scholarly journals Multiple ligament anatomic-based reconstructions of the knee: State- of-the-art

2021 ◽  
Vol 0 ◽  
pp. 1-16
Author(s):  
Robert F. LaPrade ◽  
Edward R. Floyd ◽  
Gregory B. Carlson ◽  
Gilbert Moatshe ◽  
Jorge Chahla ◽  
...  

Multiple knee ligament injuries are defined as a disruption of any combination of the four main ligament complexes; the cruciate ligaments, posterolateral corner, and posteromedial corner. Evaluation requires consideration of the entire clinical picture, including injury to associated structures, directions and degree of instability, neurovascular compromise and appropriate imaging, and physical examination. Reconstruction is favored over repair and anatomic- based reconstruction techniques have been validated to restore the native biomechanics of the knee and lead to successful patient-reported and objective outcomes. Anatomic-based reconstruction of many knee ligaments simultaneously requires precise knowledge of the relevant anatomical landmarks, careful planning of reconstruction tunnel positions, and orientations to avoid tunnel convergence, and employment of immediate early motion in the post-operative rehabilitation regimen to provide the patient the best chance for relatively normal use of the affected limb.

Author(s):  
Xavier D. Thompson ◽  
Brianna DiAntonio

An 18-year-old male hurdler reported to preparticipation physicals, with a history of anterior cruciate ligament, lateral collateral ligament, and posterior cruciate ligament sprain; medial meniscocapsular sprain; and biceps femoris tendon avulsion. The patient received full clearance from his surgeon, despite functional deficits. Rehabilitation and return-to-play decision making included analysis of patient-reported outcome scores and tests of symmetry and neuromuscular control. After graduated intervention and multiple batteries of assessments, the patient was allowed to return to full participation. The nature of this sport and the time between surgery and the intervention made thorough evaluation of function and graduated progression a necessity.


Author(s):  
We. Müller ◽  
R. Biedert ◽  
F. Hefti ◽  
R. P. Jakob ◽  
U. Munzinger ◽  
...  

Author(s):  
Christopher A. Hajnik ◽  
Craig S. Radnay ◽  
Giles R. Scuderi, ◽  
W. Norman Scott

2010 ◽  
pp. 261-264
Author(s):  
Javad Parvizi ◽  
Gregory K. Kim

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