2024 AOSSM Annual Meeting Recordings with CME-Concurrent D: ESSKA: Therapeutic Challenges in Multi-Ligament Injured Knees

Video Transcription

Video Summary

The ESCA session on the management of multiligament knee injuries covered comprehensive insights from a diverse panel of experts including Michael Hantes (Greece), David Desueur (France), Berthe Boer (Norway), and Stefano Zaffanini (Italy).<br /><br />David Desueur opened with the surgical planning in multiligament knee injuries. He emphasized on trauma mechanisms, the need for emergency care focusing on vascular injuries, and detailed the significance of accurate diagnosis and classification to guide treatment. Notably, he highlighted that injuries involving forceful valgus or hyperextension often damage multiple ligaments and can include vascular complications.<br /><br />Berthe Boer discussed the posterolateral corner management, underlining the anatomical structures involved, such as the LCL and popliteofibular ligament. She reviewed the clinical tests useful for diagnosing these injuries and emphasized the high incidence of peroneal nerve injuries. Boer advocated for early surgical intervention, especially within two weeks, preferring anatomical reconstructions. She also shed light on the demographic aspects showing greater risks in these injuries.<br /><br />Michael Hantes focused on the medial side of the knee, stressing the importance of the MCL and posterior oblique ligament. He reviewed clinical evaluations, emphasizing medial knee pain and instability patterns. Hantes advocated for acute surgical management in cases of tibial-sided injuries and discussed chronic management techniques including various reconstruction methods.<br /><br />Stefano Zaffanini analyzed early versus delayed management strategies. He highlighted that while no consensus exists on the ideal timing, delayed treatments tend to show higher complication rates. He cited recent studies indicating worse outcomes in older patients, high-energy traumas, and documented knee dislocations. Zaffanini favored early intervention for optimal outcomes.<br /><br />The session concluded with an interactive Q&A where panelists discussed the use of external fixators, strategies to prevent stiffness, and the use of autografts vs. allografts in reconstruction, stressing the need for individualized patient treatment plans.

Asset Caption

2:25 pm - 3:25 pm

Meta Tag

Speaker Michael Hantes, MD

Speaker Romain Seil, MD, PhD

Speaker Berte Boe, MD, PhD

Speaker Stefano Zaffagnini, MD

Keywords

Michael Hantes, MD

Romain Seil, MD, PhD

Berte Boe, MD, PhD

Stefano Zaffagnini, MD

multiligament knee injuries

surgical planning

trauma mechanisms

vascular injuries

posterolateral corner management

peroneal nerve injuries

medial knee instability

early intervention

reconstruction methods

patient treatment plans