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Multiple-Ligament Knee Injuries in the United States Military Active-Duty Population

  • Mark P. PallisEmail author
  • Joseph T. LanziJr.
  • Estephan J. Garcia
  • William M. Weiss
  • Andrew G. Chan
Chapter

Abstract

The multiple-ligament injured knee is a devastating orthopedic injury that can result in long-term disability. Although the incidence within the military population has not been established, there are several reports describing the pathology and prognosis associated with these injuries in service members. The mechanisms are typically high-energy trauma, sports or training injury, or combat-related. The principles of management of multiple-ligamentous knee injuries in the active-duty service member are similar to that in civilian trauma. However, combat-related multiple-ligament knee injuries have unique treatment considerations due to austere settings and combat mechanisms that result in complex extremity trauma and amputation. The goal for a soldier with a multiple-ligament knee injury is surgical reconstruction to restore stability and function to the extremity and to allow return to duty. As in civilian trauma, the challenge with multiple-ligament knee injuries is that treatment is dictated by the specific ligaments injured, the severity and constellation of associated injuries, and the performance requirements or expectations of the patient.

Keywords

Active-duty US Military Combat injury Return to duty Multiple-ligament knee injury 

Abbreviations

ABI

Ankle–brachial index

ACL

Anterior cruciate ligament

ATLS

Advanced trauma life support

CT

Computerized tomography

DNBI

Disease and non-battle injuries

IED

Improvised explosive devices

LCL

Lateral collateral ligament

MCL

Medical collateral ligament

MOS

Military occupational specialty

MRI

Magnetic resonance imaging

OEF

Operation enduring freedom

OIF

Operation Iraqi freedom

PCL

Posterior cruciate ligament

PEB

Physical Evaluation Board

PLC

Posterior lateral corner

TCCC

Tactical combat casualty care

US

United States

USAF

United States Air Force

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Mark P. Pallis
    • 1
    Email author
  • Joseph T. LanziJr.
    • 1
  • Estephan J. Garcia
    • 1
  • William M. Weiss
    • 2
  • Andrew G. Chan
    • 1
  1. 1.Department of Orthopaedic Surgery, William Beaumont Army Medical CenterEl PasoUSA
  2. 2.Department of Orthopaedic Surgery, Texas Tech University Health Sciences CenterEl PasoUSA

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