Operative Techniques in Sports Medicine
Volume 11, Issue 4 , Pages 302-311 , October 2003

Complications in the multiple-ligament-injured knee

  • James A Tom, MD

      Affiliations

    • Department of Orthopaedic Surgery, University of Virginia, Charlottesville, VA, USA
    • ,
  • Mark D Miller, MD

      Affiliations

    • Department of Orthopaedic Surgery, University of Virginia, Charlottesville, VA, USA
    • Corresponding Author InformationAddress reprint requests to Mark D. Miller, MD, Department of Orthopaedic Surgery, University of Virginia, P.O. Box 800753, Charlottesville, VA 22908-0753, USA

References 

  1. Cole BJ, Harner CD. The multiple ligament injured knee. Clin Sports Med. 1999;18:241–262
  2. DeCoster TA. High-energy dislocations. In:  Schenck RC editors. Multiple Ligamentous Injuries of the Knee in the Athlete. Rosemont, IL: American Academy of Orthopaedic Surgeons; 2002;p. 23–29
  3. Fanelli GC. Posterior cruciate ligament injuries in trauma patients. Arthroscopy. 1993;9:291–294
  4. Fanelli GC, Edson CJ. Posterior cruciate ligament injuries in trauma patients (Part II). Arthroscopy. 1995;11:526–529
  5. Fanelli GC. Complications of multiple ligamentous injuries. In:  Schenck RC editors. Multiple Ligamentous Injuries of the Knee in the Athlete. Rosemont, IL: American Academy of Orthopaedic Surgeons; 2002;p. 101–107
  6. Ferrari JD. Associated injuries. In:  Schenck RC editors. Multiple Ligamentous Injuries of the Knee in the Athlete. Rosemont, IL: American Academy of Orthopaedic Surgeons; 2002;p. 31–41
  7. Hegyes MS, Richardson MW, Miller MD. Knee dislocation (complications of nonoperative and operative management). Clin Sports Med. 2000;19:519–543
  8. Laasonen EM, Kivioja A. Delayed diagnosis of extremity injuries in patients with multiple injuries. J Trauma. 1991;31:257–260
  9. Marin EL, Bifulco SS, Fast A. Obesity (A risk factor for knee dislocation). Am J Phys Med Rehab. 1990;69:132–134
  10. Shelbourne KD, Porter DA, Clingman JA, et al.  Low velocity knee dislocation. Orthop Rev. 1991;20:995–1004
  11. Potter HG. Imaging of the multiple-ligament-injured knee. Clin Sports Med. 2000;19:425–441
  12. Almekinders LC, Logan TC. Results following treatment of traumatic knee dislocations of the knee joint. Orthop Clin North Am. 1992;284:203–207
  13. Fabian TC, Turkelson ML, Connelly TL, et al.  Injury to the popliteal artery. Am J Surg. 1982;143:225–228
  14. Frassica FJ, Sim FH, Staeheli JW, et al.  Dislocation of the knee. Orthop Clin North Am. 1991;263:200–205
  15. Green NE, Allen BL. Vascular injuries associated with dislocation of the knee. J Bone Joint Surg Am. 1977;59:236–239
  16. Hoover NW. Injuries of the popliteal artery associated with fractures and dislocations. Surg Clin North Am. 1961;41:1099–1112
  17. Jones RE, Smith EC, Bone GE. Vascular and orthopedic complication of knee dislocation. Surg Gyn Obs. 1979;149:554–558
  18. Kendall RW, Taylor DC, Salvian AJ, et al.  The role of arteriography in assessing vascular injuries associated with dislocations of the knee. J Trauma. 1993;35:875–878
  19. Meyers M, Harvey JP. Traumatic dislocation of the knee joint (A study of eighteen cases). J Bone Joint Surg Am. 1971;53:16–29
  20. O’Donnell TF, Brewster DC, Darling RC, et al.  Arterial injuries associated with fractures and/or dislocations of the knee. J Trauma. 1977;17:775–783
  21. Ottolenghi CE. Vascular complications in injuries about the knee joint. Clin Orthop. 1982;165:148–156
