{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T05:03:31Z","timestamp":1790139811570,"version":"4.0.1"},"reference-count":65,"publisher":"Bioscientifica","issue":"5","license":[{"start":{"date-parts":[[2026,6,13]],"date-time":"2026-06-13T00:00:00Z","timestamp":1781308800000},"content-version":"vor","delay-in-days":43,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.bioscientifica.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,5,1]]},"abstract":"<jats:p>Multiligament knee injuries (MLKIs) are rare but severe injuries involving bicruciate or collateral ligament disruption, frequently associated with knee dislocation, fractures, and neurovascular compromise. Vascular injury occurs in a mean of approximately 18% of cases and may be present despite palpable pulses; an ankle\u2013brachial index (ABI) &amp;lt; 0.9 demonstrates high sensitivity for arterial injury. Peroneal nerve injury occurs in approximately 10\u201340% of cases. Early recognition and structured evaluation are critical. Serial vascular examinations, selective CT angiography, and careful neurologic assessment are mandatory. General orthopedic surgeons often make the initial management decisions, and timely diagnosis, stabilization, and referral significantly influence limb salvage and long-term function. The Schenck KD classification remains standard, with recent consensus refinements to the KD V category and proposed modifiers such as \u2018\u2013EM\u2019 for extensor mechanism disruption. Associated meniscal, chondral, and rare entities, such as uniplanar coronal tibiofemoral subluxation, require high clinical suspicion. Knee-spanning external fixation is indicated in vascular injury, open or fracture-dislocations, soft-tissue compromise, or persistent instability, with reconstruction commonly performed later at 3\u20136 weeks. Current evidence shows no clear superiority of early versus delayed reconstruction in functional outcomes, although early surgery increases stiffness risk. Anatomic reconstruction is generally favored over repair for high-grade PLC and MCL injuries due to lower failure and complication rates. At 2 years, patients retain approximately 80\u201385% of knee function; however, a gradual functional decline over time is observed. Arthrofibrosis (\u224810%) remains the most common complication.<\/jats:p>","DOI":"10.1530\/eor-2026-0053","type":"journal-article","created":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T09:41:58Z","timestamp":1777628518000},"page":"426-436","update-policy":"https:\/\/doi.org\/10.1530\/crossmarkpolicy-16","source":"Crossref","is-referenced-by-count":1,"title":["Multiligament-injured knee: what the general orthopedic surgeon should know"],"prefix":"10.1530","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9494-6048","authenticated-orcid":true,"given":"Michael","family":"Hantes","sequence":"first","affiliation":[{"name":"1"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vasileios","family":"Raoulis","sequence":"additional","affiliation":[{"name":"2"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aristeidis","family":"Zibis","sequence":"additional","affiliation":[{"name":"2"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikolaos","family":"Metaxiotis","sequence":"additional","affiliation":[{"name":"1"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Artemis","family":"Hante","sequence":"additional","affiliation":[{"name":"3"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikolaos","family":"Stefanou","sequence":"additional","affiliation":[{"name":"1"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vasileios S","family":"Akrivos","sequence":"additional","affiliation":[{"name":"1"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"416","published-online":{"date-parts":[[2026,5,1]]},"reference":[{"key":"2026070713565351100_bib1","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1016\/j.arthro.2007.08.007","article-title":"Surgical management of traumatic knee