Osteoarticular Surgery Research, Hospital La Paz Institute for Health Research – IdiPAZ (La Paz University Hospital – Autonomous University of Madrid), Madrid, Spain
Search for other papers by E. Carlos Rodríguez-Merchán in
Google Scholar
PubMed
Search for other papers by Hortensia De la Corte-Rodríguez in
Google Scholar
PubMed
Search for other papers by Carlos A. Encinas-Ullán in
Google Scholar
PubMed
Search for other papers by Primitivo Gómez-Cardero in
Google Scholar
PubMed
-
The main complications of surgical reconstruction of multiligament injuries of the knee joint are residual or recurrent instability, arthrofibrosis, popliteal artery injury, common peroneal nerve injury, compartment syndrome, fluid extravasation, symptomatic heterotopic ossification, wound problems and infection, deep venous thrombosis, and revision surgery.
-
Careful surgical planning and execution of the primary surgical reconstruction of multiligament injuries of the knee joint can minimize the risk of the aforementioned complications.
-
Careful postoperative follow-up is required to detect complications. Early recognition and prompt treatment are of paramount importance.
-
To obtain good results in the revision surgery of failed multiligamentary knee reconstructions, it is crucial to perform a thorough and exhaustive evaluation to detect all the causes of failure.
-
Addressing all associated injuries during revision surgery will lead to the best possible subjective and objective results, although functional outcomes are often modest.
-
However, advanced age and high-energy injuries have been associated with the poorest functional outcomes after revision surgery of failed multiligament injuries of the knee joint.
Cite this article: EFORT Open Rev 2021;6:973-981. DOI: 10.1302/2058-5241.6.210057
Search for other papers by José Nuno Ferreira in
Google Scholar
PubMed
Search for other papers by João Vide in
Google Scholar
PubMed
Search for other papers by Daniel Mendes in
Google Scholar
PubMed
Search for other papers by João Protásio in
Google Scholar
PubMed
Search for other papers by Rui Viegas in
Google Scholar
PubMed
Search for other papers by Manuel Resende Sousa in
Google Scholar
PubMed
different outcome. 6 , 11 Prognostic factors associated with a bad outcome are systemic laxity, 12 , 25 joint geometry, 12 , 17 , 26 re-sprain, 25 , 28 limb/foot malalignment 17 , 26 , 27 , 29 and multiligament injuries. 14 , 20
Search for other papers by Carlos A. Encinas-Ullán in
Google Scholar
PubMed
Search for other papers by E. Carlos Rodríguez-Merchán in
Google Scholar
PubMed
of MCL injuries in the multiligament injury population. 14 When treating multi-ligament injuries, cruciate reconstructions need to be performed first before approaching the MCL. Repair Acute repair is indicated in isolated grade III
Search for other papers by Jimmy Wui Guan Ng in
Google Scholar
PubMed
Search for other papers by Yulanda Myint in
Google Scholar
PubMed
Search for other papers by Fazal M. Ali in
Google Scholar
PubMed
KDII Multiligament knee injury with ACL and PCL rupture only KDIIIM Multiligament knee injury with ACL, PCL and MCL rupture KDIIIL Multiligament knee injury with ACL, PCL and LCL + PLC rupture KDIV Multiligament injury with
