[Multiligament instabilities of the knee in sports injuries : An update of the Hamburg concept].

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ID: 277407
2023
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Abstract
Knee dislocation (KD) is a rare but severe injury of the knee joint, with a high rate of concomitant neurovascular injuries. The severity of the ligamentous injury, which is classified according to the Schenck classification, the mechanism of injury, concomitant injuries and individual factors determine the treatment strategy in KD.Furthermore, a clear differentiation between high-velocity (HV) and low-velocity (LV) injuries is necessary. Generally, surgical treatment within 7-10 days should be aspired. Herein, the one-stage hybrid treatment using augmented ligament sutures (ligament bracing) in combination with primary ligament reconstruction (posterolateral and ACL) leads to very good functional results in the mid-term. Ultra-low-velocity (ULV) dislocations and those with concomitant peroneal lesions require a modified approach, due to a limited prognosis. During rehabilitation, the individual progress must be closely monitored and follow an early functional approach. In approximately 20% of all cases, early arthroscopic arthrolysis shows a high success rate.
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Authors Frings, Jannik;Behrendt, Peter;Krause, Matthias;Frosch, Karl-Heinz;
Journal Orthopadie (Heidelberg, Germany)
Year 2023
DOI
10.1007/s00132-023-04438-7
URL
Keywords
knee joint anterior cruciate ligament posterior cruciate ligament knee dislocation athletic injury joint dislocation

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