Abstract des Autors

The multiple-ligament-injured knee is a complex problem in orthopedic surgery. These injuries may present as acute knee dislocations, and careful assessment of the limb's vascular status is essential because of the possibility of arterial and venous compromise. These complex injuries require a systematic approach to evaluation and treatment. Physical examination and imaging studies enable the surgeon to make a correct diagnosis and formulate a treatment plan. Arthroscopically-assisted combined ACL-PCL reconstruction is a reproducible procedure. Knee stability is improved postoperatively when evaluated with knee ligament rating scales, arthrometer testing, and stress radiographic analysis. Posterolateral corner injuries combined with ACL-PCL tears are best treated with primary repair, combined with PCL reconstruction using a post of strong autograft or allograft tissue. The use of allograft tissue is preferred because of the strength of these large grafts and the absence of donor-site morbidity. Surgical timing depends on the injured ligaments, vascular status of the extremity, reduction stability, and the overall health of the patient. Verf.-Referat