ICL 105: The Multiligament Knee: A Mini Symposium for Getting This Right-Evidence Based Management Principles of the Multiligiment Knee

Evidence Based Management Principles of the Multiligiment Knee

Video Transcription

Video Summary

Bruce Levy discusses evidence-based management of multiligament knee dislocations, emphasizing these injuries are limb-threatening and require careful vascular assessment using ankle-brachial index and CT angiography. He shares cases highlighting the risks of missed arterial injuries and the importance of timely intervention. Management includes selective spanning fixation, staged reconstruction, and addressing nerve injuries with observation or nerve transfers. Early surgery tends to improve outcomes, and combined repair with graft augmentation is preferred over repair alone. Rehabilitation timing is debated, with ongoing trials investigating protocols. Complex cases may involve multi-ligament reconstruction and meniscus transplantation to restore knee stability and function.

Asset Caption

Presented by Bruce Levy, MD

Keywords

multiligament knee dislocations

vascular assessment

arterial injuries

staged reconstruction

rehabilitation protocols