Chapter

Combined ligament injuries around the knee

Andy Williams and Ali Narvani

in Oxford Textbook of Trauma and Orthopaedics

Second edition

Published on behalf of Oxford University Press

Published in print August 2011 | ISBN: 9780199550647
Published online April 2011 | e-ISBN: 9780199608249 | DOI: http://dx.doi.org/10.1093/med/9780199550647.003.008012

Series: Oxford Textbooks

Combined ligament injuries around the knee

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Any knee with major disruption of two ligaments is likely to have been dislocated at the time of injury

Knee dislocations are associated with high risk of neurovascular injury. Angiography or vascular ultrasound is mandatory

In knee dislocations, following immediate reduction and stabilization usually with a brace, acute repair of the ruptured soft tissue structure within 2–3 weeks of injury is likely to provide superior results compared to later reconstruction

Management of most multiligament injuries is complex and requires surgical intervention therefore specialist centres are best to be involved early

In cases with associated malalignment, osteotomy can improve the results of ligament reconstruction.

Chapter.  3945 words.  Illustrated.

Subjects: Trauma and Orthopaedic Surgery

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