  22. Ottolenghi CE, Traversa CH. Vascular and nerve complications in injuries of the knee. Joint Reconstr Surg Traumatol. 1974;14:114–116
  23. Roman PD, Hopson CN, Zenni EJ. Traumatic dislocation of the knee (A report of 30 cases and literature review). Orthop Rev. 1987;16:917–924
  24. Sisto DJ, Warren RF. Complete knee dislocation (A follow-up study of operative treatment). Orthop Clin North Am. 1985;198:94–101
  25. Taylor AR, Arden GP, Rainey HA. Traumatic dislocation of the knee (A report of forty-three cases with special reference to conservative treatment). J Bone Joint Surg. 1972;Br 54:96–102
  26. Wright DG, Covey DC, Born CI, et al.  Open dislocation of the knee. J Orthop Trauma. 1995;9:135–140
  27. Good L, Johnson RJ. The dislocated knee. J Am Acad Orthop Surg. 1995;3:284–292
  28. Schenck RC. The dislocated knee. In:  Davis B editors. Instructional Course Lectures 43. Rosemont, IL: American Academy of Orthopaedic Surgeons; 1994;p. 127–136
  29. Wascher DC. High-velocity knee dislocation with vascular injury (Treatment principles). Clin Sports Med. 2000;19:457–478
  30. Cone JB. Vascular injury associated with fracture-dislocations of the lower extremity. Clin Orthop. 1989;243:30–35
  31. Eger M, Huler T, Hirsh M. Popliteal artery occlusion associated with dislocation of the knee joint. Br J Surg. 1970;57:315–317
  32. Merrill KD. Knee dislocation with vascular injuries. Orthop Clin North Am. 1994;25:707–713
  33. Chan RNW, Ainscow D, Sikorski JM. Diagnostic failures in the multiple injured. J Trauma. 1980;20:684–687
  34. McCutchan JD, Gillham JP. Injury of the popliteal artery associated with dislocation of the knee (Palpable pulses do not negate the requirement for arteriography). Injury. 1989;20:307–310
  35. Kennedy JC. Complete dislocation of the knee joint. J Bone Joint Surg Am. 1963;45:889–904
  36. Meyers MH, Moore TM, Harvey JP. Traumatic dislocation of the knee joint. J Bone Joint Surg Am. 1975;57:430–433
  37. Reckling FW, Peltier LF. Acute knee dislocations and their complications. J Trauma. 1969;9:181–191
  38. Wascher DC, Dvirnak PC, DeCoster TA. Knee dislocation (Initial assessment and implications of treatment). J Orthop Trauma. 1997;11:525–529
  39. White J. The results of traction injuries to the common peroneal nerve. J Bone Joint Surg Br. 1968;50:346–350
  40. Wood MB. Peroneal nerve repair (Surgical results). Clin Orthop. 1991;267:206–210
  41. Tomaino M, Day C, Papageorgiou C, et al.  Peroneal nerve palsy following knee dislocation (Pathoanatomy and implications for treatment). Knee Surg Sports Traumatol Arthrosc. 2000;8:163–165
  42. Shields L, Mital M, Cave EF. Complete dislocation of the knee (Experience at the Massachusetts General Hospital). J Trauma. 1969;9:192–215
  43. Moore TM. Fracture-dislocation of the knee. Clin Orthop. 1981;156:128–140
  44. Fallon P, Noorshina SV, Bell D, et al.  Delayed presentation (Dislocation of the proximal tibiofibular joint after knee dislocation). J Orthop Trauma. 1994;8:350–353
  45. Ogden JA. Subluxation and dislocation of the proximal tibiofibular joint. J Bone Joint Surg Am. 1973;55:177–178
  46. Shelbourne KD, Pierce RO, Ritter MA. Superior dislocation of the fibular head associated with a tibia fracture. Clin Orthop. 1981;160:172–174
  47. Welling RE, Kakkassesil J, Cranley JJ. Complete dislocation of the knee with popliteal vascular injury. J Trauma. 1981;21:450–453
