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Combined ligament injuries around the knee 

Combined ligament injuries around the knee
Chapter:
Combined ligament injuries around the knee
Author(s):

Andy Williams

and Ali Narvani

DOI:
10.1093/med/9780199550647.003.008012
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date: 13 December 2019

Any knee with major disruption of two ligaments is likely to have been dislocated at the time of injury

Knee dislocations are associated with high risk of neurovascular injury. Angiography or vascular ultrasound is mandatory

In knee dislocations, following immediate reduction and stabilization usually with a brace, acute repair of the ruptured soft tissue structure within 2–3 weeks of injury is likely to provide superior results compared to later reconstruction

Management of most multiligament injuries is complex and requires surgical intervention therefore specialist centres are best to be involved early

In cases with associated malalignment, osteotomy can improve the results of ligament reconstruction.

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