{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T00:24:58Z","timestamp":1759883098082,"version":"build-2065373602"},"reference-count":27,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"\u201cVictor Babe\u0219\u201d University of Medicine and Pharmacy Timi\u0219oara"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Background\/Objectives: Multiligament knee injuries, involving damage to multiple stabilizing structures, present a significant challenge in orthopedic surgery, often resulting in knee instability and compromised function. While anatomic ligament reconstruction has been traditionally advocated, non-anatomic techniques may provide effective alternatives, particularly for patients with moderate functional demands who do not require high-level athletic performance. Material and methods: In this study, we assessed the outcomes of a non-anatomic, hybrid surgical approach involving combined arthroscopic and open non-anatomic ligament reconstruction in 60 patients with multiligament knee injuries. Using simplified reconstruction methods for the medial collateral ligament (MCL) and lateral collateral ligament (LCL), we tailored the procedures to the needs of active, non-professional patients. Functional outcomes were evaluated using the International Knee Documentation Committee (IKDC) Questionnaire, Lysholm Knee Scoring Scale, and Knee Injury and Osteoarthritis Outcome Score (KOOS). Results: Postoperative improvements were significant, with the total IKDC score increasing from a median of 39.1 preoperatively to 75.9 postoperatively, Lysholm from 61.0 to 87.0, and KOOS from 47.6 to 85.7 (p &lt; 0.01). The results demonstrated significant improvements across all scoring systems, with enhanced knee stability, reduced pain, and better quality of life. Conclusions: These findings support the feasibility of non-anatomic reconstructions as a practical solution for patients seeking a return to daily activities and recreational sports without the complexity of full anatomic reconstruction.<\/jats:p>","DOI":"10.3390\/medicina61010053","type":"journal-article","created":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T11:24:19Z","timestamp":1735730659000},"page":"53","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Non-Anatomic Reconstruction in Multiligament Knee Injuries: A Functional Approach"],"prefix":"10.3390","volume":"61","author":[{"given":"Mihai","family":"Hurmuz","sequence":"first","affiliation":[{"name":"Department XV, Discipline of Orthopedics, \u201cVictor Babe\u0219\u201d University of Medicine and Pharmacy Timi\u0219oara, Eftimie Murgu Square 2, 300041 Timi\u0219oara, Romania"},{"name":"Orthopedics Unit, \u201cDr. Victor Popescu\u201d Emergency Military Clinical Hospital, Gheorghe Laz\u0103r Street 7, 300080 Timi\u0219oara, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C\u0103t\u0103lin-Adrian","family":"Miu","sequence":"additional","affiliation":[{"name":"Department XV, Discipline of Orthopedics, \u201cVictor Babe\u0219\u201d University of Medicine and Pharmacy Timi\u0219oara, Eftimie Murgu Square 2, 300041 Timi\u0219oara, Romania"},{"name":"Orthopedics Unit, \u201cDr. Victor Popescu\u201d Emergency Military Clinical Hospital, Gheorghe Laz\u0103r Street 7, 300080 Timi\u0219oara, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Ceachir","sequence":"additional","affiliation":[{"name":"Department XV, Discipline of Orthopedics, \u201cVictor Babe\u0219\u201d University of Medicine and Pharmacy Timi\u0219oara, Eftimie Murgu Square 2, 300041 Timi\u0219oara, Romania"},{"name":"Orthopedics Unit, \u201cDr. Victor Popescu\u201d Emergency Military Clinical Hospital, Gheorghe Laz\u0103r Street 7, 300080 Timi\u0219oara, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Romulus-Fabian","family":"Tatu","sequence":"additional","affiliation":[{"name":"Department XV, Discipline of Orthopedics, \u201cVictor Babe\u0219\u201d University of Medicine and Pharmacy Timi\u0219oara, Eftimie Murgu Square 2, 300041 Timi\u0219oara, Romania"},{"name":"Orthopedics Unit, \u201cDr. Victor Popescu\u201d Emergency Military Clinical Hospital, Gheorghe Laz\u0103r Street 7, 300080 Timi\u0219oara, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mihai","family":"Andrei","sequence":"additional","affiliation":[{"name":"Orthopedics Unit, \u201cDr. Victor Popescu\u201d Emergency Military Clinical Hospital, Gheorghe Laz\u0103r Street 7, 300080 Timi\u0219oara, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9784-176X","authenticated-orcid":false,"given":"Bogdan","family":"Andor","sequence":"additional","affiliation":[{"name":"Orthopedics Unit, \u201cDr. Victor Popescu\u201d Emergency Military Clinical Hospital, Gheorghe Laz\u0103r Street 7, 300080 Timi\u0219oara, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandru Catalin","family":"Motofelea","sequence":"additional","affiliation":[{"name":"Center for Molecular Research in Nephrology and Vascular Disease, Discipline of Nephrology, Department VII\/Internal Medicine II, Faculty of Medicine, \u201cVictor Babe\u0219\u201d University of Medicine and Pharmacy, 300041 Timi\u0219oara, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C\u0103lin Tudor","family":"Hozan","sequence":"additional","affiliation":[{"name":"Department of Surgical Disciplines, Faculty of Medicine and Pharmacy, University of Oradea, 410087 Oradea, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,1,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1465","DOI":"10.1136\/bjsports-2022-105626","article-title":"Long-Term Quality of Life, Work Limitation, Physical Activity, Economic Cost and Disease Burden Following ACL and Meniscal Injury: A Systematic Review and Meta-Analysis for the OPTIKNEE Consensus","volume":"56","author":"Filbay","year":"2022","journal-title":"Br. 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