{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:51:23Z","timestamp":1786978283293,"version":"build-2736575974"},"reference-count":37,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2024,7,4]],"date-time":"2024-07-04T00:00:00Z","timestamp":1720051200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,7,4]],"date-time":"2024-07-04T00:00:00Z","timestamp":1720051200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To report on the recovery of strength and functional capacity symmetry following multiligament knee surgical reconstruction (MLKR), as well as the capacity of athletes to return to sport.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This prospective cohort study recruited 47 patients undergoing MLKR between February 2018 and July 2021. Forty patients had full outcome assessment postoperatively at 6, 12 and 24 months and were included in the analysis, 75% were knee dislocation one injuries and 60% were injured playing sport. Patient\u2010reported outcome measures (PROMs) assessed included the International Knee Documentation Committee score, the Knee Outcome Survey, the Lysholm Knee Score and the Tegner Activity Scale (TAS). Patient satisfaction was also assessed. Objective assessment included assessment of active knee flexion and extension range of motion (ROM), the single (single horizontal hop for distance [SHD]) and triple (triple horizontal hop for distance [THD]) hop tests for distance and peak isokinetic knee flexor\/extensor torque.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      All PROMs significantly improved (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) from presurgery to 24 months postsurgery. At 24 months, 70% of patients were satisfied with their sports participation. Active knee flexion (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001) and extension (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001) ROM significantly improved over time, as did the limb symmetry indices (LSIs) for the SHD (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001), THD (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001), peak knee extensor (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001) and flexor (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.012) torque. While LSIs for the SHD, THD and knee flexor strength tended to plateau by 12 months, knee extensor strength continued to improve from 12 to 24 months.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The majority of patients undergoing modern MLKR surgical techniques and rehabilitation can achieve excellent knee function, with low complication rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ksa.12332","type":"journal-article","created":{"date-parts":[[2024,7,4]],"date-time":"2024-07-04T03:25:18Z","timestamp":1720063518000},"page":"2967-2977","source":"Crossref","is-referenced-by-count":7,"title":["Modern multiligament knee injury surgical reconstruction techniques can achieve excellent knee function and patient satisfaction, with low complication rates"],"prefix":"10.1002","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5560-1039","authenticated-orcid":false,"given":"Alistair I. W.","family":"Mayne","sequence":"first","affiliation":[{"name":"Orthopaedic Research Foundation of Western Australia Perth Western Australia Australia"},{"name":"Fiona Stanley and Fremantle Hospitals Group South Metropolitan Health Service Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jay R.","family":"Ebert","sequence":"additional","affiliation":[{"name":"Orthopaedic Research Foundation of Western Australia Perth Western Australia Australia"},{"name":"School of Human Sciences (Exercise and Sport Science) University of Western Australia Perth Western Australia Australia"},{"name":"Health Function Rehabilitation Care (HFRC) Rehabilitation Clinic Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter K.","family":"Edwards","sequence":"additional","affiliation":[{"name":"Orthopaedic Research Foundation of Western Australia Perth Western Australia Australia"},{"name":"School of Allied Health Curtin University Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter S. E.","family":"Davies","sequence":"additional","affiliation":[{"name":"Orthopaedic Research Foundation of Western Australia Perth Western Australia Australia"},{"name":"Fiona Stanley and Fremantle Hospitals Group South Metropolitan Health Service Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Evans","sequence":"additional","affiliation":[{"name":"Joondalup Health Campus Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Randeep S.","family":"Aujla","sequence":"additional","affiliation":[{"name":"Leicester Knee Unit University Hospitals of Leicester National Health Service Trust Leicester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shahbaz S.","family":"Malik","sequence":"additional","affiliation":[{"name":"Worcestershire Acute Hospitals National Health Service Trust Worcester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J.","family":"Grant","sequence":"additional","affiliation":[{"name":"Orthopaedic Research Foundation of Western Australia Perth Western Australia Australia"},{"name":"Fiona Stanley and Fremantle Hospitals Group South Metropolitan Health Service Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Dalgleish","sequence":"additional","affiliation":[{"name":"Ninewells Hospital and Medical School Dundee UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satyen","family":"Gohil","sequence":"additional","affiliation":[{"name":"Fiona Stanley and Fremantle Hospitals Group South Metropolitan Health Service Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"D'Alessandro","sequence":"additional","affiliation":[{"name":"Orthopaedic Research Foundation of Western Australia Perth Western Australia Australia"},{"name":"Fiona Stanley and Fremantle Hospitals Group South Metropolitan Health Service Perth Western Australia Australia"},{"name":"School of Surgery University of Western Australia Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,7,4]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465990270040201"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2021.08.036"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.1997.26.3.138"},{"issue":"1","key":"e_1_2_11_5_1","first-page":"33","article-title":"Operative versus nonoperative treatment of knee dislocations: a meta\u2010analysis","volume":"14","author":"Dedmond B.T.","year":"2001","journal-title":"The American Journal of Knee Surgery"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-015-3764-8"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2017.12.025"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2021.01.024"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-012-2154-8"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.J.01639"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515592828"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1590\/S1413-78522014000100003"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2020.05.022"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2023.07.039"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0036-1593624"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2017.06.011"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465010290051301"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199808000-00006"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2011.03.026"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2015-095908"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546519864539"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/jor.22572"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2009.01.008"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546509332498"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2019.8190"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354658201000306"},{"issue":"4","key":"e_1_2_11_27_1","first-page":"226","article-title":"Multiple ligament knee injury: complications","volume":"3","author":"Manske R.C.","year":"2008","journal-title":"North American Journal of Sports Physical Therapy: NAJSPT"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1177\/23259671211027855"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-014-3511-3"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517751917"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.asmr.2021.08.020"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1302\/2058-5241.5.190012"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1097\/JSA.0b013e3182107d5f"},{"key":"e_1_2_11_34_1","first-page":"127","article-title":"The dislocated knee","volume":"43","author":"Schenck R.C.","year":"1994","journal-title":"Instructional Course Lectures"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1136\/jisakos-2015-000021"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.J.01638"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198509000-00007"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2019.01.052"}],"container-title":["Knee Surgery, Sports Traumatology, Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ksa.12332","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ksa.12332","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ksa.12332","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,15]],"date-time":"2026-02-15T14:30:17Z","timestamp":1771165817000},"score":1,"resource":{"primary":{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/10.1002\/ksa.12332"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,4]]},"references-count":37,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2024,11]]}},"alternative-id":["10.1002\/ksa.12332"],"URL":"https:\/\/doi.org\/10.1002\/ksa.12332","archive":["Portico"],"relation":{},"ISSN":["0942-2056","1433-7347"],"issn-type":[{"value":"0942-2056","type":"print"},{"value":"1433-7347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,4]]}}}