Conclusion - Surgical Treatment of Combined ACL and Lateral Side Injuries

Surgical Treatment of Combined ACL and Lateral Side Injuries

11.9 Conclusion

There are several key elements when approaching the patient with a ligamentous knee injury. First and foremost, the surgeon’s attention to diagnostic accuracy is essential. Suspicion for multiligamentous injuries should dictate a diligent and thorough physical examination and utilization of appropriate imaging studies.

In the setting of an ACL injury, it is crucial to not miss a concomitant PLC injury or varus malalignment as left unaddressed these entities can lead to early graft failure of the reconstructed ACL. The authors believe that PLC reconstruction should include both a fi bular tunnel orientated to re-create the LCL and popliteo fi bular ligaments and dual femoral tunnels, as both details are important in controlling both varus and external rotation.

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165 G.C. Fanelli (ed.), The Multiple Ligament Injured Knee: A Practical Guide to Management,

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