Management of Complex Knee Ligament Injuries by Gregory C. Fanelli, James P. Stannard, Michael J. Stuart, Peter B. MacDonald, Robert G. Marx, Daniel B.

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Presentation transcript:

Management of Complex Knee Ligament Injuries by Gregory C. Fanelli, James P. Stannard, Michael J. Stuart, Peter B. MacDonald, Robert G. Marx, Daniel B. Whelan, Joel L. Boyd, and Bruce A. Levy J Bone Joint Surg Am Volume 92(12): September 15, 2010 ©2010 by The Journal of Bone and Joint Surgery, Inc.

Conventional arteriogram demonstrating collateral flow to the distal part of the lower extremity despite complete popliteal artery occlusion. Gregory C. Fanelli et al. J Bone Joint Surg Am 2010;92: ©2010 by The Journal of Bone and Joint Surgery, Inc.

Measurement of the ankle-brachial index. Gregory C. Fanelli et al. J Bone Joint Surg Am 2010;92: ©2010 by The Journal of Bone and Joint Surgery, Inc.

Double-bundle posterior cruciate ligament reconstruction with use of an Achilles tendon allograft (anterolateral bundle) and a tibialis anterior allograft (posteromedial bundle) as well as anterior cruciate ligament reconstruction with use of an Achilles te... Gregory C. Fanelli et al. J Bone Joint Surg Am 2010;92: ©2010 by The Journal of Bone and Joint Surgery, Inc.

Drawing depicting fixation, tunnel, and graft positioning in a combined reconstruction of the posterior and anterior cruciate ligaments. Gregory C. Fanelli et al. J Bone Joint Surg Am 2010;92: ©2010 by The Journal of Bone and Joint Surgery, Inc.

Postoperative radiograph made after reconstruction of the anterior cruciate ligament, posterior cruciate ligament, and posterolateral corner. Gregory C. Fanelli et al. J Bone Joint Surg Am 2010;92: ©2010 by The Journal of Bone and Joint Surgery, Inc.

Fig. 6-A and 6-B Pictorial representations of fibular and femoral-based reconstructions of the fibular collateral ligament (FCL) and posterolateral corner. Gregory C. Fanelli et al. J Bone Joint Surg Am 2010;92: ©2010 by The Journal of Bone and Joint Surgery, Inc.

Clinical photograph of a knee dislocation requiring spanning external fixation with substantial soft-tissue injury. Gregory C. Fanelli et al. J Bone Joint Surg Am 2010;92: ©2010 by The Journal of Bone and Joint Surgery, Inc.

A tibial-sided disruption of the medial collateral ligament with excellent tissue substance that is amenable to direct repair. Gregory C. Fanelli et al. J Bone Joint Surg Am 2010;92: ©2010 by The Journal of Bone and Joint Surgery, Inc.

A reconstruction of the medial collateral ligament with an Achilles tendon allograft after fixation of the bone block in the femoral socket. Gregory C. Fanelli et al. J Bone Joint Surg Am 2010;92: ©2010 by The Journal of Bone and Joint Surgery, Inc.