{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T03:44:37Z","timestamp":1783482277436,"version":"3.55.0"},"reference-count":50,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,1,22]],"date-time":"2018-01-22T00:00:00Z","timestamp":1516579200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2018,1,22]],"date-time":"2018-01-22T00:00:00Z","timestamp":1516579200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2018,1,22]],"date-time":"2018-01-22T00:00:00Z","timestamp":1516579200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2018,1,22]],"date-time":"2018-01-22T00:00:00Z","timestamp":1516579200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2017,10,20]],"date-time":"2017-10-20T00:00:00Z","timestamp":1508457600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["arthroscopytechniques.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["arthrosc. tech."],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:label\/>\n                    <jats:p>The management of multiligament knee injury is a complex process starting with the adequate identification of the injury. A detailed physical and radiographic examination with a thorough understanding of knee anatomy is crucial to assess all damaged structures: anterior cruciate ligament, posterior cruciate ligament, posteromedial corner including the medial collateral ligament, and posterolateral corner including the lateral collateral ligament. Several surgical techniques have been developed throughout the years to adequately address these ligament insufficiencies. In this surgical technique description, we describe a reproducible method for the assessment and surgical management of a knee dislocation (KDIV) injury. Our approach includes using anatomic single\u2010bundle cruciate ligament reconstructions with modified Bosworth technique for medial\u2010side injuries and a combination of M\u00fcller popliteal bypass and Larson figure\u2010of\u20108 techniques for posterolateral corner injuries. The orders of surgical steps is described concisely, and technical controversies such as graft choice, tunnel positioning, and sequence of graft fixation are discussed in detail.<\/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:atn2bf01886:atn2bf01886-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.2017.08.079","type":"journal-article","created":{"date-parts":[[2018,2,1]],"date-time":"2018-02-01T14:47:07Z","timestamp":1517496427000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":31,"title":["Surgical Management of the Multiple\u2010Ligament Knee Injury"],"prefix":"10.1002","volume":"7","author":[{"given":"Kadir","family":"Buyukdogan","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery University of Virginia Charlottesville Virginia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael S.","family":"Laidlaw","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of Virginia Charlottesville Virginia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark D.","family":"Miller","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of Virginia Charlottesville Virginia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,1,22]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2009.01.008"},{"key":"e_1_2_3_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00132585-200603000-00007"},{"key":"e_1_2_3_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546504271208"},{"key":"e_1_2_3_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546503262687"},{"key":"e_1_2_3_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2013.03.003"},{"key":"e_1_2_3_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2010.11.007"},{"key":"e_1_2_3_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546510363462"},{"key":"e_1_2_3_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2014.02.006"},{"key":"e_1_2_3_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2005.08.024"},{"key":"e_1_2_3_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2005.12.001"},{"key":"e_1_2_3_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-014-3363-0"},{"key":"e_1_2_3_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546509352459"},{"key":"e_1_2_3_14_1","first-page":"515","article-title":"Knee dislocations","volume":"48","author":"Schenck R.C.","year":"1999","journal-title":"Instr Course Lect"},{"key":"e_1_2_3_15_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.G.01365"},{"key":"e_1_2_3_16_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.G.00979"},{"key":"e_1_2_3_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546509349347"},{"key":"e_1_2_3_18_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0034-1381961"},{"key":"e_1_2_3_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/JSA.0000000000000046"},{"key":"e_1_2_3_20_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-196850020-00001"},{"key":"e_1_2_3_21_1","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-15-00463"},{"key":"e_1_2_3_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0278-5919(20)30312-4"},{"key":"e_1_2_3_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-011-2008-6"},{"key":"e_1_2_3_24_1","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2003.50017"},{"key":"e_1_2_3_25_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1599252"},{"key":"e_1_2_3_26_1","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2002.35142"},{"key":"e_1_2_3_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546509350066"},{"key":"e_1_2_3_28_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-195234010-00023"},{"key":"e_1_2_3_29_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200709000-00016"},{"key":"e_1_2_3_30_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513504895"},{"key":"e_1_2_3_31_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.01328"},{"key":"e_1_2_3_32_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354658901700104"},{"key":"e_1_2_3_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0268-0033(98)00094-1"},{"key":"e_1_2_3_34_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.K.00030"},{"key":"e_1_2_3_35_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546504271210"},{"key":"e_1_2_3_36_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465020300060701"},{"key":"e_1_2_3_37_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-014-3939-5"},{"key":"e_1_2_3_38_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0032-1326997"},{"key":"e_1_2_3_39_1","doi-asserted-by":"publisher","DOI":"10.1002\/jor.1100060418"},{"key":"e_1_2_3_40_1","first-page":"273","volume-title":"Das Knie: Form, Funktion und ligament\u00e4re Wiederherstellungschirurgie","author":"Muller W.","year":"1989"},{"key":"e_1_2_3_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/0749-8063(90)90077-Q"},{"key":"e_1_2_3_42_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0030-1248172"},{"key":"e_1_2_3_43_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.I.00474"},{"key":"e_1_2_3_44_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2009.11.019"},{"key":"e_1_2_3_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2007.09.013"},{"key":"e_1_2_3_46_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2012.08.015"},{"key":"e_1_2_3_47_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2014.02.009"},{"key":"e_1_2_3_48_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199007000-00025"},{"key":"e_1_2_3_49_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0032-1322605"},{"key":"e_1_2_3_50_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-014-3483-3"},{"key":"e_1_2_3_51_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-009-0810-4"}],"container-title":["Arthroscopy Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2212628717303481?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2212628717303481?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.2017.08.079","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.eats.2017.08.079","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.eats.2017.08.079","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T15:55:01Z","timestamp":1775750101000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.eats.2017.08.079"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,1,22]]},"references-count":50,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2018,2]]}},"alternative-id":["10.1016\/j.eats.2017.08.079"],"URL":"https:\/\/doi.org\/10.1016\/j.eats.2017.08.079","archive":["Portico"],"relation":{},"ISSN":["2212-6287","2212-6287"],"issn-type":[{"value":"2212-6287","type":"print"},{"value":"2212-6287","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,1,22]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Surgical Management of the Multiple-Ligament Knee Injury","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy Techniques","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.eats.2017.08.079","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2017 by the Arthroscopy Association of North America. Published by Elsevier.","name":"copyright","label":"Copyright"}]}}