Two Cases of Knee Dislocation With Multiligament Ruptures Caused by Rotary Tiller Injury

Rotatory knee dislocation resulting from rototiller injury is an uncommon clinical entity, typically accompanied by multiligamentous (Anterior Cruciate Ligament [ACL], Posterior Cruciate Ligament [PCL], Medial Collateral Ligament [MCL], Lateral Collateral Ligament [LCL]) and meniscal injuries. This report details the diagnostic approach, therapeutic management, and postoperative rehabilitation of two patients who sustained knee dislocations with multiple ligament ruptures due to rototiller accidents. It underscores the critical importance of prompt closed or open reduction alongside immediate assessment for potential vascular and neurological compromise. Following exclusion of such injuries, one-stage multiligament reconstruction and meniscal repair are recommended within three weeks. Surgical intervention performed promptly after edema resolution, complemented by early postoperative functional exercise, can lead to favorable knee functional outcomes.