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Knee dislocation: treatment of high-velocity knee dislocation
1Division of Trauma & Emergency Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan, ROC.
The Journal of Trauma
|April 27, 1999
Summary
This study shows arthroscopic posterior cruciate ligament reconstruction is effective for traumatic knee dislocation. The minimally invasive technique yielded good functional outcomes with no major complications in patients with high-velocity knee injuries.
Area of Science:
- Orthopedic Surgery
- Arthroscopy
- Trauma Care
Background:
- High-velocity trauma can cause severe knee dislocations.
- Arthroscopic techniques offer a minimally invasive approach to complex knee injuries.
Purpose of the Study:
- To evaluate the outcomes of a novel arthroscopic treatment for traumatic knee dislocation.
- To assess the efficacy and safety of arthroscopic posterior cruciate ligament reconstruction.
Main Methods:
- Twenty-three patients with traumatic knee dislocation underwent arthroscopic posterior cruciate ligament reconstruction using a patellar bone-tendon-bone graft.
- Anterior cruciate ligament debridement, collateral ligament repair, meniscus repair, and capsule repair were also performed.
- Surgery was performed arthroscopically with gravity inflow irrigation.
Main Results:
- Mean follow-up was 27.2 months.
- Excellent range of motion was achieved, with mean extension of 1 degree and mean flexion of 129.6 degrees.
- The average Lysholm score was 84, indicating good functional recovery. No major complications were reported.
Conclusions:
- Arthroscopic posterior cruciate ligament reconstruction is a viable and effective treatment for traumatic knee dislocation.
- This approach provides favorable functional outcomes and a low complication rate.