Controversies in the treatment of knee dislocations and multiligament reconstruction.
A systematic approach to evaluation and treatment is needed for the patient with knee dislocation. There is a paucity of high-level evidence on which to base treatment decisions. Reported controversies related to the treatment of the multiligament-injured knee include the selective use of arteriography for vascular assessment, serial physical examination with the ankle-brachial index, acute surgical treatment of all damaged structures, the selective application of preoperative and postoperative joint-spanning external fixation, arthroscopic reconstruction of the anterior cruciate ligament and posterior cruciate ligament, simultaneous open reconstruction with repair of the posterolateral corner, reconstruction and/or repair of the posteromedial corner, and the use of allograft tissue.
Levy
Bruce A
BA
Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, Rochester, MN 55905, USA.
Fanelli
Gregory C
GC
Whelan
Daniel B
DB
Stannard
James P
JP
MacDonald
Peter A
PA
Boyd
Joel L
JL
Marx
Robert G
RG
Stuart
Michael J
MJ
D055109:Ankle Brachial Index; D016118:Anterior Cruciate Ligament / Q000601:surgery*; D001182:Arthroscopy / Q000379:methods; D016267:External Fixators; D006801:Humans; D031221:Knee Dislocation / Q000534:rehabilitation / Q000601:surgery*; D016119:Posterior Cruciate Ligament / Q000601:surgery*; D014184:Transplantation, Homologous