State of the Art Regarding the Management of Multiligamentous Injuries of the Knee
Nigel T Mabvuure 1, Marco Malahias 2, Behrooz Haddad 4, Sandip Hindocha*, 3, Wasim S Khan 4
Identifiers and Pagination:Year: 2014
Issue: Suppl 1
First Page: 215
Last Page: 218
Publisher ID: TOORTHJ-8-215
Article History:Received Date: 3/2/2014
Revision Received Date: 12/3/2014
Acceptance Date: 14/3/2014
Electronic publication date: 27/6/2014
Collection year: 2014
open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.5/) which permits unrestrictive use, distribution, and reproduction in any medium, provided the original work is properly cited.
Multiligamentous knee injuries are rare but serious injuries that can threaten limb viability. As such, they require careful management to give patients the best chance of immediate and ultimate functional recovery. However, as these injuries are rare, there is paucity in prospective comparative studies large enough to provide high level evidence for best practice. This lack of comprehensive and convincing evidence has made the management of multiligamentous knee injuries an area of active debate and controversy. The debate on whether surgical management leads to better outcomes than non-operative management, the optimal timing of surgery after injury and whether repair is better than reconstruction is still ongoing. Using the Oxford Levels of Evidence, this review summarises the latest high level evidence to provide answers to these issues. Recommendations for practice have also been offered and assigned a grade using a published scale.