{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T17:17:01Z","timestamp":1740158221876,"version":"3.37.3"},"reference-count":30,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Knee Surg"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>While proven effective management of multiligament knee injury (MLKI) using allograft is often reported, it has shown an increased risk for graft failure compared with autograft and raises availability and cost issues. Osseous stock preservation and tunnel convergence avoidance led us to develop a compromise innovative surgical procedure using only ipsilateral autograft for anatomic reconstruction of Schenck III-L or higher MLKI. We report the description and early outcomes of our initial experience. Our strategy consisted of an anatomic single-bundle posterior cruciate ligament reconstruction with quadriceps tendon autograft and a \u201cVersailles\u201d reconstruction for the posterolateral corner, which we modified to reconstruct the anterolateral ligament in case of anteromedial rotatory instability, called \u201cfull lateral.\u201d A second-stage surgery was planned for anterior cruciate ligament reconstruction using a bone\u2013patellar tendon\u2013bone autograft. Outcomes were Lysholm, Tegner, and International Knee Documentation Committee (IKDC) scores for functional status, Short Form 12 (SF-12) for quality of life, and visual analog scale (VAS) for pain. Complications, full weight-bearing, return to work, and sport were also computed. Between March 2019 and August 2020, 10 patients were included. At follow-up, light pain was found in nine patients with a mean VAS of 1.2\u2009\u00b1\u20092.16 during the day. The mean Lysholm, Tegner, and subjective IKDC scores were good, with 61.2\u2009\u00b1\u200920.6, 2.8\u2009\u00b1\u20092.1, and 52.6\u2009\u00b1\u200920.4, respectively. However, quality of life was altered with poor SF-12 scores. In our first 10 patients with Schenck III-L or higher MLKI, our procedure using only ipsilateral autograft enabled correct daily knee functional activities while preserving osseous stock.<\/jats:p>","DOI":"10.1055\/s-0044-1791648","type":"journal-article","created":{"date-parts":[[2024,10,11]],"date-time":"2024-10-11T23:07:27Z","timestamp":1728688047000},"page":"043-050","source":"Crossref","is-referenced-by-count":0,"title":["Management of Multiligament Knee Injuries Using Anatomic Autograft Reconstructions: A Case Series"],"prefix":"10.1055","volume":"38","author":[{"given":"Maxime","family":"Guerot","sequence":"additional","affiliation":[{"name":"Department of Orthopedic and Traumatology, Beaujon Hospital, Clichy, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Baptiste","family":"Boukebous","sequence":"additional","affiliation":[{"name":"Department of Orthopedic and Traumatology, Beaujon Hospital, Clichy, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucas","family":"Chanteux","sequence":"additional","affiliation":[{"name":"Department of Orthopedic and Traumatology, Beaujon Hospital, Clichy, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haroun","family":"Bouhali","sequence":"additional","affiliation":[{"name":"Department of Orthopedic and Traumatology, Beaujon Hospital, Clichy, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc-Antoine","family":"Rousseau","sequence":"additional","affiliation":[{"name":"Department of Orthopedic and Traumatology, Beaujon Hospital, Clichy, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2973-0205","authenticated-orcid":false,"given":"C\u00e9dric","family":"Maillot","sequence":"additional","affiliation":[{"name":"Department of Orthopedic and Traumatology, Beaujon Hospital, Clichy, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,10,11]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1053\/otsm.2003.35918","article-title":"Classification of knee dislocations","volume":"11","author":"R Schenck","year":"2003","journal-title":"Oper Tech Sports Med"},{"issue":"06","key":"ref2","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1067\/j.cpradiol.2008.06.001","article-title":"Acute knee dislocation: review of an elusive entity","volume":"38","author":"S Kapur","year":"2009","journal-title":"Curr Probl Diagn Radiol"},{"issue":"10","key":"ref3","doi-asserted-by":"crossref","first-page":"2983","DOI":"10.1007\/s00167-014-3451-1","article-title":"Surgical treatment of multiligament knee injuries","volume":"23","author":"S Cook","year":"2015","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"12","key":"ref4","doi-asserted-by":"crossref","first-page":"1341","DOI":"10.1016\/j.arthro.2007.07.024","article-title":"A prospective magnetic