Delayed treatment of neglected open knee dislocation; case report

Area of Science:

• Orthopedic Surgery
• Trauma Management
• Plastic Surgery

Background:

• Traumatic open knee dislocation is a rare and severe injury.
• It often involves significant ligamentous damage, infection, and neurovascular compromise.
• Delayed treatment presents complex challenges, requiring multidisciplinary surgical intervention.

Purpose of the Study:

• To report the first case of delayed open knee dislocation treated in an underdeveloped country.
• To demonstrate a successful surgical approach for managing this complex injury with a delayed presentation.

Main Methods:

• A 60-year-old diabetic male with a 3-month history of open knee dislocation presented after initial non-surgical management.
• The treatment involved vigorous debridement, coverage with a gastrocnemius muscle flap, and hybrid external fixation for arthrodesis.
• Post-operative follow-up was conducted for three months.

Main Results:

• The patient achieved excellent clinical and radiological outcomes.
• The surgical intervention successfully managed the severe injury and prevented limb amputation.
• Satisfactory joint stabilization and wound coverage were achieved.

Conclusions:

• Delayed open knee dislocations are challenging but treatable.
• Gastrocnemius muscle flap coverage and arthrodesis are effective in salvaging the limb and achieving good functional results.
• This case highlights successful management in resource-limited settings.