  48. Alberty RE, Goodfried G. Popliteal artery injury with fracture-dislocation of the knee. Am J Surg. 1981;142:36–40
  49. Fanelli GC, Giannotti BF, Edson CJ. Arthroscopically assisted combined anterior and posterior cruciate ligament reconstruction. Arthroscopy. 1996;12:5–14
  50. Fanelli GC, Giannotti BF, Edson CJ. Arthroscopically assisted combined posterior cruciate ligament/posterior lateral complex reconstruction. Arthroscopy. 1996;12:521–530
  51. Jackson DW, Proctor CS, Simon TM. Arthroscopic assisted PCL reconstruction (A technical note on potential neurovascular injury related to drill bit configuration). Arthroscopy. 1993;9:224–227
  52. Fanelli GC, Giannotti BF, Edson CJ. The posterior cruciate ligament arthroscopic evaluation and treatment. Arthroscopy. 1994;10:673–688
  53. Miller MD, Gordon WT. Posterior cruciate ligament reconstruction: Tibial inlay technique: Principles and procedure. Oper Tech Sports Med. 1999;7:127–133
  54. Poehling GG, Pollock FE, Korman LA. Reflex sympathetic dystrophy of the knee after sensory nerve injury. Arthroscopy. 1988;4:31–35
  55. Wascher DC, Becker JR, Dexter JG, et al.  Reconstruction of the anterior and posterior cruciate ligaments after knee dislocation. Am J Sports Med. 1999;27:189–196
  56. Zazanis GA, Kummell BM. Preservation of infrapatellar branch of saphenous nerve during knee surgery. Orthop Rev. 1974;3:43–45
  57. Amendola A, Faber K, Willits K, et al.  Compartment pressure monitoring during anterior cruciate ligament reconstruction. Arthroscopy. 1999;15:607–612
  58. Graf B, Uhr F. Complications of intra-articular anterior cruciate reconstruction. Clin Sports Med. 1988;7:835–848
  59. Marti CB, Jakob RP. Accumulation of irrigation fluid in the calf as a complication during high tibial osteotomy combined with simultaneous arthroscopic anterior cruciate ligament reconstruction. Arthroscopy. 1999;15:864–866
  60. Noyes FR, Spievack ES. Extraarticular fluid dissection in tissues during arthroscopy (A report of clinical cases and a study of intraarticular and thigh pressure in cadavers). Am J Sports Med. 1982;10:346–351
  61. Peck RD, Haynes DW. Compartment syndrome as a complication of arthroscopy (A case report of interstitial pressures). Am J Sports Med. 1984;12:464–468
  62. Bruner JM. Safety factors in the use of pneumatic tourniquets for hemostasis in surgery of the hand. J Bone Joint Surg Am. 1951;33:221–229
  63. Klenerman L, Hulands GH. Tourniquet pressures for lower extremities. J Bone Joint Surg Br. 1979;61:124
  64. Saunders KC, Louis DL, Weigarden SI, et al.  Effect of tourniquet on quadriceps function. Clin Orthop. 1979;143:194–199
  65. Moore MR, Garfin SR, Hargens AR. Wide tourniquets eliminate blood flow at low infiltration pressures. J Hand Surg. 1987;12:1006–1011
  66. Rorabeck CH, Kennedy JC. Tourniquet induced nerve ischemia complicating knee ligament surgery. Am J Sports Med. 1980;8:98–102
  67. Rorabeck CH. Tourniquet-induced nerve ischemia (An experimental investigation). J Trauma. 1980;20:280–286
  68. Klenerman L, Biswas M, Hulands GH, et al.  Systemic and local effects of the application of a tourniquet. J Bone Joint Surg Br. 1980;62:385–388
  69. Patterson S, Klenerman L. The effect of pneumatic tourniquets on the ultrastructure of skeletal muscle. J Bone Joint Surg Br. 1979;61:178–183
  70. Hughston J. Complications of anterior cruciate ligament surgery. Orthop Clin North Am. 1985;16:237–245
