title: Diagnostic and Management Strategies for Multiligament Knee Injuries: A Critical Analysis Review.
abstract: Multiligament knee injuries have a strong association with periarticular soft-tissue and neurovascular injuries, which must not be overlooked in the initial evaluation of the patient. Even though magnetic resonance imaging (MRI) is imperative for a complete evaluation of the damaged ligamentous knee restraints, stress radiography aids in establishing the functional consequence of the MRI findings and may assist in directing reconstruction. Although cruciate ligament tears are generally reconstructed, a combined repair-reconstruction approach is most useful for collateral ligaments and extra-articular structures, with incorporation of local tissue into the reconstruction whenever possible. Regardless of the timing and operative technique chosen, patients with multiligament knee injuries are at high risk for complications and long-term disability.
authors.affiliation: Department of Orthopaedic Surgery, University of Virginia Health System, PO Box 800159 HSC, Charlottesville, VA 22908.
authors.forename: M Tyrrell
authors.initials: MT
authors.lastname: Burrus
authors.forename: Brian C
authors.initials: BC
authors.lastname: Werner
authors.forename: Justin W
authors.initials: JW
authors.lastname: Griffin
authors.forename: F Winston
authors.initials: FW
authors.lastname: Gwathmey
authors.forename: Mark D
authors.initials: MD
authors.lastname: Miller
mesh_terms: D017885:Collateral Ligaments / Q000293:injuries*; D006801:Humans; D007717:Knee; D007718:Knee Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D007719:Knee Joint; D017695:Soft Tissue Injuries