resonance imaging study of the incidence of posterolateral and multiple ligament injuries in acute knee injuries presenting with a hemarthrosis","volume":"23","author":"R F LaPrade","year":"2007","journal-title":"Arthroscopy"},{"issue":"03","key":"ref5","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1177\/0363546516673616","article-title":"Multiple ligament reconstruction femoral tunnels: intertunnel relationships and guidelines to avoid convergence","volume":"45","author":"G Moatshe","year":"2017","journal-title":"Am J Sports Med"},{"issue":"02","key":"ref6","doi-asserted-by":"crossref","first-page":"1","DOI":"10.2106\/JBJS.RVW.O.00020","article-title":"Diagnostic and management strategies for multiligament knee injuries: a critical analysis review","volume":"4","author":"M T Burrus","year":"2016","journal-title":"JBJS Rev"},{"issue":"06","key":"ref7","first-page":"1791","article-title":"The use of allograft tissue in posterior cruciate, collateral and multi-ligament knee reconstruction","volume":"27","author":"M J Strauss","year":"2019","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"06","key":"ref8","doi-asserted-by":"crossref","first-page":"732","DOI":"10.1177\/036354659602400606","article-title":"The posterolateral aspect of the knee. Anatomy and surgical approach","volume":"24","author":"G C Terry","year":"1996","journal-title":"Am J Sports Med"},{"issue":"06","key":"ref10","doi-asserted-by":"crossref","first-page":"1782","DOI":"10.1007\/s00167-019-05436-z","article-title":"Autograft or allograft for reconstruction of anterior cruciate ligament: a health economics perspective","volume":"27","author":"H Mistry","year":"2019","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"08","key":"ref11","doi-asserted-by":"crossref","first-page":"627","DOI":"10.1016\/j.otsr.2009.10.003","article-title":"Bicruciate ligament lesions and dislocation of the knee: mechanisms and classification","volume":"95","author":"S Boisgard","year":"2009","journal-title":"Orthop Traumatol Surg Res"},{"issue":"07","key":"ref12","doi-asserted-by":"crossref","first-page":"1031","DOI":"10.1016\/j.otsr.2017.05.026","article-title":"Anatomical knee postero-lateral corner reconstruction: the \u201cVersailles\u201d technique","volume":"103","author":"J Murgier","year":"2017","journal-title":"Orthop Traumatol Surg Res"},{"issue":"02","key":"ref13","doi-asserted-by":"crossref","first-page":"e147","DOI":"10.1016\/j.eats.2017.08.079","article-title":"Surgical management of the multiple-ligament knee injury","volume":"7","author":"K Buyukdogan","year":"2018","journal-title":"Arthrosc Tech"},{"issue":"02","key":"ref14","doi-asserted-by":"crossref","first-page":"97","DOI":"10.5435\/00124635-200003000-00004","article-title":"Acute and chronic posterolateral rotatory instability of the knee","volume":"8","author":"F S Chen","year":"2000","journal-title":"J Am Acad Orthop Surg"},{"issue":"12","key":"ref15","doi-asserted-by":"crossref","first-page":"2946","DOI":"10.2106\/JBJS.H.01328","article-title":"Multiple-ligament knee injuries: a systematic review of the timing of operative intervention and postoperative rehabilitation","volume":"91","author":"W R Mook","year":"2009","journal-title":"J Bone Joint Surg Am"},{"issue":"06","key":"ref16","doi-asserted-by":"crossref","first-page":"881","DOI":"10.1177\/0363546504271208","article-title":"The posterolateral corner of the knee: repair versus reconstruction","volume":"33","author":"J P Stannard","year":"2005","journal-title":"Am J Sports Med"},{"issue":"06","key":"ref17","doi-asserted-by":"crossref","first-page":"796","DOI":"10.1177\/03635465020300060701","article-title":"The influence of the integrity of posterolateral structures on tibiofemoral orientation when an anterior cruciate ligament graft is tensioned","volume":"30","author":"F A Wentorf","year":"2002","journal-title":"Am J Sports Med"},{"issue":"04","key":"ref18","doi-asserted-by":"crossref","first-page":"693","DOI":"10.1097\/00005373-199904000-00023","article-title":"Knee dislocation: treatment of high-velocity knee dislocation","volume":"46","author":"W L Yeh","year":"1999","journal-title":"J Trauma"},{"issue":"02","key":"ref19","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1055\/s-0030-1248027","article-title":"An illustrated history of anterior cruciate ligament surgery","volume":"20","author":"P C McCulloch","year":"2007","journal-title":"J Knee Surg"},{"issue":"08","key":"ref20","doi-asserted-by":"crossref","first-page":"1863","DOI":"10.1177\/0363546517751917","article-title":"The influence of graft tensioning sequence on tibiofemoral orientation during bicruciate and