PMC8112918_01
(a) Postreduction X-rays of the right knee. (b) Postreduction X-rays of the left knee.
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CT scans were also obtained to gain a better understanding of the bony involvement (Figures 1(a), 1(b), 2(a) and 2(b)).
(a) CT scan of the right knee depicting a lateral tibial plateau fracture. (b) CT scan of the left knee depicting a tibial spine fracture.
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CT scans were also obtained to gain a better understanding of the bony involvement (Figures 1(a), 1(b), 2(a) and 2(b)).
(a) External fixator application of the right knee. (b) External fixator application of the left knee.
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Due to gross instability of the knees following reduction, the decision was made to apply external fixators (Figures 3(a) and 3(b)).
(a) MRI of the right knee depicting ACL and PCL rupture (left) and MCL rupture (right). (b) MRI of the left knee depicting ACL avulsion and PCL rupture (left) and LCL avulsion and PLC injury (right).
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MRI images. MRI was obtained and confirmed the injury patterns that were classified according to the anatomic classification of knee dislocation as a KD-V on the right and KD-IV on the left, respectively (Table 1 and Figures 4(a) and 4(b)).
(a) Postoperative X-ray of the right knee. (b) Postoperative X-ray of the left knee.
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A combined arthroscopic and open approach was utilized for both multiligament knee reconstructions (Table 2 and Figures 5(a) and 5(b)).
(a) Follow-up X-ray of the right knee. (b) Follow-up X-ray of the left knee.
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All ligamentous repairs remained intact (Figures 6(a) and 6(b)).