{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:29:59Z","timestamp":1787754599430,"version":"build-2784847793"},"reference-count":78,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Rev"],"published-print":{"date-parts":[[2016,2,2]]},"abstract":"<jats:p>\n                    <jats:list list-type=\"plain\">\n                      <jats:list-item>\n                        <jats:p>\u27a2 Multiligament knee injuries have a strong association with periarticular soft-tissue and neurovascular injuries, which must not be overlooked in the initial evaluation of the patient.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a2 Even though magnetic resonance imaging (MRI) is imperative for a complete evaluation of the damaged ligamentous knee restraints, stress radiography aids in establishing the functional consequence of the MRI findings and may assist in directing reconstruction.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a2 Although cruciate ligament tears are generally reconstructed, a combined repair-reconstruction approach is most useful for collateral ligaments and extra-articular structures, with incorporation of local tissue into the reconstruction whenever possible.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a2 Regardless of the timing and operative technique chosen, patients with multiligament knee injuries are at high risk for complications and long-term disability.<\/jats:p>\n                      <\/jats:list-item>\n                    <\/jats:list>\n                  <\/jats:p>","DOI":"10.2106\/jbjs.rvw.o.00020","type":"journal-article","created":{"date-parts":[[2016,2,2]],"date-time":"2016-02-02T22:58:31Z","timestamp":1454453911000},"source":"Crossref","is-referenced-by-count":58,"title":["Diagnostic and Management Strategies for Multiligament Knee Injuries"],"prefix":"10.2106","volume":"4","author":[{"given":"M. Tyrrell","family":"Burrus","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Virginia Health System, PO Box 800159 HSC, Charlottesville, VA 22908"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian C.","family":"Werner","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Virginia Health System, PO Box 800159 HSC, Charlottesville, VA 22908"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin W.","family":"Griffin","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Virginia Health System, PO Box 800159 HSC, Charlottesville, VA 22908"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F. Winston","family":"Gwathmey","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Virginia Health System, PO Box 800159 HSC, Charlottesville, VA 22908"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark D.","family":"Miller","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Virginia Health System, PO Box 800159 HSC, Charlottesville, VA 22908"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"4","key":"r1-20230812","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1016\/j.arthro.2005.01.001","article-title":"The multiple-ligament injured knee: evaluation, treatment, and results","volume":"21","author":"Fanelli","year":"2005","journal-title":"Arthroscopy"},{"issue":"4","key":"r2-20230812","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1055\/s-0032-1326997","article-title":"Surgical treatment of combined PCL-ACL medial and lateral side injuries (global laxity): surgical technique and 2- to 18-year results","volume":"25","author":"Fanelli","year":"2012","journal-title":"J Knee Surg"},{"key":"r3-20230812","article-title":"Surgical treatment of multiligament knee injuries","author":"Cook","year":"2014","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"4","key":"r4-20230812","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1097\/BOT.0b013e318270def4","article-title":"Investigation of multiligamentous knee injury patterns with associated injuries presenting at a level I trauma center","volume":"27","author":"Becker","year":"2013","journal-title":"J Orthop Trauma"},{"issue":"12","key":"r5-20230812","doi-asserted-by":"crossref","first-page":"2448","DOI":"10.1177\/0363546508325669","article-title":"Neurologic and vascular injuries associated with knee ligament injuries","volume":"36","author":"Johnson","year":"2008","journal-title":"Am J Sports Med"},{"issue":"4","key":"r6-20230812","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1053\/j.otsm.2010.09.004","article-title":"Our approach to the management of the multiple-ligament knee injury","volume":"18","author":"Gwathmey","year":"2010","journal-title":"Oper Tech Sports Med"},{"issue":"3","key":"r7-20230812","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1016\/S0278-5919(05)70218-0","article-title":"High-velocity knee dislocation with vascular injury. 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