posterolateral corner knee ligament reconstruction: a biomechanical study","volume":"46","author":"G Moatshe","year":"2018","journal-title":"Am J Sports Med"},{"issue":"10","key":"ref21","doi-asserted-by":"crossref","first-page":"2355","DOI":"10.1177\/0363546518784301","article-title":"Partial controlled early postoperative weightbearing versus nonweightbearing after reconstruction of the fibular (lateral) collateral ligament: a randomized controlled trial and equivalence analysis","volume":"46","author":"R F LaPrade","year":"2018","journal-title":"Am J Sports Med"},{"issue":"05","key":"ref22","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1055\/s-0037-1604147","article-title":"Variance in anterior cruciate ligament reconstruction graft selection based on patient demographics and location within the multicenter orthopaedic outcomes network cohort","volume":"31","author":"D A Houck","year":"2018","journal-title":"J Knee Surg"},{"issue":"03","key":"ref23","doi-asserted-by":"crossref","first-page":"344","DOI":"10.2106\/00004623-198466030-00005","article-title":"Biomechanical analysis of human ligament grafts used in knee-ligament repairs and reconstructions","volume":"66","author":"F R Noyes","year":"1984","journal-title":"J Bone Joint Surg Am"},{"issue":"04","key":"ref24","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1007\/s00264-010-0963-2","article-title":"Anterior cruciate ligament reconstruction with synthetic grafts. A review of literature","volume":"34","author":"C Legnani","year":"2010","journal-title":"Int Orthop"},{"issue":"03","key":"ref25","doi-asserted-by":"crossref","first-page":"165","DOI":"10.5435\/00124635-199805000-00004","article-title":"Use of allografts in knee reconstruction: I. Basic science aspects and current status","volume":"6","author":"W R Shelton","year":"1998","journal-title":"J Am Acad Orthop Surg"},{"issue":"06","key":"ref26","doi-asserted-by":"crossref","first-page":"1882","DOI":"10.1007\/s00167-019-05425-2","article-title":"Allograft for knee ligament surgery: an American perspective","volume":"27","author":"R Tisherman","year":"2019","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"01","key":"ref27","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1177\/0363546513518004","article-title":"Analysis of irradiation on the clinical effectiveness of allogenic tissue when used for primary anterior cruciate ligament reconstruction","volume":"43","author":"S S-H Park","year":"2015","journal-title":"Am J Sports Med"},{"issue":"09","key":"ref28","doi-asserted-by":"crossref","first-page":"S58","DOI":"10.1016\/j.arthro.2010.01.004","article-title":"Patellar tendon anterior cruciate ligament reconstruction in the high-demand patient: evaluation of autograft versus allograft reconstruction","volume":"26","author":"R Mascarenhas","year":"2010","journal-title":"Arthroscopy"},{"issue":"02","key":"ref29","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1007\/s00167-018-5053-9","article-title":"Factors predictive of poorer outcomes in the surgical repair of multiligament knee injuries","volume":"27","author":"E Alentorn-Geli","year":"2019","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"ref30","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1016\/j.ijsu.2018.06.030","article-title":"Comparison of clinical outcomes after anterior cruciate ligament reconstruction with hamstring tendon autograft versus soft-tissue allograft: a meta-analysis of randomised controlled trials","volume":"56","author":"H-D Wang","year":"2018","journal-title":"Int J Surg"},{"issue":"02","key":"ref31","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1055\/s-0032-1319778","article-title":"Allograft versus autograft in posterior cruciate ligament reconstruction: an evidence-based systematic review","volume":"26","author":"J L Hudgens","year":"2013","journal-title":"J Knee Surg"}],"container-title":["The Journal of Knee Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0044-1791648.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,31]],"date-time":"2024-12-31T23:31:39Z","timestamp":1735687899000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0044-1791648"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,11]]},"references-count":30,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2024,12,31]]},"published-print":{"date-parts":[[2025,1]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0044-1791648","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1538-8506","1938-2480"],"issn-type":[{"type":"print","value":"1538-8506"},{"type":"electronic","value":"1938-2480"}],"subject":[],"published":{"date-parts":[[2024,10,11]]}}}