Complete Dislocation of the Knee

Shields, Lawrence; Mital, Mohinder A.; Cave, Edwin F.

doi:10.1097/00005373-196903000-00002

Cited by 177 publications

(15 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Twenty-five per cent of patients had an additional orthopaedic injury and, 11.5 % suffered additional non-orthopaedic injuries. Definitive surgical intervention was performed acutely (<3 weeks) in Multiligament knee injuries are a relatively rare injury accounting for 0.02-0.2 % of all orthopaedic injuries [10,16,32,37,38]. Significant morbidity and functional impairment can result from multiligament knee injuries.…”

Section: Resultsmentioning

confidence: 99%

Surgical treatment of multiligament knee injuries

Cook

Ridley

McCarthy

et al. 2014

Knee Surg Sports Traumatol Arthrosc

103

View full text Add to dashboard Cite

show abstract

Section: Resultsmentioning

confidence: 99%

Surgical treatment of multiligament knee injuries

Cook

Ridley

McCarthy

et al. 2014

Knee Surg Sports Traumatol Arthrosc

103

View full text Add to dashboard Cite

show abstract

“…Posterior dislocations are usually the result of posterior directed blow to the proximal tibia such as in motor vehicle accidents (''dash board injury''). Although the PCL is originally ruptured the ACL may remain undamaged, in some rare cases [30]. Figure 5 shows, how a posterior force to the proximal tibia, originally results to a PCL rupture and how after that, depending on its energy, may result in different degrees of ACL injuries.…”

Section: Discussionmentioning

confidence: 99%

Surgical treatment of multiple knee ligament injuries in 44 patients: 2–8 years follow-up results

Tzurbakis

Diamantopoulos²,

Xenakis

et al. 2006

Knee Surg Sports Traumatol Arthr

159

108

View full text Add to dashboard Cite

The purpose of the study was to evaluate the mid-term results of surgical treatment in different groups of patients with multiple knee ligament injuries. Review of our patients' records revealed that 48 acute and chronic patients were surgically treated for combined knee injury. Due to severe capsular damage in these injuries, open techniques were used. In our treatment protocol, avulsed ligaments and tears of the posterolateral and posteromedial corner were repaired if possible, whereas midsubstance tears of cruciate ligaments and chronic cases were reconstructed with autografts. Postoperatively, an accelerated program of rehabilitation was introduced, aiming to progressively mobilize the joint and improve muscle endurance. For the follow-up evaluation we designed a protocol composed of two parts. In the first part, anatomical lesions were recorded and in the second part, clinical evaluation was performed using the Lysholm score, the Tegner rating system, the IKDC evaluation form, and the KT1000. Student's t tests and chi-square tests were used for data analysis. Forty-eight patients (mean age 28.6+/-11.9 years; 41 males) were classified according to the specific anatomical structures involved. Group A included 12 anterior cruciate ligament (ACL) and medial structure injuries, group B included 11 ACL or posterior cruciate ligament (PCL) ruptures combined with posterolateral injuries, and group C consisted of 25 knee dislocations (ACL and PCL ruptures which might be combined with damage of the collateral ligaments). Thirty-eight patients were surgically treated during the acute phase and ten patients were treated chronically. Forty-four patients (91.6%) were followed up at a mean of 51.3+/-29.9 months. Average Lysholm score was 87+/-12.3; average Tegner score was 5.09+/-2.19 before accident and 4.34+/-2.12 in re-examination; IKDC score was A in 10 cases, B in 22, C in 6, and D in 6. The mean range of motion was 129.9 degrees +/-12.5 degrees . The average loss of extension and flexion were 1.6 degrees +/-2.5 degrees and 7.6 degrees +/-7.9 degrees , respectively. The side-to-side difference in corrected anterior and posterior translation in quadriceps neutral angle and in anterior translation in 30 degrees angle was <3 mm for about 65% of our patients. Surgical treatment of multiple knee ligament injuries, using autografts, provided satisfactory stability, range of motion, and subjective functional results. However, despite the improvement of the quality of life, the preinjury patients' activity level was not fully obtained in re-examination. Patients underwent surgical treatment during the acute phase had better scores in several points, but finally there was no statistical significance between acute and chronic patients. Moreover, no statistically significant differences were observed among the groups with specific damaged anatomical structures.

show abstract

“…The incidence of associated vascular injury in knee dislocations has been reported to be from 40% to 64% 7,8 . Vascular surgery consultation is warranted whenever there is a concern for major arterial injury.…”

Section: Vascular Surgerymentioning

confidence: 99%

“…nee dislocations are rare yet serious injuries that represent 0.02% to 0.2% of orthopaedic injuries [1][2][3][4][5] and 0.5% of joint dislocations 6 . Vascular injury occurs in between 40% and 64% of patients with knee dislocations, with the popliteal artery being the most commonly injured vessel 7,8 . In addition, the incidence of peroneal nerve injury reported has varied between 4.5% and 40% [9][10][11][12] .…”

mentioning

confidence: 99%

Team Approach: Treatment of Traumatic Dislocations of the Knee

et al. 2023

View full text Add to dashboard Cite

Traumatic knee dislocations are complex injuries that can be associated with compromise of the neurovascular structures about the knee.Various classification systems for knee dislocations exist in the literature but should be used with caution as a prognostic tool because many knee dislocations fit into more than 1 category.Special populations of knee dislocations, such as obese patients and high-velocity mechanism injuries, require additional caution during the initial evaluation for possible vascular injuries.

show abstract

Complete Dislocation of the Knee

Cited by 177 publications

References 0 publications

Surgical treatment of multiligament knee injuries

Surgical treatment of multiligament knee injuries

Surgical treatment of multiple knee ligament injuries in 44 patients: 2–8 years follow-up results

Team Approach: Treatment of Traumatic Dislocations of the Knee

Contact Info

Product

Resources

About