dislocation","volume":"24","author":"Ibrahim","year":"2008","journal-title":"Arthroscopy"},{"key":"2026070713565351100_bib2","doi-asserted-by":"crossref","first-page":"769","DOI":"10.1177\/036354659702500608","article-title":"Reconstruction of the anterior and posterior cruciate ligaments after knee dislocation. Use of early protected postoperative motion to decrease arthrofibrosis","volume":"25","author":"Noyes","year":"1997","journal-title":"Am J Sports Med"},{"key":"2026070713565351100_bib3","doi-asserted-by":"crossref","first-page":"1708","DOI":"10.1016\/j.arthro.2017.12.025","article-title":"Return to work or sport after multiligament knee injury: a systematic review of 21 studies and 524 patients","volume":"34","author":"Everhart","year":"2018","journal-title":"Arthroscopy"},{"key":"2026070713565351100_bib4","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":"Cook","year":"2015","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"2026070713565351100_bib5","doi-asserted-by":"crossref","first-page":"3012","DOI":"10.1007\/s00167-015-3719-0","article-title":"External fixator for treatment of the sub-acute and chronic multiligament-injured knee","volume":"23","author":"Angelini","year":"2015","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"2026070713565351100_bib6","doi-asserted-by":"crossref","first-page":"3038","DOI":"10.1007\/s00167-015-3720-7","article-title":"Simultaneous bilateral multiligamentous knee injuries are associated with more severe multisystem trauma compared to unilateral injuries","volume":"23","author":"Burrus","year":"2015","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"2026070713565351100_bib7","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"},{"key":"2026070713565351100_bib8","doi-asserted-by":"crossref","first-page":"921","DOI":"10.2106\/JBJS.20.01151","article-title":"Increased neurovascular morbidity is seen in documented knee dislocation versus multiligamentous knee injury","volume":"103","author":"Kahan","year":"2021","journal-title":"J Bone Joint Surg Am"},{"key":"2026070713565351100_bib9","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1055\/s-0036-1571432","article-title":"Knee dislocation in the morbidly obese patient","volume":"29","author":"Carr","year":"2016","journal-title":"J Knee Surg"},{"key":"2026070713565351100_bib10","doi-asserted-by":"crossref","first-page":"2170","DOI":"10.1177\/0363546511414855","article-title":"Ultra-low-velocity knee dislocations","volume":"39","author":"Azar","year":"2011","journal-title":"Am J Sports Med"},{"key":"2026070713565351100_bib11","first-page":"127","article-title":"The dislocated knee","volume":"43","author":"Schenck","year":"1994","journal-title":"Instr Course Lect"},{"key":"2026070713565351100_bib12","doi-asserted-by":"crossref","DOI":"10.1177\/2325967114534387","article-title":"Knee dislocations: lessons learned from 20-year follow-up","volume":"2","author":"Schenck","year":"2014","journal-title":"Orthop J Sports Med"},{"key":"2026070713565351100_bib13","doi-asserted-by":"crossref","DOI":"10.1177\/23259671241264214","article-title":"Variability in reporting on the Schenck KD I classification","volume":"12","author":"Green","year":"2024","journal-title":"Orthop J Sports Med"},{"key":"2026070713565351100_bib14","doi-asserted-by":"crossref","first-page":"1182","DOI":"10.2106\/JBJS.23.00039","article-title":"The knee fracture-dislocation Study group. Establishing a consensus definition of a knee fracture-dislocation (Schenck knee dislocation V) using a global modified Delphi method","volume":"105","author":"Medvecky","year":"2023","journal-title":"J Bone Joint Surg Am"},{"key":"2026070713565351100_bib15","first-page":"855","article-title":"Knee dislocations with vascular injury: outcomes in the lower extremity assessment project (LEAP) study","volume":"63","author":"Patterson","year":"2007","journal-title":"J Trauma"},{"key":"2026070713565351100_bib16","doi-asserted-by":"crossref","first-page":"1099","DOI":"10.1016\/S0039-6109(16)36451-9","article-title":"Injuries of the popliteal artery associated with fractures and dislocations","volume":"41","author":"Hoover","year":"1961","journal-title":"Surg