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Neglected Posterior Knee Dislocation: An Unusual Case Report.

Francesco Leonardi1, Alessandra Zorzan2, Augusto Palermo3

  • 1Orthopaedic Unit, Policlinic Institute, Alessandria, Italy.

Joints
|December 23, 2017
PubMed
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Chronic knee dislocation, often missed initially, can lead to severe instability. Surgical intervention, like knee arthroplasty, is the preferred treatment for neglected cases, even with unique neurovascular adaptation.

Area of Science:

  • Orthopedic Surgery
  • Trauma Management

Background:

  • Chronic knee dislocation is a rare complication typically resulting from diagnostic errors in emergency settings.
  • Prompt assessment including vascular and neurological evaluation is crucial for managing acute knee dislocations.
  • Untreated knee dislocations can lead to chronic joint instability, significantly impacting mobility and independence.

Observation:

  • The presented case of chronic knee dislocation exhibits unique clinical and radiographic characteristics.
  • Remarkably, the patient's neurovascular bundle demonstrated adaptation to posterior femur displacement over time without apparent secondary damage.

Findings:

  • Surgical treatment, specifically arthroplasty, is the recommended approach for neglected chronic knee dislocations.
  • The case highlights the potential for unexpected neurovascular adaptation in long-standing joint displacement.
Keywords:
chronicdislocationkneeneglectedneurovasculartreatment

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Implications:

  • This case underscores the importance of accurate initial diagnosis and management of knee dislocations.
  • It suggests that surgical options like arthroplasty are effective even in complex, long-standing cases.
  • Further research into neurovascular adaptation mechanisms in chronic joint injuries may offer new insights.