PURPOSE: @entity3331 ( @entity3031 ) are unusual yet limb-threatening injuries; the timing of surgical intervention is still debated. A systematic review was performed to determine the optimal timing of surgery with respect to injury pattern. METHODS: A comprehensive search of Medline, EMBASE, and Cochrane Central Register of Controlled Trials was performed for studies published between 1 January 1974 and 20 April 2014 on the surgical management of " @entity3031 " and "multiligament knee injuries". Surgical timing was classified as acute, chronic, or staged. A systematic review was performed for @entity1 with @entity573 -III according to Schenck's classification using individual @entity1 data. RESULTS: Twelve studies including 150 @entity1 (153 knees) with @entity3031 fulfilled the study requirements. Sixty-nine cases with @entity573 -IIIM and 84 cases with @entity573 -IIIL were identified. Excellent or good results were demonstrated in 79.1  % (34 cases) of cases managed with staged treatment versus 58.4  % (45 cases) of cases undergoing acute surgery (p  =  0.02), and versus 45.5  % (15 cases) of cases undergoing chronic surgery (p  =  0.002). No statistically significant difference was found in the percentage of excellent or good results between the acute and chronic surgery groups (n.s.), or between the @entity573 -IIIM and @entity573 -IIIL groups (n.s.). CONCLUSION: Staged treatment yields the best clinical results for @entity1 with @entity573 -III. No statistically significant difference was shown in the clinical results between acute surgery and chronic surgery groups. LEVEL OF EVIDENCE: IV.

The timing of surgical treatment of XXXX : a systematic review.

@entity3031 :: ('MESH:D031221', 'Disease') :: ['KDs', 'knee dislocation'] @entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity3331 :: ('MESH:D007718', 'Disease') :: ['Traumatic knee dislocations'] @entity573 :: ('MESH:C537014', 'Disease') :: ['KD']
@entity3031 :: (MESH:D031221,Disease) :: ['knee dislocations']
