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Ferrari MB, Chahla J, Mitchell JJ, et al. Multiligament Reconstruction of the Knee in the Setting of Knee Dislocation With a Medial-Sided Injury. Arthrosc Tech. 2017;6(2):e341-e350doi: 10.1016/j.eats.2016.10.003.
Ferrari, M. B., Chahla, J., Mitchell, J. J., Moatshe, G., Mikula, J. D., Marchetti, D. C., & LaPrade, R. F. (2017). Multiligament Reconstruction of the Knee in the Setting of Knee Dislocation With a Medial-Sided Injury. Arthroscopy techniques, 6(2), e341-e350. https://doi.org/10.1016/j.eats.2016.10.003
Ferrari, Marcio B, et al. "Multiligament Reconstruction of the Knee in the Setting of Knee Dislocation With a Medial-Sided Injury." Arthroscopy techniques vol. 6,2 (2017): e341-e350. doi: https://doi.org/10.1016/j.eats.2016.10.003
Ferrari MB, Chahla J, Mitchell JJ, Moatshe G, Mikula JD, Marchetti DC, LaPrade RF. Multiligament Reconstruction of the Knee in the Setting of Knee Dislocation With a Medial-Sided Injury. Arthrosc Tech. 2017 Mar 20;6(2):e341-e350. doi: 10.1016/j.eats.2016.10.003. eCollection 2017 Apr. PMID: 28580251; PMCID: PMC5442403.
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Arthrosc Tech. 2017 Mar 20;6(2):e341-e350. doi: 10.1016/j.eats.2016.10.003. eCollection 2017 Apr.

Multiligament Reconstruction of the Knee in the Setting of Knee Dislocation With a Medial-Sided Injury.

Arthroscopy techniques

Marcio B Ferrari, Jorge Chahla, Justin J Mitchell, Gilbert Moatshe, Jacob D Mikula, Daniel Cole Marchetti, Robert F LaPrade

Affiliations

  1. Steadman Philippon Research Institute, Vail, Colorado, U.S.A.
  2. Oslo University Hospital, Oslo, Norway.
  3. OSTRC, The Norwegian School of Sports Sciences, Oslo, Norway.
  4. The Steadman Clinic, Vail, Colorado, U.S.A.

PMID: 28580251 PMCID: PMC5442403 DOI: 10.1016/j.eats.2016.10.003

Abstract

Multiple ligament knee injuries are complex pathologies that often result from traumatic knee dislocations. Both a high level of suspicion and a thorough clinical and radiographic examination are mandatory to diagnose and identify all injured structures. Reconstruction of all injured ligaments is recommended to aid in early mobilization and to avoid joint stiffness or graft failure. For knee dislocations involving injury to the anterior cruciate ligament, posterior cruciate ligament, and medial-sided structures, a repair and augmentation of the medial collateral ligament, together with an anatomic reconstruction of the anterior cruciate ligament and double-bundle posterior cruciate ligament, is recommended. In the setting of these complex reconstructions, there are several technical aspects that require consideration to ensure concise and efficient treatment of these injuries. Graft choice, sequence of reconstruction, tunnel position and orientation, and graft tensioning all pose surgical challenges, and require dedicated preoperative preparation and planning. The purpose of this Technical Note is to report a safe, effective, and reproducible surgical technique for treatment of multiligament injuries in the setting of a knee dislocation with a medial-sided component (classified as KD-III-M in the Schenck classification system).

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