Multiple ligament knee injuries: Clinical practice guidelines
Multiple ligament knee injuries involve tears of two or more of the four major knee ligament structures, and are commonly noted following knee dislocations. These devastating injuries are often associated with soft-tissue trauma, neurovascular deficit, and concomitant articular cartilage or meniscus...
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| Published in | Journal of Arthroscopic Surgery and Sports Medicine Vol. 3; pp. 40 - 49 |
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| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
14.12.2021
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| Online Access | Get full text |
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| Abstract | Multiple ligament knee injuries involve tears of two or more of the four major knee ligament structures, and are commonly noted following knee dislocations. These devastating injuries are often associated with soft-tissue trauma, neurovascular deficit, and concomitant articular cartilage or meniscus tears. The complexity of presentation, and spectrum of treatment options, makes these injuries unique and extremely challenging to even the most experienced knee surgeons. A high level of suspicion, and a comprehensive clinical and radiological examination, is required to identify all injured structures. The current literature supports surgical management of these injuries, with cruciate reconstructions, and repair/augmented repair/ reconstruction of collateral ligaments. This review article analyses management principle of multiple ligament knee injuries, and formulates clinical practice guidelines with treatment algorithms essential to plan individualized management of these complex heterogeneous injuries. |
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| AbstractList | Multiple ligament knee injuries involve tears of two or more of the four major knee ligament structures, and are commonly noted following knee dislocations. These devastating injuries are often associated with soft-tissue trauma, neurovascular deficit, and concomitant articular cartilage or meniscus tears. The complexity of presentation, and spectrum of treatment options, makes these injuries unique and extremely challenging to even the most experienced knee surgeons. A high level of suspicion, and a comprehensive clinical and radiological examination, is required to identify all injured structures. The current literature supports surgical management of these injuries, with cruciate reconstructions, and repair/augmented repair/ reconstruction of collateral ligaments. This review article analyses management principle of multiple ligament knee injuries, and formulates clinical practice guidelines with treatment algorithms essential to plan individualized management of these complex heterogeneous injuries. |
| ArticleNumber | 40 |
| Author | Pardiwala, Dinshaw N. Thete, Raghavendraswami Rao, Nandan Subbiah, Kushalappa Jadhav, Ravikant |
| Author_xml | – sequence: 1 givenname: Dinshaw N. surname: Pardiwala fullname: Pardiwala, Dinshaw N. organization: Centre for Sports Medicine, Arthroscopy Service, Kokilaben Dhirubhai Ambani Hospital, Mumbai, Maharashtra, India – sequence: 2 givenname: Kushalappa surname: Subbiah fullname: Subbiah, Kushalappa organization: Centre for Sports Medicine, Arthroscopy Service, Kokilaben Dhirubhai Ambani Hospital, Mumbai, Maharashtra, India – sequence: 3 givenname: Raghavendraswami surname: Thete fullname: Thete, Raghavendraswami organization: Centre for Sports Medicine, Arthroscopy Service, Kokilaben Dhirubhai Ambani Hospital, Mumbai, Maharashtra, India – sequence: 4 givenname: Ravikant surname: Jadhav fullname: Jadhav, Ravikant organization: Centre for Sports Medicine, Arthroscopy Service, Kokilaben Dhirubhai Ambani Hospital, Mumbai, Maharashtra, India – sequence: 5 givenname: Nandan surname: Rao fullname: Rao, Nandan organization: Department of Arthroscopy and Sports Orthopaedics, Unity Hospital, Surat, Gujarat, India |
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Treatment principles publication-title: Clin Sports Med doi: 10.1016/S0278-5919(05)70217-9 contributor: fullname: Shelbourne – volume: 35 start-page: 1844 year: 2007 ident: 10.25259/JASSM_19_2021/ref-33 article-title: Proximal tibial opening wedge osteotomy as the initial treatment for chronic posterolateral corner deficiency in the varus knee: A prospective clinical study publication-title: Am J Sports Med doi: 10.1177/0363546507304717 contributor: fullname: Arthur |
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