{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T10:35:56Z","timestamp":1784543756263,"version":"3.55.0"},"reference-count":42,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,3,20]],"date-time":"2017-03-20T00:00:00Z","timestamp":1489968000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2017,3,20]],"date-time":"2017-03-20T00:00:00Z","timestamp":1489968000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2017,3,20]],"date-time":"2017-03-20T00:00:00Z","timestamp":1489968000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2017,9,20]],"date-time":"2017-09-20T00:00:00Z","timestamp":1505865600000},"content-version":"vor","delay-in-days":184,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100007307","name":"Arthrex","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007307","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009026","name":"Smith and Nephew","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009026","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["arthroscopytechniques.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["arthrosc. tech."],"published-print":{"date-parts":[[2017,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:label\/>\n                    <jats:p>Multiple ligament knee injuries are complex pathologies that often result from traumatic knee dislocations. Both a high level of suspicion and a thorough clinical and radiographic examination are mandatory to diagnose and identify all injured structures. Reconstruction of all injured ligaments is recommended to aid in early mobilization and to avoid joint stiffness or graft failure. For knee dislocations involving injury to the anterior cruciate ligament, posterior cruciate ligament, and medial\u2010sided structures, a repair and augmentation of the medial collateral ligament, together with an anatomic reconstruction of the anterior cruciate ligament and double\u2010bundle posterior cruciate ligament, is recommended. In the setting of these complex reconstructions, there are several technical aspects that require consideration to ensure concise and efficient treatment of these injuries. Graft choice, sequence of reconstruction, tunnel position and orientation, and graft tensioning all pose surgical challenges, and require dedicated preoperative preparation and planning. The purpose of this Technical Note is to report a safe, effective, and reproducible surgical technique for treatment of multiligament injuries in the setting of a knee dislocation with a medial\u2010sided component (classified as KD\u2010III\u2010M in the Schenck classification system).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Technique Video<\/jats:title>\n                    <jats:p>\n                      <jats:boxed-text content-type=\"video\" position=\"anchor\">\n                        <jats:graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" position=\"anchor\" xlink:href=\"urn:x-wiley:22126287:media:atn2bf01562:atn2bf01562-vimg-mmc1\">\n                          <jats:alt-text>video<\/jats:alt-text>\n                        <\/jats:graphic>\n                      <\/jats:boxed-text>\n                    <\/jats:p>\n                    <jats:p>\n                      <jats:bold>See video under supplementary data.<\/jats:bold>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.eats.2016.10.003","type":"journal-article","created":{"date-parts":[[2017,3,20]],"date-time":"2017-03-20T07:30:59Z","timestamp":1489995059000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":31,"title":["Multiligament Reconstruction of the Knee in the Setting of Knee Dislocation With a Medial\u2010Sided Injury"],"prefix":"10.1002","volume":"6","author":[{"given":"Marcio B.","family":"Ferrari","sequence":"first","affiliation":[{"name":"Steadman Philippon Research Institute Vail Colorado U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge","family":"Chahla","sequence":"additional","affiliation":[{"name":"Steadman Philippon Research Institute Vail Colorado U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin J.","family":"Mitchell","sequence":"additional","affiliation":[{"name":"Steadman Philippon Research Institute Vail Colorado U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gilbert","family":"Moatshe","sequence":"additional","affiliation":[{"name":"Steadman Philippon Research Institute Vail Colorado U.S.A."},{"name":"Oslo University Hospital Oslo Norway"},{"name":"OSTRC The Norwegian School of Sports Sciences Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob D.","family":"Mikula","sequence":"additional","affiliation":[{"name":"Steadman Philippon Research Institute Vail Colorado U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel Cole","family":"Marchetti","sequence":"additional","affiliation":[{"name":"Steadman Philippon Research Institute Vail Colorado U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert F.","family":"LaPrade","sequence":"additional","affiliation":[{"name":"Steadman Philippon Research Institute Vail Colorado U.S.A."},{"name":"The Steadman Clinic Vail Colorado U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,3,20]]},"reference":[{"key":"e_1_2_2_2_1","first-page":"127","article-title":"The dislocated knee","volume":"43","author":"Schenck R.C.","year":"1994","journal-title":"Instr Course Lect"},{"key":"e_1_2_2_3_1","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200904000-00001"},{"key":"e_1_2_2_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-012-2154-8"},{"key":"e_1_2_2_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546509352459"},{"key":"e_1_2_2_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2009.01.008"},{"key":"e_1_2_2_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2016.01.038"},{"key":"e_1_2_2_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.crad.2006.11.024"},{"key":"e_1_2_2_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546503261738"},{"key":"e_1_2_2_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546506289433"},{"key":"e_1_2_2_11_1","doi-asserted-by":"publisher","DOI":"10.1148\/rg.2015140166"},{"key":"e_1_2_2_12_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.J.01639"},{"key":"e_1_2_2_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465000280011801"},{"key":"e_1_2_2_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465020300021501"},{"key":"e_1_2_2_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465990270041101"},{"key":"e_1_2_2_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199312000-00013"},{"key":"e_1_2_2_17_1","doi-asserted-by":"publisher","DOI":"10.2174\/1874325001408010162"},{"key":"e_1_2_2_18_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0036-1571427"},{"key":"e_1_2_2_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-015-3750-1"},{"key":"e_1_2_2_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515592828"},{"key":"e_1_2_2_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546504271208"},{"key":"e_1_2_2_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546504271210"},{"key":"e_1_2_2_23_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200709000-00016"},{"key":"e_1_2_2_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2015.10.014"},{"key":"e_1_2_2_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513490276"},{"key":"e_1_2_2_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-015-3540-9"},{"key":"e_1_2_2_27_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.85B6.13972"},{"key":"e_1_2_2_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-009-0869-y"},{"key":"e_1_2_2_29_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0032-1322605"},{"key":"e_1_2_2_30_1","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2002.35142"},{"key":"e_1_2_2_31_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-014-3483-3"},{"key":"e_1_2_2_32_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515593950"},{"key":"e_1_2_2_33_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546510361220"},{"key":"e_1_2_2_34_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546503262687"},{"key":"e_1_2_2_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2015.03.007"},{"key":"e_1_2_2_36_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-014-3446-y"},{"key":"e_1_2_2_37_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200309000-00016"},{"key":"e_1_2_2_38_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465020300060701"},{"key":"e_1_2_2_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2007.08.007"},{"key":"e_1_2_2_40_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-006-0202-y"},{"key":"e_1_2_2_41_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":"Am J Knee Surg"},{"key":"e_1_2_2_42_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e3180321318"},{"key":"e_1_2_2_43_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546507299444"}],"container-title":["Arthroscopy Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2212628716301827?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2212628716301827?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.eats.2016.10.003","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.eats.2016.10.003","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.eats.2016.10.003","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T11:10:37Z","timestamp":1775733037000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.eats.2016.10.003"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,3,20]]},"references-count":42,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2017,4]]}},"alternative-id":["10.1016\/j.eats.2016.10.003"],"URL":"https:\/\/doi.org\/10.1016\/j.eats.2016.10.003","archive":["Portico"],"relation":{},"ISSN":["2212-6287","2212-6287"],"issn-type":[{"value":"2212-6287","type":"print"},{"value":"2212-6287","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,3,20]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Multiligament Reconstruction of the Knee in the Setting of Knee Dislocation With a Medial-Sided Injury","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy Techniques","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.eats.2016.10.003","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2016 by the Arthroscopy Association of North America","name":"copyright","label":"Copyright"}]}}