Clin North Am"},{"key":"2026070713565351100_bib17","first-page":"554","article-title":"Vascular and orthopedic complications of knee dislocation","volume":"149","author":"Jones","year":"1979","journal-title":"Surg Gynecol Obstet"},{"key":"2026070713565351100_bib18","doi-asserted-by":"crossref","DOI":"10.1177\/23259671211010409","article-title":"Incidence of associated lesions of multiligament knee injuries: a systematic review and meta-analysis","volume":"9","author":"Kim","year":"2021","journal-title":"Orthop J Sports Med"},{"key":"2026070713565351100_bib19","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1177\/0363546508324313","article-title":"Multiligamentous injuries of the knee and associated vascular injuries","volume":"37","author":"McDonough","year":"2009","journal-title":"Am J Sports Med"},{"key":"2026070713565351100_bib20","doi-asserted-by":"crossref","first-page":"1261","DOI":"10.1097\/01.TA.0000068995.63201.0B","article-title":"The value of the ankle-brachial index for diagnosing arterial injury after knee dislocation: a prospective study","volume":"56","author":"Mills","year":"2004","journal-title":"J Trauma"},{"key":"2026070713565351100_bib21","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1055\/s-0031-1271888","article-title":"Magnetic resonance angiography for the evaluation of vascular injury in knee dislocations","volume":"23","author":"Tocci","year":"2010","journal-title":"J Knee Surg"},{"key":"2026070713565351100_bib22","doi-asserted-by":"crossref","first-page":"515","DOI":"10.1097\/00005373-199104000-00011","article-title":"Non-invasive vascular tests reliably exclude occult arterial trauma in injured extremities","volume":"31","author":"Johansen","year":"1991","journal-title":"J Trauma"},{"key":"2026070713565351100_bib23","doi-asserted-by":"crossref","first-page":"875","DOI":"10.1097\/00005373-199312000-00013","article-title":"The role of arteriography in assessing vascular injuries associated with dislocations of the knee","volume":"35","author":"Kendall","year":"1993","journal-title":"J Trauma"},{"key":"2026070713565351100_bib24","doi-asserted-by":"crossref","first-page":"910","DOI":"10.2106\/00004623-200405000-00004","article-title":"Vascular injuries in knee dislocations: the role of physical examination in determining the need for arteriography","volume":"86","author":"Stannard","year":"2004","journal-title":"J Bone Joint Surg Am"},{"key":"2026070713565351100_bib25","doi-asserted-by":"crossref","first-page":"710","DOI":"10.1016\/j.injury.2007.11.022","article-title":"Management of the acute knee dislocation: the Pittsburgh experience","volume":"39","author":"Seroyer","year":"2008","journal-title":"Injury"},{"key":"2026070713565351100_bib26","first-page":"808","article-title":"Prospective evaluation of multidetector computed tomography for extremity vascular trauma","volume":"70","author":"Inaba","year":"2011","journal-title":"J Trauma"},{"key":"2026070713565351100_bib27","first-page":"1551","article-title":"Evaluation and management of peripheral vascular injury. Part 1. Western Trauma Association\/critical decisions in trauma","volume":"70","author":"Feliciano","year":"2011","journal-title":"J Trauma"},{"key":"2026070713565351100_bib28","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1016\/j.otsr.2009.12.001","article-title":"Common peroneal nerve palsy complicating knee dislocation and bicruciate ligaments tears","volume":"96","author":"Bonnevialle","year":"2010","journal-title":"Orthop Traumatol Surg Res"},{"key":"2026070713565351100_bib29","doi-asserted-by":"crossref","first-page":"262","DOI":"10.2106\/00004623-200402000-00008","article-title":"Surgical management of knee dislocations","volume":"86","author":"Harner","year":"2004","journal-title":"J Bone Joint Surg Am"},{"key":"2026070713565351100_bib30","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1055\/s-0030-1247829","article-title":"Long-term functional results and complications in patients with knee dislocations","volume":"21","author":"Plancher","year":"2008","journal-title":"J Knee