The Multiple Ligament Injured Knee

This is not just another book on the knee. Dr. Fanelli's book, The Multiple Ligament Injured Knee: A Practical Guide to Management, written with a team of experienced contributors, is about a subject that is pertinent, as well as often underestimated and underappreciated. The surgeon's thorough knowledge of this subject is essential for the care of the patient with multiple ligaments injured in the knee. Such knowledge is indispensable if the patient's well-being and future function are to be restored. Time, technique, judgment, and decisiveness are critical. These are the surgeon's responsibilities. We have all come to be arthroscopic knee surgeons. We cannot, however, let this diminish our judgment or skill in open surgery. Often in the multi ply compromised knee, open surgery is a requisite. We must return to the principles that Drs. O'Donoghue, Slocum, Hughston, Trillat, Mueller-the fathers of modern knee surgery-taught us. Open exposure may be essen tial in some cases; we must know when it is necessary. This textbook helps resolve the impasse that often occurs in this arena of evolving art and science. Young surgeons who were not there before the arthroscope might not appreciate the awful injury that frequently is associated with the mul tiligament knee injury. We all know Dr. O'Donoghue's firm dictum that early diagnosis and anatomic repair is the best and most appropriate method of treatment. Time has not invalidated this advice.

The Multiple Ligament Injured Knee: A Practical Guide to Management includes the most developed knowledge needed to successfully diagnose and treat knee ligament injuries. This thorough work presents anterior and posterior cruciate and collateral ligament anatomy and biomechanics along with non-invasive methods for diagnosing the extent of injury, such as radiographic and arthroscopic evaluation. Various injuries are discussed in addition to useful treatment techniques, including arthroscopic reconstruction, posterolateral and posteromedial corner injury and treatment, assessment and treatment of vascular injuries, assessment and treatment of nerve injuries, rehabilitation, and post-operative results. Each of these clearly written chapters is accompanied by a wealth of line drawings and photographs that demonstrate both the surgical and non-surgical approaches to examination and treatment.

The Multiple Ligament Injured Knee includes the most developed knowledge needed to successfully diagnose and treat knee ligament injuries. This new edition expands upon the first to present anterior, posterior cruciate and collateral ligament anatomy, and biomechanics.

This book provides a concise and accessible resource for evaluating, diagnosing, and managing common knee disorders. The chapters are presented in a clear, and easily understood style so that practitioners can readily apply the information in their day-to-day clinical practice. The Knee Made Easy opens with discussion of the anatomy, biomechanics, clinical examination and radiological imaging of the knee, followed by commonly encountered clinical symptoms and conditions of the knee. Each clinical condition is demonstrated with the background, presentation, investigations, and treatment options. Medical students, generalist doctors, junior orthopaedic doctors, and physiotherapists will find this book to be an essential go-to guide for effectively treating the most common knee disorders and improving patients' care.

The ACL or anterior cruciate ligament is the most important ligament in the knee. When it is completely torn, it can lead to instability or buckling of the knee. There are several options to choose from when selecting a graft for ACL reconstruction such as using autografts including patellar tendon, hamstring tendon, and quadriceps tendon, and allografts (also known as donor tissue or cadaver tissue). Artificial ligaments are also discussed since they are still used in Europe and Asia. This book summarizes the pros and cons of each graft option in detail.

This book, featuring a practical hands-on format, describes an up-to-date and comprehensive approach to the management of complex knee injuries. The aim is both to equip practitioners with reliable expert guidance and to foster consensus in a field characterized by continuing debate. Initial response and diagnostic evaluation are explained, surgical techniques appropriate for different injuries are fully documented, and advice is provided on the response to injuries in specific scenarios and patient groups. Emphasis is placed on the vital role of precise diagnosis in establishing the optimal treatment approach, and full account is taken of the implications of the most recent anatomical and biomechanical data. Readers will also find recommendations on controversial topics, including the role of early surgical management, the use of autograft or allograft tissue, and the benefits of reconstruction (as opposed to repair alone) of the fibular collateral ligament and posterolateral corner structures. The authors are leading authorities from around the world with extensive clinical and research expertise in the field of knee dislocations.

Anatomy, imaging techniques, and surgery are richly illustrated.

Now in a revised and expanded second edition including ten new chapters, this classic text on the diagnosis and management of posterior cruciate ligament injuries represents the state of the art. Comprehensive and used-friendly, the book covers PCL anatomy and biomechanics, diagnosis and evaluation, and both surgical and non-surgical treatment strategies. Surgical chapters discuss graft selection and open and arthroscopic techniques, including both primary and revision surgery and combined reconstruction with other knee ligaments. New chapters illustrate cutting-edge and advanced surgical techniques in reconstruction and primary repair, articular cartilage resurfacing and meniscus transplant in the PCL injured knee, mechanical graft tensioning, the role of osteotomy, treatment of PCL injuries in children, results of treatment and outcomes data in PCL injuries, clinical case studies, and the editor’s experience chapter based on 24 years of treating PCL injuries. Complications, bracing and rehabilitation round out the presentation. Written and edited by leaders in the management of injuries to the knee, this will be an invaluable text for orthopedic surgeons and sports medicine practitioners alike.