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Knee dislocations with vascular injuries - a review article.
Gilbert Moatshe1,2,3, Lars Engebretsen2,3
1Ortopedisk Klinikk, Oslo Universitetssykehus.
Danish Medical Journal
|March 6, 2024
Summary
Diagnosing knee dislocations requires high suspicion, as spontaneous reduction can mask severity. Early vascular injury assessment using ankle-brachial index (ABI) is crucial to prevent limb loss.
Area of Science:
- Orthopedic Surgery
- Trauma Care
- Vascular Surgery
Background:
- Knee dislocations are severe, potentially limb-threatening injuries.
- Spontaneous reduction can delay diagnosis, masking the injury's seriousness.
- Delayed diagnosis and treatment increase the risk of amputation due to associated vascular injuries.
Conclusions:
- High suspicion and timely evaluation are essential for managing knee dislocations.
- Serial ABI is a vital screening tool for vascular injuries.
- Prompt intervention based on ABI or CT angiography can mitigate amputation risk.
