ICL 105: The Multiligament Knee: A Mini Symposium for Getting This Right-The 5 Most Important Technical Lessons I have Learned in Managing the Multiligament Knee

The 5 Most Important Technical Lessons I have Learned in Managing the Multiligament Knee

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Video Summary

In managing multiple ligament knee injuries, key lessons include recognizing it as a multi-system trauma involving vessels, nerves, and bones, requiring careful fracture fixation before assessing instability. Surgical repair ideally occurs in a single stage within 2-4 weeks, with external fixation used if needed, ensuring proper reduction. Neurolysis of the peroneal nerve and capsular repair with graft augmentation improve outcomes. Both allografts and autografts yield long-term stability with no significant difference. Single and double bundle reconstructions are effective, but precise tunnel placement is crucial to avoid graft failure. Postoperative rehab should be cautious to prevent residual laxity.

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Presentation by Gregory Fanelli, MD

Keywords

multiple ligament knee injuries

multi-system trauma

surgical repair timing

neurolysis peroneal nerve

graft augmentation