Surg"},{"key":"2026070713565351100_bib31","doi-asserted-by":"crossref","first-page":"2621","DOI":"10.1007\/s11999-014-3511-3","article-title":"Vascular and nerve injury after knee dislocation: a systematic review","volume":"472","author":"Medina","year":"2014","journal-title":"Clin Orthop Relat Res"},{"key":"2026070713565351100_bib32","doi-asserted-by":"crossref","first-page":"774","DOI":"10.1007\/s11999-011-1981-0","article-title":"Risk factors for peroneal nerve injury and recovery in knee dislocation","volume":"470","author":"Peskun","year":"2012","journal-title":"Clin Orthop Relat Res"},{"key":"2026070713565351100_bib33","doi-asserted-by":"crossref","first-page":"2992","DOI":"10.1007\/s00167-015-3676-7","article-title":"A systematic review of peroneal nerve palsy and recovery following traumatic knee dislocation","volume":"23","author":"Woodmass","year":"2015","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"2026070713565351100_bib34","doi-asserted-by":"crossref","first-page":"664","DOI":"10.1302\/0301-620X.87B5.15607","article-title":"Palsy of the common peroneal nerve after traumatic dislocation of the knee","volume":"87-B","author":"Niall","year":"2005","journal-title":"J Bone Joint Surg Br"},{"key":"2026070713565351100_bib35","doi-asserted-by":"crossref","first-page":"1012","DOI":"10.2106\/JBJS.23.00079","article-title":"Knee fracture-dislocation study group. Extensor mechanism disruption impacts treatment of dislocated and multiligament injured knees: treatment and schenck classification recommendations based on a global Delphi method","volume":"105","author":"Medvecky","year":"2023","journal-title":"J Bone Joint Surg Am"},{"key":"2026070713565351100_bib36","doi-asserted-by":"crossref","DOI":"10.1177\/23259671251320981","article-title":"Uniplanar coronal tibiofemoral subluxation in patients after multiligament knee injuries: a multicenter retrospective case series","volume":"13","author":"Levitt","year":"2025","journal-title":"Orthop J Sports Med"},{"key":"2026070713565351100_bib37","doi-asserted-by":"crossref","first-page":"131","DOI":"10.2147\/OAJSM.S523319","article-title":"Knee-spanning external fixation in the management of knee dislocations and multiligamentous knee injuries: a narrative review","volume":"16","author":"Ayhan","year":"2025","journal-title":"Open Access J Sports Med"},{"key":"2026070713565351100_bib38","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1302\/2058-5241.5.190012","article-title":"Management of multiligament knee injuries","volume":"5","author":"Ng","year":"2020","journal-title":"EFORT Open Rev"},{"key":"2026070713565351100_bib39","doi-asserted-by":"crossref","first-page":"1106","DOI":"10.1177\/03635465211069356","article-title":"Early and delayed surgery for isolated ACL and multiligamentous knee injuries have equivalent results: a systematic review and meta-analysis","volume":"51","author":"Vermeijden","year":"2023","journal-title":"Am J Sports Med"},{"key":"2026070713565351100_bib40","doi-asserted-by":"crossref","DOI":"10.1177\/23259671211027855","article-title":"Acute versus delayed surgical intervention in multiligament knee injuries","volume":"9","author":"Marder","year":"2021","journal-title":"Orthop J Sports Med"},{"key":"2026070713565351100_bib41","doi-asserted-by":"crossref","first-page":"4448","DOI":"10.1007\/s00167-023-07514-9","article-title":"Early surgery and number of injured ligaments are associated with postoperative stiffness after multiligament knee injury surgery","volume":"31","author":"\u00d6zbek","year":"2023","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"2026070713565351100_bib42","doi-asserted-by":"crossref","first-page":"3108","DOI":"10.1007\/s00167-014-3435-1","article-title":"The timing of surgical treatment of knee dislocations: a systematic review","volume":"23","author":"Jiang","year":"2015","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"2026070713565351100_bib43","doi-asserted-by":"crossref","first-page":"5565","DOI":"10.1007\/s00167-023-07582-x","article-title":"Higher success rate observed in reconstruction techniques of acute