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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
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. Syndesmosis instability Isolated syndesmosis injuries, commonly referred to as high ankle sprains, are relatively uncommon. 31 They are usually associated with other lesions of the lateral ankle ligaments and are present in up to 20% of all ankle
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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
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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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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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
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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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, 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
Clínica Alemana-Universidad del Desarrollo, Santiago, Chile
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Dom Henrique Research Centre, Portugal
3Bs Research Group – Biomaterials, Biodegradables and Biomimetics, University of Minho, Braga, Portugal
ICVS/3Bs–PT Government Associate Laboratory, Braga, Portugal
Orthopaedics Department of Minho University, Braga, Portugal
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: e4 . 9. Alentorn-Geli E Lazarides AL Utturkar GM et al. Factors predictive of poorer outcomes in the surgical repair of multiligament knee injuries . Knee Surg Sports Traumatol Arthrosc 2019 ; 27 : 445 – 459
