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Updated: Aug 12, 2025

Maintenance of a Lateral Fluid Percussion Injury Device
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Vascular Injury After Knee Dislocation: A Meta-Analysis Update.

David Constantinescu1, Dylan Luxenburg, Alina Syros

  • 1From the University of Miami Leonard M. Miller School of Medicine (Luxenburg, Syros, and Bondar), and the Department of Orthopaedic Surgery, University of Miami Hospital, Miami, FL (Constantinescu, Barnhill, Vanden Berge, and Vilella-Hernandez).

The Journal of the American Academy of Orthopaedic Surgeons
|February 2, 2023
PubMed
Summary
This summary is machine-generated.

Knee dislocations (KDs) frequently cause vascular and nerve injuries. This review found 10.7% vascular injury and 19.6% nerve injury, with most vascular cases requiring surgical repair.

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Area of Science:

  • Orthopedic Surgery
  • Vascular Surgery
  • Neuroscience

Background:

  • Knee dislocations (KDs) can lead to severe vascular and nerve damage.
  • This study updates literature on injury frequency and management following KDs since 2013.
  • Key outcomes evaluated include vascular/neurologic injury rates, surgical repair frequency, and diagnostic imaging use.

Approach:

  • Systematic literature review adhering to PRISMA guidelines.
  • Analysis of 19 articles encompassing 37,087 knee dislocations.
  • Evaluation of injury frequencies, surgical interventions, amputation rates, and diagnostic modalities.

Key Points:

  • Vascular injury occurred in 10.7% and nerve injury in 19.6% of KDs.
  • Surgical repair was performed in 62.2% of vascular injuries.
  • Amputation was necessary in 2.2% of cases.
  • Angiography was the predominant diagnostic tool (91.7%).

Conclusions:

  • This review confirms significant rates of vascular (10.7%) and nerve (19.6%) injuries post-KD.
  • A notable increase in KD1 (32.4%) and lateral KDs (80.4%) was observed compared to previous literature.
  • The majority of vascular injuries associated with KDs necessitate surgical intervention (62.2%).