2023 Annual Meeting Knee Access Pass-STAR Trial: Management of the Warfighter or Elite Athlete: Lessons Learned From Management of Complex Multiligamentous Knee Injuries

STAR Trial: Management of the Warfighter or Elite Athlete: Lessons Learned From Management of Complex Multiligamentous Knee Injuries

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Video Transcription

Video Summary

Justin Richter discusses the STAR Trial, a Department of Defense-funded multi-center study investigating the optimal timing of surgery and rehabilitation for complex multiligament knee injuries in military and civilian patients aged 16-55. The trial distinguishes multiligament injuries from knee dislocations, noting higher vascular injury risk with dislocations. Key points include use of external fixation (XFIX) mainly for open dislocations or gross instability, preference for ligament reconstruction over repair due to high failure rates of repairs, and ongoing debate on early versus delayed surgery, balanced between outcomes and risks like arthrofibrosis. The trial aims to establish evidence-based guidelines for treatment timing.

Asset Caption

Dustin Richter, M.D.

Keywords

STAR Trial

multiligament knee injuries

surgery timing

ligament reconstruction

arthrofibrosis risk