Surgical Management of Complex Multiligament Knee Injury: Case Report.

Autor: Baeza, Ramon Alonso Prieto, González, Fernando González, Aragon, Fernando Hernández, Pérez, David Alfonso Servín, Ortiz, Nadia Karina Portillo, Carrera, Andrés Manuel García, Madrid, Arturo Aguirre, Nafarrate, Edmundo Berumen, Nyland, John
Zdroj: Case Reports in Orthopedics; 10/19/2024, Vol. 2024, p1-12, 12p
Abstrakt: Multiligament knee injuries (MLKIs) frequently require immediate intervention to prevent severe complications, including vascular injury. We present the case of a 51‐year‐old male who sustained a traumatic right knee dislocation following a motor vehicle accident. The patient exhibited significant tibiofemoral dissociation with Grade 3 instability, classified as Schenck KD IV. Immediate reduction and external fixation were performed, followed by definitive surgical management, which included fibular sling, MPFL and MCL repair, and double‐bundle and double‐tunnel ACL and PCL reconstruction with looped proximal tibial fixation. The patient showed an excellent early postoperative outcome, with minimal edema, manageable moderate pain, and a full range of motion by the 30‐day follow‐up. This case underscores the effectiveness of combining fibular sling, MPFL, and MCL, with anatomical double‐bundle ACL and PCL reconstruction in the treatment of complex MLKIs. The level of evidence is IV. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
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