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Dislocation of the knee.

The Orthopedic Clinics of North America

|January 1, 1987

Summary

This summary is machine-generated.

Knee dislocations can cause severe arterial damage, leading to amputation if not promptly repaired within 6-8 hours. Prompt evaluation and surgical repair of vascular and ligamentous injuries are crucial for limb survival and joint function.

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Area of Science:

Orthopedic Surgery
Vascular Surgery
Traumatology

Background:

Knee dislocations present significant risks, including arterial damage (25-30% incidence) and peroneal nerve injuries.
Untreated arterial damage can result in amputation in up to 72.5% of cases.

Purpose of the Study:

To highlight the critical importance of anticipating and managing complications following knee dislocations.
To emphasize the necessity of timely vascular repair and ligamentous reconstruction for optimal patient outcomes.

Main Methods:

Evaluation of popliteal artery status and prompt vascular repair when indicated.
Documentation of neurovascular status pre- and post-injury.
Open surgical repair of ligamentous injuries after addressing limb-threatening issues.

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Main Results:

Timely vascular repair (within 6-8 hours) is essential to prevent amputation.
Peroneal nerve injuries are common and can lead to permanent neurological deficits.
Surgical repair of ligamentous injuries ensures joint stability and congruity.

Conclusions:

Prompt recognition and management of vascular and nerve injuries are paramount in knee dislocations.
Surgical intervention for both vascular and ligamentous damage, combined with appropriate rehabilitation, is key to limb salvage and functional recovery.