posterolateral corner knee injuries as compared to repair: an updated systematic review","volume":"31","author":"Fortier","year":"2023","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"2026070713565351100_bib44","doi-asserted-by":"crossref","first-page":"1336","DOI":"10.1177\/0363546515592828","article-title":"A systematic review of the outcomes of posterolateral corner knee injuries, part 1: surgical treatment of acute injuries","volume":"44","author":"Geeslin","year":"2016","journal-title":"Am J Sports Med"},{"key":"2026070713565351100_bib45","doi-asserted-by":"crossref","first-page":"1616","DOI":"10.1177\/0363546515593950","article-title":"A systematic review of the outcomes of posterolateral corner knee injuries, part 2: surgical treatment of chronic injuries","volume":"44","author":"Moulton","year":"2016","journal-title":"Am J Sports Med"},{"key":"2026070713565351100_bib46","first-page":"937","article-title":"Modern treatment principles for multiligament knee injuries","volume":"10","author":"Braaten","year":"2022","journal-title":"Arch Bone Jt Surg"},{"key":"2026070713565351100_bib47","doi-asserted-by":"crossref","first-page":"1332","DOI":"10.1177\/0363546510387765","article-title":"Management of medial-sided knee injuries, part 2: posteromedial corner","volume":"39","author":"Tibor","year":"2011","journal-title":"Am J Sports Med"},{"key":"2026070713565351100_bib48","doi-asserted-by":"crossref","first-page":"1116","DOI":"10.1177\/0363546509332498","article-title":"Anatomical reconstruction of the medial collateral ligament and posteromedial corner of the knee in patients with chronic medial collateral ligament instability","volume":"37","author":"Lind","year":"2009","journal-title":"Am J Sports Med"},{"key":"2026070713565351100_bib49","doi-asserted-by":"crossref","first-page":"823","DOI":"10.1007\/s00167-009-0810-4","article-title":"Operative management of the medial collateral ligament in the multi-ligament injured knee: an evidence-based systematic review","volume":"17","author":"Kovachevich","year":"2009","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"2026070713565351100_bib50","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1177\/036354659202000308","article-title":"Anterior cruciate ligament-medial collateral ligament injury: nonoperative management of medial collateral ligament tears with anterior cruciate ligament reconstruction. A preliminary report","volume":"20","author":"Shelbourne","year":"1992","journal-title":"Am J Sports Med"},{"key":"2026070713565351100_bib51","doi-asserted-by":"crossref","first-page":"1134","DOI":"10.1177\/0363546505284889","article-title":"Operative and nonoperative treatments of medial collateral ligament rupture with early anterior cruciate ligament reconstruction: a prospective randomized study","volume":"34","author":"Halinen","year":"2006","journal-title":"Am J Sports Med"},{"key":"2026070713565351100_bib52","article-title":"Medial collateral ligament reconstruction versus repair in multiligament knee injuries","volume":"13","author":"Floyd","year":"2025","journal-title":"Orthop J Sports Med"},{"key":"2026070713565351100_bib53","doi-asserted-by":"crossref","first-page":"3673","DOI":"10.1007\/s00167-018-4940-4","article-title":"LARS synthetic ligaments for the acute management of 111 acute knee dislocations: effective surgical treatment for most ligaments","volume":"26","author":"Ranger","year":"2018","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"2026070713565351100_bib54","doi-asserted-by":"crossref","DOI":"10.1002\/jeo2.70381","article-title":"Single-stage autograft revision for failed ligament advanced reinforcement system (LARS) anterior cruciate ligament reconstruction: improved clinical outcomes at a minimum 5-year follow-up","volume":"12","author":"Akrivos","year":"2025","journal-title":"J Exp Orthop"},{"key":"2026070713565351100_bib55","doi-asserted-by":"crossref","DOI":"10.1177\/23259671241247542","article-title":"Autograft versus allograft in posterolateral corner reconstruction","volume":"12","author":"Kern","year":"2024","journal-title":"Orthop