Outcome after knee dislocation

Levy, Bruce A.; Marx, Robert G.

doi:10.1007/s00167-009-0867-0

Cited by 18 publications

(14 citation statements)

References 7 publications

(7 reference statements)

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“…Clinical data on knee dislocations are sparse in the literature [19]. Furthermore, most studies are small retrospective cohorts that contain considerable variability in terms of surgical treatment, injury patterns, and mechanism of injury [26].…”

Section: Discussionmentioning

confidence: 99%

“…Although some progress has been made, a review of the literature still contains numerous accounts of surgical techniques and small patient cohorts [26]. Furthermore, there is a paucity of data related to clinical and functional outcomes for the surgical treatment of knee dislocation injuries [19]. Few studies have shown successful results with up to 10 years of followup [1,5,9,12,27,28].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Long-term Followup of Surgically Treated Knee Dislocations: Stability Restored, but Arthritis Is Common

Fanelli

Sousa

Edson

2014

Clinical Orthopaedics &Amp; Related Research

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Background Surgical treatment of knee dislocations is intended to correct the anatomic injury and restore knee stability and patient function. Several studies have shown successful results with surgical treatment of knee dislocations with up to 10 years of followup, but longer-term studies are uncommon. Questions/purposes We evaluated patients treated surgically for knee dislocations at 10-year followup to assess (1) knee stability; (2) return to preinjury level of function; (3) development of arthrosis; and (4) range of motion (ROM) loss. Methods This study was a retrospective review of 127 combined PCL, ACL, and medial and/or lateral side reconstructions performed by a single surgeon (GCF) between 1990 and 2008. Of these, 44 were available for clinical and functional evaluation (35%) at a minimum 5-year followup. Inclusion criteria were combined PCL/ACL plus medial and/or lateral side reconstruction. Evaluation methods included arthrometer measurements, stress radiography, knee ligament rating and activity scales (Lysholm and Tegner), plain radiographs with osteoarthritic assessment, and physical examination. Results Of the 44 patients, there were nine ACL/PCL medial, 22 ACL/PCL lateral, and 13 ACL/PCL mediolateral reconstructions. Followup was at a minimum of 5 years (mean, 10 years; range, 5-22 years). The mean age at the time of injury was 31 years with a range of 13 to 65 years. The mean arthrometer-measured side-to-side differences were as follows: PCL screen, 1.9 mm; corrected posterior, 2.4 mm; corrected anterior, 0.8 mm; and anterior displacement at 30°of knee flexion, 1.7 mm. Stress radiographic measurements at 90°of knee flexion revealed a mean side-to-side difference of 1.9 mm. Mean Lysholm, and Tegner scores were 84 of 100 and 4

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Long-term Followup of Surgically Treated Knee Dislocations: Stability Restored, but Arthritis Is Common

Fanelli

Sousa

Edson

2014

Clinical Orthopaedics &Amp; Related Research

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“…M ultiligament knee injuries are complex and can lead to severe disability and even loss of limb. 1 The pathoanatomy, mechanism of injury, and patientrelated factors vary widely among individuals. In view of these issues, individualized treatment for each patient is indicated to maximize functional outcome while minimizing the risk of treatment-related complications.…”

Section: See Related Article On Page 1814mentioning

confidence: 99%

Editorial Commentary: Is Medial-Side Repair Indicated in the Treatment of Multiligament Knee Injuries?

Marx¹

2016

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Multiligament knee injuries are heterogenous and demand individualized treatment. In addition to the complexity of the injury, factors such as the timing and type of surgery are also crucial to patient outcomes. In a case series, patients who underwent medial-side repair had inferior patient-reported outcomes compared with those who had medial reconstruction or lateral surgery. Interestingly, patients with common peroneal nerve injury did not have inferior outcomes, probably because of the lack of sensitivity of rating scales to measure nerve-related disability. In view of the complexity and heterogeneity of these injuries, the above-mentioned findings may not be generalizable to all patients.

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“…Most commonly a knee dislocation will involve dislocation of at least three ligament structures, namely the ACL + PCL + other structures. 1…”

Section: Epidemiologymentioning

confidence: 99%

Acute knee dislocation

Piper

Howells

2014

Trauma

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Traumatic knee dislocations are relatively rare yet serious injuries. They remain under diagnosed injuries in view of the frequency with which they can present having spontaneously reduced. Diagnosis requires a high index of clinical suspicion on presentation of all knee injuries. Careful, repeated and vigilant monitoring for neurovascular compromise following diagnosis, appropriate investigations and early involvement of surgeons with a specialist interest in knee ligament injury are important factors in managing these injuries. The prognosis has improved in recent years following establishment of some consensus on the evaluation, investigation, management and rehabilitation of these injuries and this article presents an evidence based review of these principles.

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Outcome after knee dislocation

Cited by 18 publications

References 7 publications

Long-term Followup of Surgically Treated Knee Dislocations: Stability Restored, but Arthritis Is Common

Long-term Followup of Surgically Treated Knee Dislocations: Stability Restored, but Arthritis Is Common

Editorial Commentary: Is Medial-Side Repair Indicated in the Treatment of Multiligament Knee Injuries?

Acute knee dislocation

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