title: Controversies in the treatment of knee dislocations and multiligament reconstruction.
abstract: 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.
authors.affiliation: Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, Rochester, MN 55905, USA.
authors.forename: Bruce A
authors.initials: BA
authors.lastname: Levy
authors.forename: Gregory C
authors.initials: GC
authors.lastname: Fanelli
authors.forename: Daniel B
authors.initials: DB
authors.lastname: Whelan
authors.forename: James P
authors.initials: JP
authors.lastname: Stannard
authors.forename: Peter A
authors.initials: PA
authors.lastname: MacDonald
authors.forename: Joel L
authors.initials: JL
authors.lastname: Boyd
authors.forename: Robert G
authors.initials: RG
authors.lastname: Marx
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Stuart
mesh_terms: 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