{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T21:37:40Z","timestamp":1763156260952},"reference-count":28,"publisher":"Oxford University Press (OUP)","issue":"9-10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,8,29]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:p>This case highlights a staged operative approach for a patient who sustained bilateral knee dislocations and subsequent staged operative treatment and rehabilitation. This patient underwent bilateral multiligamentous knee reconstructions and left-sided peroneal nerve allografting because of complete peroneal nerve palsy. The initial treatment was bilateral medial collateral ligament reconstructions, posterolateral corner reconstructions, and capsular repairs with left leg peroneal nerve allografting and repair of avulsed biceps femoris tendon. The patient underwent physical therapy following the first stage procedure until he regained appropriate motion and soft tissue healing occurred. Subsequently, combined anterior cruciate and posterior cruciate ligament reconstructions were performed in a staged fashion to allow one leg to fully bear weight for rehabilitation purposes. With the help of a multidisciplinary surgical and rehabilitation team, the patient has regained the stability of his knees and achieved acceptable functional outcomes. A staged systematic approach to multiligamentous bilateral knee reconstruction can provide optimal pain management, obtain initial joint stability, minimize complications, and achieve acceptable functional outcomes. Surgical techniques to first restore medial and lateral structures can be utilized to provide initial valgus and varus stability while allowing for knee mobilization and, eventually, in-line ambulation, before staged anterior and posterior cruciate ligament reconstructions. This case demonstrates a multistaged approach to bilateral knee dislocations with favorable outcomes in a 23-year-old active duty patient.<\/jats:p>","DOI":"10.1093\/milmed\/usac222","type":"journal-article","created":{"date-parts":[[2022,8,2]],"date-time":"2022-08-02T15:43:24Z","timestamp":1659455004000},"page":"3236-3241","source":"Crossref","is-referenced-by-count":1,"title":["Bilateral Knee Dislocations in an Active Duty Service Member: A Case Report"],"prefix":"10.1093","volume":"188","author":[{"given":"Ervin P","family":"Anies","sequence":"first","affiliation":[{"name":"Uniformed Services University of the Health Sciences, F. Edward Hebert School of Medicine , Bethesda, MD 20814, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sean G","family":"Sheppard","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Sports Surgery, Naval Medical Center San Diego , San Diego, CA 92134, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucas S","family":"McDonald","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Sports Surgery, Naval Medical Center San Diego , San Diego, CA 92134, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James R","family":"Bailey","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Sports Surgery, Naval Medical Center San Diego , San Diego, CA 92134, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2022,8,2]]},"reference":[{"issue":"6","key":"2023083018172776000_R1","first-page":"343","article-title":"Nerve injury complicating multiligament knee injury: current concepts and treatment algorithm","volume":"21","author":"Mook","year":"2013","journal-title":"J Am Acad Orthop Surg"},{"key":"2023083018172776000_R2","article-title":"Bilateral knee dislocations treated with acute, single-stage multiligament reconstructions","volume":"2021","author":"Imbergano","year":"2021","journal-title":"Case Rep Orthop"},{"issue":"12","key":"2023083018172776000_R3","doi-asserted-by":"crossref","first-page":"761","DOI":"10.5435\/JAAOS-D-14-00349","article-title":"Acute management of traumatic knee dislocations for the generalist","volume":"23","author":"Boyce","year":"2015","journal-title":"J Am Acad Orthop Surg"},{"issue":"3","key":"2023083018172776000_R4","doi-asserted-by":"crossref","first-page":"396","DOI":"10.1177\/230949901302100328","article-title":"High-energy bilateral knee dislocations in a young man: a case report","volume":"21","author":"Colen","year":"2013","journal-title":"J Orthop Surg"},{"key":"2023083018172776000_R5","first-page":"389","article-title":"Evaluation and treatment of the multiligament-injured knee","volume":"58","author":"Fanelli","year":"2009","journal-title":"Instr Course Lect"},{"issue":"2","key":"2023083018172776000_R6","doi-asserted-by":"crossref","first-page":"e341","DOI":"10.1016\/j.eats.2016.10.003","article-title":"Multiligament reconstruction of the knee in the setting of knee dislocation with a medial-sided injury","volume":"6","author":"Ferrari","year":"2017","journal-title":"Arthrosc Tech"},{"issue":"4","key":"2023083018172776000_R7","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1016\/j.arthro.2009.01.008","article-title":"Decision making in the multiligament-injured knee: an evidence-based systematic review","volume":"25","author":"Levy","year":"2009","journal-title":"Arthroscopy"},{"issue":"12","key":"2023083018172776000_R8","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":"Mook","year":"2009","journal-title":"J Bone Joint Surg Am"},{"key":"2023083018172776000_R9","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/3460153","article-title":"Bilateral multiligamentous knee injuries: a case report and technique review","volume":"2018","author":"Messer","year":"2018","journal-title":"Case Rep Orthop"},{"issue":"9","key":"2023083018172776000_R10","doi-asserted-by":"crossref","first-page":"1407","DOI":"10.2106\/00004623-198870090-00023","article-title":"Bilateral open dislocation of the knee joint. 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