  71. Paulos LE, Wnorowksi DC, Beck CL. Rehabilitation following knee surgery (Recommendations). Sports Med. 1991;11:257–275
  72. Athanasian EA, Wickiewicz TL, Warren RF. Osteonecrosis of the femoral condyle after arthroscopic reconstruction of a cruciate ligament (Report of two cases). J Bone Joint Surg Am. 1995;77:1418–1422
  73. Reddy AS, Frederick RW. Evaluation of the intraosseous and extraosseous blood supply to the distal femoral condyles. Am J Sports Med. 1998;26:415–419
  74. Patton WC, Tew WM. Periarticular heterotopic ossification after multiple knee ligament reconstructions (A report of three cases). Am J Sports Med. 2000;28:398–401
  75. Shapiro MS, Freedman EL. Allograft reconstruction of the anterior and posterior cruciate ligaments after traumatic knee dislocation. Am J Sports Med. 1995;23:580–587
  76. Stannard JP, Wilson TC, Sheils TM, et al.  Heterotopic ossification associated with knee dislocation. Arthroscopy. 2002;18:835–839
  77. Cosgarea AJ, DeHaven KE, Lovelock JE. The surgical treatment of arthrofibrosis at the knee. Am J Sports Med. 1994;22:184–191
  78. Irrgang JJ, Harner CD. Loss of motion following knee ligament reconstruction. Sports Med. 1995;19:150–159
  79. Irrgang JJ, Fitzgerald GK. Rehabilitation of the multiple-ligament-injured knee. Clin Sports Med. 2000;19:545–571
  80. Harner CD, Irrgang JJ, Dearwater PJ, et al.  Loss of motion after anterior cruciate ligament reconstruction. Am J Sports Med. 1992;20:499–506
  81. DeLee JC. Complications of arthroscopy and arthroscopic surgery (Results of a national survey). Arthroscopy. 1985;1:214–220
  82. Fu FH, Irrgang JJ, Sawhaney R, et al.  Loss of knee motion following anterior cruciate ligament reconstruction. Am J Sports Med. 1990;18:557–562
  83. Shelbourne KD, Wilckens JH, Mollabashy A, et al.  Arthrofibrosis in acute anterior cruciate reconstruction (The effect of timing of reconstruction and rehabilitation). Am J Sports Med. 1991;19:332–336
  84. Sprague NF, O’Connor RL, Fox JM. Arthroscopic treatment of postoperative knee arthrofibrosis. Clin Orthop. 1982;166:165–172
  85. Paulos LE, Rosenberg TD, Drawbert J, et al.  Infrapatellar contracture syndrome (An unrecognized cause of knee stiffness with patella entrapment and patella infera). Am J Sports Med. 1987;15:331–341
  86. Marks PH, Harner CD. The anterior cruciate ligament in the multiple ligament-injured knee. Clin Sports Med. 1993;12:825–838
  87. Lindenfeld TN, Bach JR, Wojtys EM. Reflex sympathetic dystrophy and pain dysfunction syndrome in the lower extremity. J Bone Joint Surg Am. 1996;78:1936–1944
  88. Tietjen R. Reflex sympathetic dystrophy of the knee. Clin Orthop. 1986;209:234–243
  89. Thomas P, Rud B, Jensen U. Stability and motion after traumatic dislocation of the knee. Acta Orthop Scand. 1984;55:278–283
  90. Burns WC, Draganich LF, Pyevich M, et al.  The effect of femoral tunnel position and graft tensioning technique on posterior laxity of the posterior cruciate ligament-reconstructed knee. Am J Sports Med. 1995;23:424–430
  91. Klimkiewicz JJ, Petrie RS, Harner CD. Surgical treatment of combined injury to anterior cruciate ligament, posterior cruciate ligament, and medial structures. Clin Sports Med. 2000;19:479–492

PII: S1060-1872(03)00038-8

doi: 10.1016/S1060-1872(03)00038-8

Operative Techniques in Sports Medicine
Volume 11, Issue 4 , Pages 302-311 , October 2003

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