Advertisement

Complications in Complex Knee Ligament Injuries

  • Sung-Jae Kim
  • Min JungEmail author
Chapter

Abstract

Complex knee ligament injuries are frequently induced by knee dislocations following high-energy knee injury. Various complications develop after complex knee ligament injuries. Persistent instability, arthrofibrosis, and neurovascular problems are common complications. Persistent instability arises as the most common complications and develops in almost all patients. Arthrofibrosis is a common long-term complication causing serious problem after complex knee ligament injury. Neurovascular injury is a fatal and not uncommon complication. To prevent serious damage, early recognition and thorough assessments of complications are necessary. It is important to accurately diagnose complex knee ligament injuries, minimize possible complications, and properly address complications.

Keywords

MLKIs Knee Ligaments Complications Vascular Neurological Compartment syndrome 

Notes

Acknowledgment

The authors would like to thank professor Tae-Hwan Yoon and clinical fellows (Kwangho Chung, Jinyoung Jang, Hyun-Soo Moon, Chan-Myoung Woo) for their support in writing this chapter.

References

  1. 1.
    Tay AK, MacDonald PB. Complications associated with treatment of multiple ligament injured (dislocated) knee. Sports Med Arthrosc Rev. 2011;19:153–61.CrossRefGoogle Scholar
  2. 2.
    Fanelli GC, Stannard JP, Stuart MJ, et al. Management of complex knee ligament injuries. J Bone Joint Surg Am. 2010;92:2235–46.PubMedGoogle Scholar
  3. 3.
    Plancher KD, Siliski J. Long-term functional results and complications in patients with knee dislocations. J Knee Surg. 2008;21:261–8.CrossRefGoogle Scholar
  4. 4.
    Harner CD, Waltrip RL, Bennett CH, Francis KA, Cole B, Irrgang JJ. Surgical management of knee dislocations. JBJS. 2004;86:262–73.CrossRefGoogle Scholar
  5. 5.
    Becker EH, Watson JD, Dreese JC. Investigation of multiligamentous knee injury patterns with associated injuries presenting at a level I trauma center. J Orthop Trauma. 2013;27:226–31.CrossRefGoogle Scholar
  6. 6.
    Woodmass JM, O’Malley MP, Krych AJ, et al. Revision multiligament knee reconstruction: clinical outcomes and proposed treatment algorithm. Arthroscopy. 2018;34:736–744.e733.CrossRefGoogle Scholar
  7. 7.
    Stannard J, Schenck RC Jr, Fanelli G. Knee dislocations and fracture-dislocations. In: Bucholz RW, Heckman JD, Court-Brown CM, Tornetta P, editors. Rockwood and green’s fractures in adults. 7th ed. Philadelphia: Lippincott Williams & Wilkins; 2009. p. 1832–66.Google Scholar
  8. 8.
    Levy BA, Krych AJ, Shah JP, Morgan JA, Stuart MJ. Staged protocol for initial management of the dislocated knee. Knee Surg Sports Traumatol Arthrosc. 2010;18:1630–7.CrossRefGoogle Scholar
  9. 9.
    Medina O, Arom GA, Yeranosian MG, Petrigliano FA, McAllister DR. Vascular and nerve injury after knee dislocation: a systematic review. Clin Orthop Relat Res. 2014;472:2621–9.CrossRefGoogle Scholar
  10. 10.
    Johnson ME, Foster L, DeLee JC. Neurologic and vascular injuries associated with knee ligament injuries. Am J Sports Med. 2008;36:2448–62.CrossRefGoogle Scholar
  11. 11.
    Green NE, Allen BL. Vascular injuries associated with dislocation of the knee. J Bone Joint Surg Am. 1977;59:236–9.CrossRefGoogle Scholar
  12. 12.
    Woodmass JM, Romatowski NP, Esposito JG, Mohtadi NG, Longino PD. A systematic review of peroneal nerve palsy and recovery following traumatic knee dislocation. Knee Surg Sports Traumatol Arthrosc. 2015;23:2992–3002.CrossRefGoogle Scholar
  13. 13.
    Kim DH, Cho Y-J, Ryu S, Tiel RL, Kline DG. Surgical management and results of 135 tibial nerve lesions at the Louisiana State University Health Sciences Center. Neurosurgery. 2003;53:1114–25.CrossRefGoogle Scholar
  14. 14.
    King JJ 3rd, Cerynik DL, Blair JA, Harding SP, Tom JA. Surgical outcomes after traumatic open knee dislocation. Knee Surg Sports Traumatol Arthrosc. 2009;17:1027–32.CrossRefGoogle Scholar
  15. 15.
    Engebretsen L, Risberg MA, Robertson B, Ludvigsen TC, Johansen S. Outcome after knee dislocations: a 2-9 years follow-up of 85 consecutive patients. Knee Surg Sports Traumatol Arthrosc. 2009;17:1013–26.CrossRefGoogle Scholar

Copyright information

© ISAKOS 2019

Authors and Affiliations

  1. 1.Department of Orthopedic SurgeryYonsei University College of MedicineSeoulRepublic of Korea

Personalised recommendations