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Special Considerations for Multiple-Ligament Knee Injuries

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Sports Injuries

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Abstract

While high level of evidence studies on multiligament knee injuries are limited, a growing body of level III and IV clinical studies are available to guide treatment of these severe injuries. Early recognition and treatment is crucial for management of acute injuries, with immediate attention being directed toward ruling out or addressing vascular injuries. A thorough physical exam that delineates which structures are injured directs the need for more objective stress radiographs or other imaging modalities. The mechanical axis must be determined in patients with chronic injuries due to the high risk of failure of soft tissue grafts in patients with malalignment. An anatomic reconstruction of combined ligamentous injuries with early postoperative range of motion is recommended for best functional results. A multidisciplinary approach is necessary for the extensive rehabilitation following surgical treatment and should include the orthopedic surgeon, physical therapist, and athletic trainer if applicable.

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Authors and Affiliations

  1. The Steadman Clinic and Steadman Philippon Research Institute, 181 West Meadow Drive, Suite 1000, Vail, CO, USA

    Joel Huleatt & Robert F. LaPrade

  2. School of Medicine, Western Michigan University, 1903 Western Michigan Avenue, Kalamazoo, MI, USA

    Andrew Geeslin

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  1. Joel Huleatt
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  2. Andrew Geeslin
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  3. Robert F. LaPrade
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Correspondence to Joel Huleatt .

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Editors and Affiliations

  1. Department of Orthopaedics and Traumatology and Department of Sports Medicine, Hacettepe University, Istanbul, Turkey

    Mahmut Nedim Doral

  2. Department of Orthopaedic Surgery, Sahlgrenska Academy, University of Gothenburg, Sahlgrenska University Hospital, Gothenburg, Sweden

    Jon Karlsson

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Huleatt, J., Geeslin, A., LaPrade, R.F. (2015). Special Considerations for Multiple-Ligament Knee Injuries. In: Doral, M.N., Karlsson, J. (eds) Sports Injuries. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-36569-0_112

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  • DOI: https://doi.org/10.1007/978-3-642-36569-0_112

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