A Two-Staged Surgical Approach to Postero-Lateral Knee Dislocation With Bicruciate Ligament Reconstruction: A Case Report

This paper details a novel two-staged surgical approach to managing postero-lateral knee dislocations, a rare and challenging clinical scenario. Our case study highlights the successful application of a bicruciate reconstruction of both the anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL), which has not been extensively documented in existing medical literature. The treatment protocol initiated with urgent surgical reduction followed by a delayed reconstruction, allowing for initial soft tissue stabilization. This method provided significant functional recovery, enabling the patient to resume daily activities with satisfactory joint mobility. The outcomes of this unique surgical strategy demonstrate its effectiveness and the potential for broader application, suggesting that staged bicruciate reconstruction may represent a valuable option in selected cases of complex knee dislocation. This case contributes a new perspective to the orthopedic field, advocating for further research into staged reconstruction techniques.

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Publication Details

Journal
Cureus
Published
2026-01-22
DOI
https://doi.org/10.7759/cureus.102053
Primary Topic
Knee injuries and reconstruction techniques
Type
article
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0.00
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article

A Two-Staged Surgical Approach to Postero-Lateral Knee Dislocation With Bicruciate Ligament Reconstruction: A Case Report

Catarina Aleixo, Filipe Maçães, Pedro Seabra, Ricardo Cabral Pereira et al.
Cureus
Knee injuries and reconstruction techniques
article

A Two-Staged Surgical Approach to Postero-Lateral Knee Dislocation With Bicruciate Ligament Reconstruction: A Case Report

Catarina Aleixo, Filipe Maçães, Pedro Seabra, Ricardo Cabral Pereira, João Dinis
article en

Abstract

This paper details a novel two-staged surgical approach to managing postero-lateral knee dislocations, a rare and challenging clinical scenario. Our case study highlights the successful application of a bicruciate reconstruction of both the anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL), which has not been extensively documented in existing medical literature. The treatment protocol initiated with urgent surgical reduction followed by a delayed reconstruction, allowing for initial soft tissue stabilization. This method provided significant functional recovery, enabling the patient to resume daily activities with satisfactory joint mobility. The outcomes of this unique surgical strategy demonstrate its effectiveness and the potential for broader application, suggesting that staged bicruciate reconstruction may represent a valuable option in selected cases of complex knee dislocation. This case contributes a new perspective to the orthopedic field, advocating for further research into staged reconstruction techniques.

CureusVol. 18(1)
Centro Hospitalar de Vila Nova de Gaia (PT)
Openalex Percentile: Top 81%
Knee injuries and reconstruction techniques
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