APEX Knee Navigating Pearls and Pitfalls-Multiple Ligament Reconstruction: How Do I Approach?

Video Transcription

Video Summary

In this video, the presenter discusses multiple ligament reconstruction in the knee. They first mention the importance of stabilizing the limb before considering any other treatment. They discuss the initial management, classification of the injury, and diagnostic methods. The presenter then discusses their own approach to multiple ligament reconstruction, including their preference for using a hinged knee brace for stability. They also talk about rehab and the recent focus in research on multiligament reconstruction. The presenter highlights the importance of considering a knee dislocation in cases of multiple ligament injury and advises evaluating vascular and neurologic status. They also mention the risk of compartment syndrome and the need to monitor closely for this complication. They discuss the examination and diagnostics used to assess the ligament injury, including stress radiographs and MRI. The presenter explains their surgical approach, including how they fix the central pivot, the posterolateral corner, and the medial side. They also discuss graft options and fixation methods. The presenter briefly mentions rehabilitation and recent literature on the topic, including the role of grafts, the risk of root tears, and the trend towards accelerated rehabilitation. They also mention common complications associated with multiple ligament reconstruction. No credits were included in the transcript.

Asset Caption

Marc Tompkins, M.D.

Keywords

multiple ligament reconstruction

knee stabilization

diagnostic methods

rehabilitation

surgical approach

complications