Low-velocity knee dislocation with sports injuries. Treatment principles.
Knowing that the injured MCL and PCL can heal and that the injured ACL and lateral side, predictably, will not heal are the bases for the treatment approach to these injuries. (1) Allow MCL healing nonoperatively. (2) Allow PCL healing to occur as long as PCL laxity is 2+ or less (reconstruct the PCL acutely if posterior drawer is > 2+ initially). (3) Initially delay ACL treatment and reconstruct later, if needed posterior drawer. (4) Perform acute lateral side repair to reattach structures to their distally torn site.
Shelbourne
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Indiana University School of Medicine, Indianapolis, USA.
Klootwyk
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D001265:Athletic Injuries / Q000473:pathology / Q000601:surgery*; D006801:Humans; D004204:Joint Dislocations / Q000473:pathology / Q000601:surgery*; D007718:Knee Injuries / Q000473:pathology / Q000601:surgery*; D008023:Ligaments, Articular / Q000473:pathology / Q000601:surgery*; D019637:Orthopedic Procedures / Q000379:methods*; D019651:Plastic Surgery Procedures