Multiligament Repair With Suture Augmentation in a Knee Dislocation With Medial-Sided Injury

Arthroscopy Techniques
Anne JonkergouwGregory S DiFelice

Abstract

Knee dislocations often result in a severe multiligament injured knee (MLIK) with complex instability. Multiligament reconstruction can successfully restore knee stability and is commonly recommended, although surgical morbidity is induced by graft harvesting and tunnel drilling, and convergence of multiple tunnels can complicate the surgery. Therefore, as an alternative, primary repair of knee ligaments is currently reconsidered. The main advantages of primary repair consist of tissue preservation and decrease of surgical morbidity, which might improve knee functionality. Techniques in which avulsed ligaments are reapproximated to their anatomic origin have resulted in good clinical outcomes in selected patients over the past decade. More recently, repaired ligaments have been augmented with suture tape, to protect them from excessive stretch, which can improve healing and allows early rehabilitation. The surgical technique of primary repair in the multiligament injured knee has not yet been described. The purpose of this Technical Note is to explain suture augmented primary repair in KDIII-M injury, including the anterior cruciate ligament, posterior cruciate ligament, and medial collateral ligament.

Citations

Aug 3, 2020·Sports Medicine and Arthroscopy Review·Nicholas C DuethmanBruce A Levy
Jun 4, 2019·Orthopaedic Journal of Sports Medicine·Bertrand Sonnery-CottetStephane Boisgard
Jul 28, 2020·Journal of Experimental Orthopaedics·Manuel F MosqueraYessica Gonzalez
Jul 25, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Aly M FayedVolker Musahl
Apr 17, 2020·EFORT Open Reviews·Jimmy Wui Guan NgFazal M Ali

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