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September 2019

Review Article

Multiligament injury and knee dislocation: Current approaches to surgical management

Ozgur Basal1, Recep Dinçer2

1 Department of Orthopaedics and Traumatology, Kocaeli Derince Education and Research Hospital, Derince, Kocaeli, 2 Department of Orthopaedics and Traumatology, Suleyman Demirel University, Faculty of Medicine, Isparta, Turkey



Multiligament injury of knee is usually the result of sports injury and trauma. Multiligament injury that caused by high-energy trauma often shows the coexistence with fracture and fracture-dislocation. It is vital to perform the surgical procedure in the correct order. Disruption of at least 2 of the 4 primary knee ligaments is called multiligament injury of knee. In most cases that also accompanied by knee dislocation, may seem reduced radiologically, but it is important to keep an eye open for the risk of vascular and nerve pathologies. Decision making in the multiligament injury of knee has some controversies, especially surgical versus conservative treatment, repair versus reconstruction of injured ligamentous structures, acute versus late surgery, and single versus two-staged surgery of injured ligaments.

This review investigates the diagnosis and treatment of the multiligament injuries of knee. Possible complica- tions, surgical tip and tricks were also shared with our clinical experiences.


Multiligament Injury; Knee Dislocation; Cruciate Ligament; Instability; Surgical Technique; Rehabilitation

Corresponding Author: Ozgur Basal, Department of Orthopaedics and Traumatology, Kocaeli Darıca Education and Research Hospital, Darıca, Kocaeli, Turkey GSM: +90 541 304 8338 • F.: +90 (246) 211 2830 • E-Mail: basalozgur@gmail.com • Corresponding Author ORCID ID: https://orcid.org/0000-0001-5403-0043

How to cite this article: Ozgur Basal, Recep Dinçer. Multiligament injury and knee dislocation: Current approaches to surgical management. Eu Clin Anal Med 2019; 7(3): 22-6.

 This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of the license, visit https://creativecommons.org/licenses/by-nc/4.0/