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Multiligamentous Knee Injuries: Acute Management, Associated Injuries, and Anticipated Return to Activity.

Mark P Smith¹, Jeff Klott, Pete Hunter

¹From the Department of Orthopaedic Surgery, Sports Medicine, Indiana University, Indianapolis, IN (Klott, Smith, and Klitzman), and the Indiana University School of Medicine, Indianapolis, IN (Hunter).

The Journal of the American Academy of Orthopaedic Surgeons

|November 18, 2022

Summary

This summary is machine-generated.

Multiligamentous knee injuries (MLKIs) lack a consensus treatment approach. This review summarizes MLKI management, outcomes, and return-to-activity predictors for athletes and military personnel.

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Published on: April 30, 2014

Area of Science:

Orthopedic Surgery
Sports Medicine
Trauma Surgery

Background:

Multiligamentous knee injuries (MLKIs) are severe injuries with varied mechanisms.
Current treatment protocols lack consensus regarding surgical timing and return to activity.
Injury context (sport, trauma, military) may influence recovery and activity levels.

Purpose of the Study:

To review current concepts in the acute management of MLKIs.
To examine the impact of associated injuries (neurovascular, meniscal, chondral) on MLKI outcomes.
To analyze surgical versus non-surgical treatment effects and predictors of return to preinjury activities.

Main Methods:

Descriptive review of existing literature on MLKIs.
Synthesis of information on acute management strategies.
Analysis of factors influencing outcomes and return to activity.

Main Results:

No established consensus on surgical approach or timing for MLKIs.
Concomitant injuries significantly affect MLKI outcomes.
Return to sport, work, or military service rates vary based on injury context and treatment.

Conclusions:

MLKI management requires further research to establish treatment guidelines.
Individualized approaches considering injury severity and patient factors are crucial.
Understanding predictors of return to activity is essential for patient rehabilitation and expectations.