Surgical Management of Complex Multiligament Knee Injury: Case Report
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 t...
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| Format: | Article |
| Language: | English |
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Wiley
2024-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2024/2594659 |
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| author | Ramon Alonso Prieto Baeza Fernando González González Fernando Hernández Aragon David Alfonso Servín Pérez Nadia Karina Portillo Ortiz Andrés Manuel García Carrera Arturo Aguirre Madrid Edmundo Berumen Nafarrate |
| author_facet | Ramon Alonso Prieto Baeza Fernando González González Fernando Hernández Aragon David Alfonso Servín Pérez Nadia Karina Portillo Ortiz Andrés Manuel García Carrera Arturo Aguirre Madrid Edmundo Berumen Nafarrate |
| author_sort | Ramon Alonso Prieto Baeza |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-14f3f4279b6f40caa849ffa50177b452 |
| institution | DOAJ |
| issn | 2090-6757 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-14f3f4279b6f40caa849ffa50177b4522025-08-20T03:17:22ZengWileyCase Reports in Orthopedics2090-67572024-01-01202410.1155/2024/2594659Surgical Management of Complex Multiligament Knee Injury: Case ReportRamon Alonso Prieto Baeza0Fernando González González1Fernando Hernández Aragon2David Alfonso Servín Pérez3Nadia Karina Portillo Ortiz4Andrés Manuel García Carrera5Arturo Aguirre Madrid6Edmundo Berumen Nafarrate7Orthopedic SurgeonOrthopedic SurgeonOrthopedic SurgeonOrthopedic SurgeonFaculty of Medicine and Biomedical SciencesFaculty of Medicine and Biomedical SciencesDepartment of Orthopedic SurgeryAcademic DivisionMultiligament 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.http://dx.doi.org/10.1155/2024/2594659 |
| spellingShingle | Ramon Alonso Prieto Baeza Fernando González González Fernando Hernández Aragon David Alfonso Servín Pérez Nadia Karina Portillo Ortiz Andrés Manuel García Carrera Arturo Aguirre Madrid Edmundo Berumen Nafarrate Surgical Management of Complex Multiligament Knee Injury: Case Report Case Reports in Orthopedics |
| title | Surgical Management of Complex Multiligament Knee Injury: Case Report |
| title_full | Surgical Management of Complex Multiligament Knee Injury: Case Report |
| title_fullStr | Surgical Management of Complex Multiligament Knee Injury: Case Report |
| title_full_unstemmed | Surgical Management of Complex Multiligament Knee Injury: Case Report |
| title_short | Surgical Management of Complex Multiligament Knee Injury: Case Report |
| title_sort | surgical management of complex multiligament knee injury case report |
| url | http://dx.doi.org/10.1155/2024/2594659 |
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