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Related Concept Videos

Knee Joint01:23

Knee Joint

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The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
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Surgical Retrieval, Isolation and In vitro Expansion of Human Anterior Cruciate Ligament-derived Cells for Tissue Engineering Applications
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Medial-Sided Injuries in the Multiple Ligament Knee Injury.

Gilbert Moatshe1,2,3, Alexander R Vap4, Alan Getgood3

  • 1Orthopaedic Clinic, Oslo University Hospital and University of Oslo, Oslo, Norway.

The Journal of Knee Surgery
|February 20, 2020
PubMed
Summary
This summary is machine-generated.

Multiligament knee injuries (MLKI) involving the posteromedial corner (PMC) require careful evaluation and treatment planning. Surgical intervention for grade III PMC injuries in MLKI can lead to satisfactory outcomes and aid early rehabilitation.

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Knee Biomechanics

Background:

  • Multiligament knee injuries (MLKI) present complex treatment challenges.
  • The posteromedial corner (PMC) is frequently injured in MLKIs, necessitating systematic evaluation.
  • Untreated medial collateral ligament (MCL) tears can lead to valgus instability and increase the risk of cruciate ligament reconstruction failure.

Purpose of the Study:

  • To review the current understanding of MLKI involving the PMC.
  • To highlight the importance of accurate diagnosis and treatment planning for PMC injuries.
  • To discuss the role of surgical treatment and rehabilitation in managing these complex injuries.

Main Methods:

  • Review of recent literature on PMC anatomy, biomechanics, and surgical reconstruction techniques.
  • Analysis of factors influencing treatment decisions, including operative vs. nonoperative approaches, graft choices, and surgical timing.
  • Evaluation of outcomes reported for surgical treatment of medial-sided MLKIs.

Main Results:

  • Anatomic PMC reconstructions have been developed based on biomechanical and clinical research.
  • Surgical treatment is recommended for grade III PMC injuries to facilitate early rehabilitation and minimize failure risk.
  • Satisfactory outcomes are reported following surgical management of medial-sided MLKIs.

Conclusions:

  • Prompt and accurate diagnosis of PMC injuries in MLKI is crucial.
  • Surgical treatment of grade III PMC injuries can improve outcomes and reduce graft failure risk.
  • Early functional rehabilitation is essential to prevent arthrofibrosis and optimize recovery after MLKI surgery.