Patient-Reported Outcomes of Bicruciate Multiligament Versus Single Cruciate Multiligament Knee Injuries
2025

Outcomes of Knee Injuries: Bicruciate vs. Single Cruciate

Sample size: 124 publication Evidence: moderate

Author Information

Author(s): Trøan Ingrid PT, MSc, Bere Tone PT, PhD, Holm Inger PT, PhD, LaPrade Robert F. MD, PhD, Engebretsen Lars MD, PhD, Moatshe Gilbert MD, PhD

Primary Institution: Oslo University Hospital, Oslo, Norway

Hypothesis

Patients with bicruciate injuries would have poorer outcomes than those with single cruciate ligament MLKIs.

Conclusion

Patients with single cruciate ligament injuries had significantly better postoperative outcomes compared to those with bicruciate injuries.

Supporting Evidence

  • Patients with single cruciate MLKIs had significantly higher scores for IKDC, Lysholm, and KOOS compared to bicruciate MLKIs.
  • Age and type of injury were significant predictors of outcomes.
  • 19% of patients had KOOS QoL <44, indicating poor knee function.

Takeaway

If you hurt your knee and only one ligament is damaged, you might heal better than if two or more ligaments are hurt.

Methodology

Cross-sectional cohort study analyzing patient-reported outcomes after surgical treatment of multiligament knee injuries.

Potential Biases

The study was conducted at a single center, which may limit the generalizability of the findings.

Limitations

35% of eligible patients were lost to follow-up and there was no objective assessment of outcomes.

Participant Demographics

55% male, 45% female; mean age at injury was 37 years.

Statistical Information

P-Value

.007, .012, .04, .01, .005, .04, .01, .04, .004

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1177/03635465241293743

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