{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T14:09:08Z","timestamp":1786370948286,"version":"build-2736575974"},"reference-count":25,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2011,12,1]],"date-time":"2011-12-01T00:00:00Z","timestamp":1322697600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2011,12]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose.<\/jats:title>\n                    <jats:p>To review treatment outcome of our staged protocol for multiple ligament injuries of the knee.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"methods\">\n                    <jats:title>Methods.<\/jats:title>\n                    <jats:p>21 men who were treated for multiple ligament injuries of the knee and had completed at least one year of rehabilitation were evaluated. Patients were examined under anaesthesia and then by diagnostic arthroscopy. Arthroscopic reconstructive procedures for injured cruciate ligaments were performed after a minimum 110\u00b0 flexion and full extension were regained. Collateral ligaments injuries were treated first, followed by posterior cruciate ligament (PCL) and then anterior cruciate ligament (ACL) tears. Outcome was evaluated using the Lysholm knee score and International Knee Documentation Committee (IKDC) knee ligament evaluation form.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"results\">\n                    <jats:title>Results.<\/jats:title>\n                    <jats:p>19 patients aged 24 to 55 (mean, 36) years were followed up for a mean of 22 (range, 14\u201333) months. The mean Lysholm score was 92. The mean scores for patients treated within and after 3 weeks were 93 and 90, respectively. The overall IKDC grading was B in 15 knees and C and D each in 2 knees. For the 2 patients with grade D, one presented 19 months after the injury and had persistent posterior sag (secondary to capsular contracture). His Lysholm score was 82. The second patient developed a deep infection and endured a flexion loss of 30\u00b0 but had a satisfactory Lysholm score of 94. There was no significant difference between early and delayed treatments and between low- and high-velocity injuries in terms of the Lysholm score, the IKDC grade, the range of movement, and the functional outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"conclusions\">\n                    <jats:title>Conclusion.<\/jats:title>\n                    <jats:p>Staged management of multiple ligament injuries of the knee enabled satisfactory restoration of function, stability, and range of movement in most of our patients. By staging the procedures, the need for subsequent ACL reconstruction can be better evaluated, as ACL reconstruction is not necessary in patients not undertaking strenuous activities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/230949901101900307","type":"journal-article","created":{"date-parts":[[2016,10,4]],"date-time":"2016-10-04T17:16:28Z","timestamp":1475601388000},"page":"297-302","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":34,"title":["Staged Arthroscopic Reconstructive Surgery for Multiple Ligament Injuries of the Knee"],"prefix":"10.1177","volume":"19","author":[{"given":"M","family":"Subbiah","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Kasturba Medical College, Manipal University, Manipal, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vivek","family":"Pandey","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Kasturba Medical College, Manipal University, Manipal, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharath K","family":"Rao","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Kasturba Medical College, Manipal University, Manipal, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sripathi","family":"Rao","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Kasturba Medical College, Manipal University, Manipal, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2011,12]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0278-5919(05)70213-1"},{"key":"e_1_2_1_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-5898(20)32288-4"},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197153010-00002"},{"key":"e_1_2_1_5_2","first-page":"837","volume-title":"Knee surgery","author":"Taft TN","year":"1994","unstructured":"Taft TN, Almekinders LC. The dislocated knee. In: Fu F, ed. Knee surgery, Baltimore: Williams & Wilkins; 1994:837\u201357."},{"key":"e_1_2_1_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-199710000-00011"},{"key":"e_1_2_1_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0035-1040(06)75945-1"},{"key":"e_1_2_1_8_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200402000-00008"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-006-0039-4"},{"key":"e_1_2_1_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-003-0490-4"},{"key":"e_1_2_1_11_2","first-page":"171","article-title":"Posterior lateral corner reconstruction","volume":"32","author":"Clancy WG","year":"2003","unstructured":"Clancy WGJr, Shepard MF, Cain ELJr. Posterior lateral corner reconstruction. Am J Orthop (Belle Mead NJ) 2003;32:171\u20136.","journal-title":"Am J Orthop (Belle Mead NJ)"},{"key":"e_1_2_1_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/036354658201000306"},{"key":"e_1_2_1_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF01560215"},{"key":"e_1_2_1_14_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.54B1.96"},{"key":"e_1_2_1_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/003591576706000334"},{"key":"e_1_2_1_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465990270021301"},{"key":"e_1_2_1_17_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.85B6.13972"},{"key":"e_1_2_1_18_2","first-page":"995","article-title":"Low-velocity knee dislocation","volume":"20","author":"Shelbourne KD","year":"1991","unstructured":"Shelbourne KD, Porter DA, Clingman JA, McCarroll JR, Rettig AC. Low-velocity knee dislocation. Orthop Rev 1991;20:995\u20131004.","journal-title":"Orthop Rev"},{"key":"e_1_2_1_19_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.78B3.0780446"},{"key":"e_1_2_1_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsams.2007.07.007"},{"key":"e_1_2_1_21_2","doi-asserted-by":"publisher","DOI":"10.1177\/036354658901700104"},{"key":"e_1_2_1_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2005.01.001"},{"key":"e_1_2_1_23_2","doi-asserted-by":"publisher","DOI":"10.1177\/036354659502300511"},{"key":"e_1_2_1_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(96)90213-3"},{"key":"e_1_2_1_25_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.01328"},{"key":"e_1_2_1_26_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200205000-00024"}],"container-title":["Journal of Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/230949901101900307","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/230949901101900307","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:17:37Z","timestamp":1777594657000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/230949901101900307"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,12]]},"references-count":25,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2011,12]]}},"alternative-id":["10.1177\/230949901101900307"],"URL":"https:\/\/doi.org\/10.1177\/230949901101900307","relation":{},"ISSN":["1022-5536","2309-4990"],"issn-type":[{"value":"1022-5536","type":"print"},{"value":"2309-4990","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,12]]}}}