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Introduction Multiligament knee injuries (MLKI) are devastating injuries. They are defined as injuries to at least two of the four major ligaments in the knee: anterior cruciate ligament, posterior cruciate ligament, lateral collateral
Osteoarticular Surgery Research, Hospital La Paz Institute for Health Research – IdiPAZ (La Paz University Hospital – Autonomous University of Madrid), Madrid, Spain
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Introduction Multiligament knee injuries (MLKIs) are rare (0.02% of all injuries treated in orthopaedic surgery). However, such injuries are usually serious for the patients who experience them. 1 Due to the paucity of data with a high degree
Hospital Sotero del Rio, Santiago, Chile
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Hospital Sotero del Rio, Santiago, Chile
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Orthopaedics Department of Minho University, Portugal
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ligamentous complex is still not well understood. 18 The stability of the proximal tibiofibular joint also plays a role. The incidence of disruption is reported at 9% in multiligament knee injuries, with evidence that subsequent stabilization of this
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Ankle sprains are mainly benign lesions, but if not well addressed can evolve into permanent disability. A non-treated lateral, syndesmotic or medial ankle instability can evolve into ankle osteoarthritis. For this reason, diagnosis and treatment of these entities is of extreme importance.
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In general, acute instabilities undergo conservative treatment, while chronic instabilities are better addressed with surgical treatment. It is important to identify which acute instabilities are better treated with early surgical treatment.
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Syndesmosis injuries are frequently overlooked and represent a cause for persistent pain in ankle sprains. Unstable syndesmotic lesions are always managed by surgery.
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Non-treated deltoid ligament ruptures can evolve into a progressive valgus deformity of the hindfoot, due to its links with the spring ligament complex. This concept would give new importance to the diagnosis and treatment of acute medial ligament lesions.
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Multi-ligament lesions are usually unstable and are better treated with early surgery. A high suspicion rate is required, especially for combined syndesmotic and medial lesions or lateral and medial lesions.
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Ankle arthroscopy is a powerful tool for both diagnostic and treatment purposes. It is becoming mandatory in the management of ankle instabilities and multiple arthroscopic lateral/syndesmotic/medial repair techniques are emerging.
Cite this article: EFORT Open Rev 2021;6:420-431. DOI: 10.1302/2058-5241.6.210017
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nerve (CPN) injury following multi-ligament knee injury varies from 4.5% to 40%. 1 , 22 - 24 The wide range of incidence reflects the heterogeneous nature of the reported series and is likely to be related to the differing levels of energy
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authors to describe terms such as ‘global ankle instability’, ‘rotational ankle instability’, and ‘multidirectional ankle instability’, to define complex multiligament ankle injuries. Such definitions are relatively recent to the orthopaedic community
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RMCS III 19.7 ± 7.6 (minimum 6) *Final cohort of patients assessed for clinical evaluation at final follow-up ( n = 16); † Study group have mixed cohort of TKA performed in previous multi-ligament reconstruction ( n = 35) and
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, even for individuals with high physical demands. However, surgical treatment is necessary in cases of severe medial or multi-ligament injury to prevent chronic instability and posttraumatic arthritis. Epidemiology MCL is the most common knee
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Casa di Cura Villa Betania, Rome, Italy
Marrelli Hospital, Crotone, Italy
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reconstruction graft failure. Therefore, in the context of a multi-ligament knee injury involving the POL, early concurrent repair or reconstruction is recommended to facilitate early mobilization and rehabilitation. 26 The existing relevant literature
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cases. 10 High energy trauma such as motor vehicle and industrial accidents are usually associated with multi-ligament injuries and should be treated as knee dislocations. Healing of medial injuries The rich vasculature, the absence of
