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Related Experiment Video

Updated: Jun 10, 2026

Early Weight-Bearing Rehabilitation Protocol After Anterior Cruciate Ligament Reconstruction
05:07

Early Weight-Bearing Rehabilitation Protocol After Anterior Cruciate Ligament Reconstruction

Published on: March 1, 2024

Staged protocol for initial management of the dislocated knee.

Bruce A Levy1, Aaron J Krych, Jay P Shah

  • 1Department of Orthopaedic Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA. Levy.Bruce@mayo.edu

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
|July 17, 2010
PubMed
Summary

This study presents a staged protocol for dislocated knee management using external fixation, showing satisfactory clinical and functional outcomes. The approach offers a viable option for complex knee dislocations.

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Area of Science:

  • Orthopedic Surgery
  • Trauma Management
  • Knee Biomechanics

Background:

  • Knee dislocation presents complex management challenges.
  • Optimal treatment strategies for dislocated knees require structured protocols.
  • External fixation is a critical tool in managing severe knee instability and associated injuries.

Purpose of the Study:

  • To outline a staged protocol for managing dislocated knees.
  • To evaluate clinical and functional outcomes of patients treated with initial spanning external fixation.

Main Methods:

  • A cohort of 9 patients with knee dislocations were treated using a staged protocol involving external fixator stabilization.
  • Indications for external fixation included vascular injury, gross instability, open dislocation, or intolerance to bracing.

Related Experiment Videos

Last Updated: Jun 10, 2026

Early Weight-Bearing Rehabilitation Protocol After Anterior Cruciate Ligament Reconstruction
05:07

Early Weight-Bearing Rehabilitation Protocol After Anterior Cruciate Ligament Reconstruction

Published on: March 1, 2024

  • The protocol encompassed vascular assessment, ligamentous evaluation, external fixation, thromboprophylaxis, reconstructive surgery, and rehabilitation.

    • Main Results:

    • Mean range of motion (ROM) was 97.4 degrees, with median IKDC and Lysholm scores of 80 and 76.7, respectively.
    • Heterotopic ossification (HO) occurred in 44% of the knees.
    • The treatment demonstrated satisfactory clinical and functional results.

    Conclusions:

    • The described staged protocol for dislocated knee management, incorporating initial spanning external fixation, yielded satisfactory outcomes.
    • This protocol serves as a valuable management option for specific patient populations with dislocated knees.
    • Further prospective research is warranted to fully elucidate the benefits of staged protocols in managing knee dislocations.