Abstract
Knee dislocation, and multiligament knee injury, is an uncommon orthopedic diagnosis with a high rate of neurovascular injuries and limb-threatening complications. Disruption of the popliteal artery and common peroneal nerve is relatively common, requiring a complete and timely physical examination. An ankle–brachial index is a safe and reliable way to screen for vascular insufficiency. Imaging, in the form traditional arteriography or computed tomography with vascular reconstructions, should be ordered when there is concern for vascular injury. External fixation is a reliable method for stabilizing and protecting the knee joint in cases of open dislocation, vascular reconstruction, or a grossly unstable reduction that cannot be maintained with a knee immobilizer. Surgical management of multiligament knee injuries has the goal of providing a functional, pain-free, and stable knee. The current controversies pertaining to surgical treatment include early versus delayed management, arthroscopic versus open cruciate surgery, single versus double-bundle cruciate reconstruction, and transtibial versus tibia-inlay posterior cruciate ligament reconstruction. Knowledge of the basic principles surrounding initial and definitive management of knee dislocations, and multiligament knee injuries, aids the treating surgeon in managing these complex injuries.
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Peskun, C., Whelan, D.B. (2013). Initial Assessment in the Acute and Chronic Multiple-Ligament-Injured Knee. In: Fanelli, G. (eds) The Multiple Ligament Injured Knee. Springer, New York, NY. https://doi.org/10.1007/978-0-387-49289-6_4
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