Maximum outcome with minimal resources: report of a multiligamentous knee injury managed with 'modified confluent tunnel technique'

Chellamuthu, Girinivasan and Rathi, Nitesh and Ashraf, Munis and Vinodh, Benjamin (2024) Maximum outcome with minimal resources: report of a multiligamentous knee injury managed with 'modified confluent tunnel technique'. BMJ Case Reports, 17. e256609. ISSN 1757-790X

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Abstract

Multiligamentous knee injuries (MLKIs) are rare and challenging to manage in many aspects. The injury requires prompt diagnosis, reconstruction of multiple ligaments, and management of associated neurovascular injuries. Another important aspect that surgeons should consider is resource availability. Successful management of a case of MLKI using the cost-effective "modified confluent tunnel technique" is described in this case report. We used confluent tunnels for intra- and extra-articular ligament reconstructions at the femoral side. We incorporated the weave technique for medial collateral ligament (MCL) reconstruction, and Larsons technique for posterolateral corner (PLC) reconstruction in this construct, and augmented the anterior cruciate ligament (ACL) and posterior cruciate ligament reconstruction with the remaining PLC and MCL grafts, respectively. This was cost-effective and resulted in good functional outcomes. The technique also helped us to avoid tunnel convergence which is an expected complication in MLKI surgeries.

Item Type: Article
Subjects: Knee surgery
Arthroscopy
Divisions: Orthopaedic Surgery
Depositing User: sathish Muthu
Date Deposited: 04 Jul 2024 04:45
Last Modified: 04 Jul 2024 14:03
URI: https://ir.orthopaedicresearchgroup.com/id/eprint/325

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