Total knee arthroplasty for chronic posterior knee dislocation

Total Knee Arthroplasty for Chronic Neglected Posterior Knee Dislocation: Case Report and Literature Review

“…Chronic posterior knee dislocation and subluxation is a rare entity, presumably because most knee dislocations lend themselves to accurate diagnosis and appropriate treatment acutely [1]. There have been some case reports of delayed treatment of knee dislocation in the English literature [1] [3]- [7].…”

“…There have been some case reports of delayed treatment of knee dislocation in the English literature [1] [3]- [7]. The time between the injury to the knee and definitive treatment ranged from 16 weeks to 8 months, and extensive open reconstruction using the Ilizarov technique, Steinmann pin fixation, ligament reconstruction or hinged external fixation have all been suggested [2].…”

“…Knee dislocation is a rare injury and results from high-energy trauma [1]. The purpose of the treatment of the acute dislocation is to obtain and maintain a reduced knee joint as well as addressing any concomitant neurovascular injuries [1].…”

“…The purpose of the treatment of the acute dislocation is to obtain and maintain a reduced knee joint as well as addressing any concomitant neurovascular injuries [1]. Neglected knee dislocations and knee dislocations with delayed treatment are much more uncommon [2].…”

“…The usual treatment reported was conservative: arthrodesis [3] or ligament reconstruction [4]. However, only 3 cases of total knee arthroplasty (TKA) [1] [2] were described.…”