{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T04:05:55Z","timestamp":1789963555656,"version":"4.0.1"},"reference-count":17,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,7,19]],"date-time":"2026-07-19T00:00:00Z","timestamp":1784419200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,19]],"date-time":"2026-07-19T00:00:00Z","timestamp":1784419200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["arthroscopyjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["arthrosc. tech."],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>A knee dislocation combined with a patellofemoral dislocation is an extremely rare and complex injury that reflects severe multidirectional instability and extensive soft\u2010tissue disruption. We show an open single\u2010stage anatomic reconstruction method for a patient with type IV tibiofemoral dislocation, patellofemoral dislocation, and bucket\u2010handle medial meniscus tear. A midline parapatellar approach provided direct access to both the medial and lateral compartments, allowing for the identification of all ligament attachments and the repair of the meniscal tear. Cruciate, collateral, posterolateral corner, and medial patellofemoral ligament tears were reconstructed using tibialis posterior allografts. To avoid tunnel convergence, common femoral tunnels were drilled for the posterior cruciate ligament\u2010medial collateral ligament and anterior cruciate ligament\u2010fibular collateral ligament complexes with an additional femoral tunnel for the popliteofibular ligament. The open approach allowed for an anatomical restoration of all major stabilizers, while minimizing multiple skin incisions and avoiding the complications related to arthroscopic fluid extravasation. Early reconstruction was indicated due to gross instability of both tibiofemoral and patellofemoral joints and the associated meniscal tear. This technique provides a practical and safe alternative for comprehensive anatomic reconstruction in selected cases of complex knee dislocation with severe capsular disruption.<\/jats:p>","DOI":"10.1002\/atn2.70192","type":"journal-article","created":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T01:30:07Z","timestamp":1784511007000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Open Multiligament Reconstruction for Concomitant Patellofemoral and Type IV Tibiofemoral Dislocation and Bucket\u2010Handle Medial Meniscus Injury"],"prefix":"10.1002","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4328-1370","authenticated-orcid":false,"given":"Sina","family":"Javidmehr","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Sina Hospital Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3873-1218","authenticated-orcid":false,"given":"Armin","family":"Akbarzadeh","sequence":"additional","affiliation":[{"name":"Orthopedic &amp; Rehabilitation Research Center, Shiraz University of Medical Sciences  Shiraz Iran"},{"name":"Department of Orthopedic Surgery School of Medicine Shiraz University of Medical Sciences  Shiraz Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9823-2306","authenticated-orcid":false,"given":"Robert F.","family":"LaPrade","sequence":"additional","affiliation":[{"name":"Twin Cities Orthopedics  Edina Minnesota U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,19]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.asmr.2022.06.012"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jor.2024.10.025"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200709000-00016"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.K.01710"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465030310062101"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546510387511"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546519864539"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.12968\/hmed.2021.0466"},{"key":"e_1_2_7_10_1","first-page":"937","article-title":"Modern treatment principles for multiligament knee injuries","volume":"10","author":"Braaten JA","year":"2022","journal-title":"Arch Bone Jt Surg."},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2025.05.011"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2025.03.046"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1302\/2058-5241.6.210057"},{"key":"e_1_2_7_14_1","first-page":"531","article-title":"Repair and reconstruction of medial\u2010and lateral\u2010sided knee injuries","volume":"64","author":"LaPrade RF","year":"2015","journal-title":"Instr Course Lect."},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2016.10.003"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/MS9.0000000000001085"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2025.103557"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2022-252877"}],"container-title":["Arthroscopy Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/atn2.70192","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/atn2.70192","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/atn2.70192","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T03:39:57Z","timestamp":1789961997000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1002\/atn2.70192"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,19]]},"references-count":17,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1002\/atn2.70192"],"URL":"https:\/\/doi.org\/10.1002\/atn2.70192","archive":["Portico"],"relation":{},"ISSN":["2212-6287","2212-6287"],"issn-type":[{"value":"2212-6287","type":"print"},{"value":"2212-6287","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,19]]},"assertion":[{"value":"2025-12-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-26","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-19","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70192"}}