Table 1

Challenges in the management of acute knee dislocations as prioritised by the 27 participants of the final round

Challenges in the management of acute knee dislocationsn%
Postoperative stiffness2281
Obesity2281
Delay to presentation2074
Associated common peroneal nerve injury1970
Associated vascular injuries1867
Associated ipsilateral fractures (extra-articular)1763
Open injuries (periarticular wounds)1763
Postoperative residual instability1763
Patient compliance to postoperative management1659
Managing patient expectations regarding outcome1659
Convergence of tunnels during surgery1556
Allograft limitations (availability and quality)1452
Patient insight into treatment, rehabilitation and expected outcome1348
Decision making: two-stage vs single-stage surgery1348
Osteotomies in multiligament knee injuries1141
Bilateral knee dislocations1141
Objective diagnosis of posterolateral corner injuries1037
Decision making: repair vs reconstruction1037
Decision making: timing of surgery726
Rehabilitation programme (access/adequacy)726
External fixation (deciding on indications)726
Associated meniscal injuries726
Decision making: prioritisation of ligaments in staged reconstruction726
Patient selection for conservative management622
Pain management (preoperative and postoperative)519
Lack of MRI415
Surgical skills training415
Decision making: sequence of graft tensioning415
Lack of operating time27
Decision making: single-stage bicruciate reconstruction14
  • n, number of participants; %, percentage agreement.

  • *The horizontal line indicates the limit of agreement set at 70%.