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Knee Dislocation: Descriptive Study of Injuries.

Fabiano Kupczik1, Marlus Eduardo Gunia Schiavon2, Lucas de Almeida Vieira3

  • 1MSc in Surgery, Pontificia Universidade Catolica do Parana (PUC-PR); Head of the Knee Surgery Group, Hospital Universitario Cajuru, and Preceptor of Medical Residence in Orthopedics and Traumatology, Hospital Universitario Cajuru, Curitiba, PR, Brazil.

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|June 19, 2019
PubMed
Summary
This summary is machine-generated.

Traumatic knee dislocations frequently involve posterior cruciate ligament (95%) and anterior cruciate ligament (75%) injuries, often resulting from motorcycle accidents. Individualized assessment is crucial for effective treatment of these complex knee injuries.

Keywords:
Knee Dislocation/diagnosis Knee Dislocation/surgery Knee Dislocation/epidemiology Knee Injuries/diagnosis Knee Injuries/surgery

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Area of Science:

  • Orthopedic Surgery
  • Traumatology
  • Sports Medicine

Background:

  • Traumatic knee dislocation is a severe injury with significant morbidity.
  • Understanding injury patterns is essential for appropriate management.

Purpose of the Study:

  • To describe ligamentous and associated injuries in traumatic knee dislocations.
  • To correlate these injuries with trauma mechanisms and identify injury patterns.

Main Methods:

  • Retrospective review of 23 traumatic knee dislocations (March 2010-March 2011).
  • Initial diagnosis, reduction, external fixation, followed by physical examination under anesthesia and surgical exploration.
  • Data collection on injury types, mechanisms, and patient demographics.

Main Results:

  • Most patients were male (65%), average age 35; motorcycle accidents were the most common cause (60%).
  • High incidence of posterior cruciate ligament (95%) and anterior cruciate ligament (75%) tears.
  • Medial peripheral injuries (65%) were more common than lateral (40%).
  • Arterial injury occurred in 15% of cases.

Conclusions:

  • Knee dislocations exhibit significant variability, necessitating individualized treatment approaches.
  • Surgeons must accurately diagnose and tailor treatment for optimal outcomes in traumatic knee dislocations.