Background
Definition
Multi-ligament knee injury (MLKI)
- 2 or more ligaments disrupted
Knee dislocation
- ACL + PCL + one of collaterals
Mechanism of injury
High energy (MVA)
Low energy (sport)
- low energy has 5% arterial injury
Multi-ligament knee injury (MLKI)
- 2 or more ligaments disrupted
Knee dislocation
- ACL + PCL + one of collaterals
High energy (MVA)
Low energy (sport)
- low energy has 5% arterial injury
Avoiding convergence of ACL tunnel and femoral tunnels of popliteus / LCL
- drill LCL and popliteus femoral tunnels anterior to avoid more posterior ACL tunnel
- avoid drilling LCL femoral tunnel proximal, to avoid more proximal ACL tunnel
Moatshe et al. Am J Sports Med 2017
- avoiding tunnel convergence
- aim LCL and popliteus tunnel anteriorly 35o