Open Surgical Treatment

  • Richard S. RichardsII
  • Claude T. MoormanIII


The multiple ligament injured knee remains a complex problem for the orthopaedic surgeon. Controversy surrounds the myriad vascular, neurologic, and ligament injuries that often accompany this trauma. Though most often seen in motor vehicle accidents (MVA) and industrial accidents, this injury pattern has been occurring with increasing frequency in athletes participating in sporting events.1 The difficulty in management of the multiple ligament injured knee is compounded by the relative infrequency of occurrence and the paucity of literature on the subject. The rate of dislocation as a percentage of all injuries seen in the emergency department has been reported to be 0.001 to 0.013% per year.2–6 Because of the likelihood of a spontaneous reduction in the field, there needs to be a high index of suspicion for this diagnosis when there is biplanar laxity in any knee, even with a radiographically reduced joint.7 Until proven otherwise, evaluation of the neurovascular status of the limb and subsequent management should be carried out under the assumption that a dislocation has occurred.5


Anterior Cruciate Ligament Posterior Cruciate Ligament Femoral Tunnel Medial Collateral Ligament Ligament Injury 
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Copyright information

© Springer Science+Business Media New York 2004

Authors and Affiliations

  • Richard S. RichardsII
  • Claude T. MoormanIII

There are no affiliations available

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