This 2009 consensus review from the Knee Dislocation Study Group systematically addresses the major unresolved controversies in managing multiligament knee injuries — from vascular assessment at presentation through graft selection, surgical timing, fixation strategy, and postoperative rehabilitation — highlighting where evidence exists and where it does not.
When you encounter a multiligament knee injury, use ABI + serial physical exam to triage vascular workup, plan arthroscopic cruciate reconstruction with open corner surgery staged by the Fanelli classification, and default to reconstruction over repair for PLC/PMC structures — repair failure rates exceed 37% in the best available evidence.
This 2009 consensus review from the Knee Dislocation Study Group systematically addresses the major unresolved controversies in managing multiligament knee injuries — from vascular assessment at presentation through graft selection, surgical timing, fixation strategy, and postoperative rehabilitation — highlighting where evidence exists and where it does not.
When you encounter a multiligament knee injury, use ABI + serial physical exam to triage vascular workup, plan arthroscopic cruciate reconstruction with open corner surgery staged by the Fanelli classification, and default to reconstruction over repair for PLC/PMC structures — repair failure rates exceed 37% in the best available evidence.