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[Knee luxation--follow-up after surgery]
Iver Anders Gaski1, Bjørn-Tore Martinussen, Lars Engebretsen
1Ortopedisk Senter, Kirurgisk klinikk, Ullevål universitetssykehus, 0407 Oslo. i.a.gaski@studmed.uio.no
Summary
Surgical treatment for knee dislocations yields good functional outcomes, with most patients returning to work or studies within a year. Younger patients (<40) and sports-related injuries show better prognostic factors for knee dislocation recovery.
Area of Science:
- Orthopedic surgery
- Trauma care
- Sports medicine
Context:
- Knee dislocation is a severe ligamentous injury, often involving multiple knee ligaments.
- The definition of knee dislocation now includes injuries to bicruciate and lateral ligaments, even if initially reduced.
- Surgical intervention is the established treatment modality for knee dislocations globally.
Purpose:
- To evaluate the functional outcomes of surgically treated knee dislocations.
- To identify prognostic factors influencing recovery after knee dislocation surgery.
- To assess patient return to work or studies post-treatment.
Summary:
- A prospective study followed 55 patients (mean age 34) who underwent surgical treatment for knee dislocation between 1996-2002.
- 59% of injuries resulted from high-energy trauma, but low-energy and sports-related injuries also occurred.
- 57% achieved excellent to good results on the Lysholm Score, with 54/55 returning to work/studies within one year.
Impact:
- Younger age (<40) and sports-related injuries are associated with positive prognostic outcomes.
- Surgical treatment for knee dislocations facilitates a successful return to daily activities and employment.
- This study highlights the importance of timely surgical management for diverse knee dislocation etiologies.