J Sports Med"},{"key":"2026070713565351100_bib56","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1097\/JSA.0000000000000429","article-title":"Allograft use in peripheral knee ligament injuries (MCL and LCL): a systematic review","volume":"33","author":"Akrivos","year":"2025","journal-title":"Sports Med Arthrosc Rev"},{"key":"2026070713565351100_bib57","doi-asserted-by":"crossref","first-page":"1238","DOI":"10.1007\/s00167-020-06171-6","article-title":"Clinical studies of single-stage combined ACL and PCL reconstruction","volume":"29","author":"Fayed","year":"2021","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"2026070713565351100_bib58","doi-asserted-by":"crossref","first-page":"2248","DOI":"10.1177\/0363546520962088","article-title":"Low-energy multiligament knee injuries are associated with higher postoperative activity scores","volume":"49","author":"Dean","year":"2021","journal-title":"Am J Sports Med"},{"key":"2026070713565351100_bib59","doi-asserted-by":"crossref","first-page":"1281","DOI":"10.1002\/ksa.12442","article-title":"Outcomes after multiligament knee injury worsen over time","volume":"33","author":"Klasan","year":"2025","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"2026070713565351100_bib60","first-page":"1","article-title":"Posterior cruciate ligament involvement leads to inferior outcomes in multiligament knee injuries involving the medial collateral ligament","author":"Hunter","year":"2025","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"2026070713565351100_bib61","doi-asserted-by":"crossref","first-page":"1271","DOI":"10.1016\/j.knee.2019.08.009","article-title":"Long-term clinical and radiological outcomes after multiligament knee injury using a delayed ligament reconstruction approach: a single-center experience","volume":"26","author":"Hantes","year":"2019","journal-title":"Knee"},{"key":"2026070713565351100_bib62","doi-asserted-by":"crossref","first-page":"4911","DOI":"10.1016\/j.arthro.2025.06.006","article-title":"Rates of return to sport after surgical management of multiligament knee injuries","volume":"41","author":"Dworsky-Fried","year":"2025","journal-title":"Arthroscopy"},{"key":"2026070713565351100_bib63","doi-asserted-by":"crossref","first-page":"3443","DOI":"10.1177\/0363546520981697","article-title":"Incidence of complications after posterolateral corner reconstruction or repair","volume":"49","author":"Maheshwer","year":"2021","journal-title":"Am J Sports Med"},{"key":"2026070713565351100_bib64","doi-asserted-by":"crossref","first-page":"1385","DOI":"10.1136\/bjsports-2024-108089","article-title":"Multiligament knee injury (MLKI): an expert consensus statement on nomenclature, diagnosis, treatment and rehabilitation","volume":"58","author":"Murray","year":"2024","journal-title":"Br J Sports Med"},{"key":"2026070713565351100_bib65","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"}],"container-title":["EFORT Open Reviews"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/eor.bioscientifica.com\/view\/journals\/eor\/11\/5\/EOR-2026-0053.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/eor.bioscientifica.com\/downloadpdf\/journals\/eor\/11\/5\/EOR-2026-0053.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/journals.bioscientifica.com\/eor\/article-pdf\/11\/5\/426\/502680\/eor-2026-0053.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/journals.bioscientifica.com\/eor\/article-pdf\/11\/5\/426\/502680\/eor-2026-0053.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T17:57:59Z","timestamp":1783447079000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.bioscientifica.com\/eor\/article\/11\/5\/426\/75459\/Multiligament-injured-knee-what-the-general"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,1]]},"references-count":65,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2026,5,1]]},"published-print":{"date-parts":[[2026,5,1]]}},"URL":"https:\/\/doi.org\/10.1530\/eor-2026-0053","relation":{},"ISSN":["2058-5241"],"issn-type":[{"value":"2058-5241","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,1]]}}}