knee motion, knee instability, and use of ambulatory assistive device. RESULTS: The RTD rate was 41% (19/46). High-energy mechanism, neurovascular injury, compartment syndrome, traumatic knee arthrotomy, and intra-articular femur fracture (Orthopedic Trauma Association Classification (OTA) 33-B/C) were all more prevalent in subjects who were unable to return to duty (p