Multiligament knee injuries (MLKIs) represent a heterogeneous spectrum of pathology. Clinical evaluation, diagnosis and management of these injuries remains controversial. In order to assess the existing literature evaluating the diagnosis and management of MLKIs, we performed a scoping review1 based on established methodology.2 3 This process established that the majority of the 417 articles identified relating to MLKI were composed of small retrospective studies, 30% were composed of narrative reviews presenting no original data and only 1% of articles represented level 1 evidence.1 Overall, 70% of included studies were published within the last 12 years, with over half (57%) originating from the USA.1 The lack of diversity within author and patient groups that comprise MLKI research was highlighted. Consistently contentious themes within MLKI management were highlighted, including nomenclature, choice of imaging, timing of surgical intervention, operative versus non-operative management and strategies for rehabilitation. Most importantly, this study highlighted a lack of current consensus on an accepted approach within multiple domains of management of MLKI. Infographic summarising the recently published international consensus on the nomenclature, diagnosis, treatment and rehabilitation strategies for the care of patients with MLKI. The findings of this scoping review led the author group to seek an international consensus on the nomenclature, diagnosis, treatment and rehabilitation strategies for the care of patients with MLKI, while also identifying important research priorities.4 An international, multidisciplinary consensus process was conducted, involving 39 experts in MLKI care from 14 countries, employing validated Delphi methodology.5 6 Specific attention was given to achieving a diverse, representative expert group using objective and reproducible methodology. In total, 50 items (92.6%) achieved consensus with >75% agreement and <10% disagreement, which were included in the final consensus document. Key recommendations included a consensus definition for MLKI : ‘a traumatic high-grade partial or …

中文翻译：

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信息图。膝关节多韧带损伤 （MLKI）：关于命名、诊断、治疗和康复的专家共识声明


膝关节多韧带损伤 （MLKI） 代表了异质性的病理范围。这些损伤的临床评估、诊断和管理仍然存在争议。为了评估评估 MLKI 诊断和管理的现有文献，我们根据既定方法进行了范围界定审查1。3 该过程确定，在确定的 417 篇与 MLKI 相关的文章中，大多数由小型回顾性研究组成，30% 由没有提供原始数据的叙述性综述组成，只有 1% 的文章代表 1 级证据。 70% 的纳入研究是在过去 12 年内发表的，其中超过一半 （57%） 来自美国。强调构成 MLKI 研究的作者和患者群体缺乏多样性。强调了 MLKI 管理中一直存在争议的主题，包括命名、影像学选择、手术干预的时间、手术与非手术管理以及康复策略。最重要的是，这项研究强调了目前在 MLKI 的多个管理领域内缺乏对公认方法的共识。信息图总结了最近发表的关于 MLKI 患者护理的命名、诊断、治疗和康复策略的国际共识。该范围审查的结果使作者小组就 MLKI 患者护理的命名、诊断、治疗和康复策略寻求国际共识，同时也确定了重要的研究重点.4 进行了一项国际多学科共识过程，涉及来自 14 个国家的 39 名 MLKI 护理专家，采用经过验证的 Delphi 方法。5 6 特别注意使用客观和可重复的方法建立一个多元化的、有代表性的专家组。总共有 50 个项目 （92.6%） 达成共识，>75% 同意，<10% 不同意，这些项目包含在最终共识文件中。主要建议包括 MLKI 的共识定义：“创伤性高级别部分或......