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How to Address Multi-ligament Injuries?

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Abstract

A knee dislocation – or disarticulation of the tibiofemoral articulation – is formally defined as an injury to three or more of the main stabilising ligaments around the knee, including both cruciates [1]. This definition becomes necessary with the recognition that most knee dislocations spontaneously reduce prior to assessment. Although these injuries are rare, they can result in serious injury that can jeopardise the viability of the limb and/or the future stability of the knee. The assessing physician should maintain a high suspicion for knee dislocation and the sequelae thereof for any high-energy trauma patient that presents to the trauma bay with an acute haemarthrosis and a normal x-ray [1].

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Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, Clinic “Città di Parma”, Parma, Italy

    Paolo Adravanti MD

  2. Orthopaedic Surgery, Aleris-Hamlet Private Hospitals, Aarhus, Denmark

    Bent Wulff Jakobsen

  3. Orthopaedic Surgery, Hospital for Special Surgery, Weill Cornell Medical College, New York, USA

    Robert G. Marx MD

  4. Division of Orthopaedic Surgery, Department of Surgery, University of Toronto, Toronto, Canada

    D. J. Santone & D. B. Whelan

  5. Orthopaedics Unit, Fortius Clinic, and Chelsea and Westminster Hospital, London, UK

    Andy Williams

Authors
  1. Paolo Adravanti MD
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  2. Bent Wulff Jakobsen
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  3. Robert G. Marx MD
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  4. D. J. Santone
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  5. D. B. Whelan
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  6. Andy Williams
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Corresponding author

Correspondence to Robert G. Marx MD .

Editor information

Editors and Affiliations

  1. Istituti Ortopedico Rizzoli Clinica Ortopedica Traumatologica III, Bologna, Italy

    Stefano Zaffagnini

  2. Klinikum Brandenburg Orthopädie und Unfallchirurgie, Brandenburg an der Havel, Germany

    Roland Becker

  3. Department of Orthopedic Surgery, Academic Medical Centre Amsterdam University of Amsterdam, Amsterdam, The Netherlands

    Gino M.M.J. Kerkhoffs

  4. Clínica Espregueira Mendes, Porto, Portugal

    João Espregueira Mendes

  5. Orthopedic Surgery, University of Amsterdam Academic Medical Centre, Amsterdam, The Netherlands

    C. Niek van Dijk

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Adravanti, P., Jakobsen, B.W., Marx, R.G., Santone, D.J., Whelan, D.B., Williams, A. (2014). How to Address Multi-ligament Injuries?. In: Zaffagnini, S., Becker, R., Kerkhoffs, G., Espregueira Mendes, J., van Dijk, C. (eds) ESSKA Instructional Course Lecture Book. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-53983-1_7

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  • DOI: https://doi.org/10.1007/978-3-642-53983-1_7

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  • Print ISBN: 978-3-642-53982-4

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