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Open dislocation of the knee

D G Wright1, D C Covey, C T Born

  • 1Department of Orthopaedic Surgery, Affiliated Hospitals of the University of Pennsylvania, Philadelphia, USA.

Journal of Orthopaedic Trauma
|April 1, 1995
PubMed
Summary
This summary is machine-generated.

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Traumatic open knee dislocations are severe injuries with high risks of limb loss and poor function, even with prompt treatment. These injuries frequently involve vascular or neurologic damage and complications like infection.

Area of Science:

  • Orthopedic Surgery
  • Trauma Surgery
  • Musculoskeletal Injuries

Background:

  • Traumatic open knee dislocation is a rare but severe injury.
  • It often involves extensive ligament damage and neurovascular compromise.

Purpose of the Study:

  • To evaluate the outcomes of treating traumatic open knee dislocations.
  • To assess limb salvage rates and functional results.

Main Methods:

  • Retrospective review of 19 open knee dislocations in 18 patients over 18 years.
  • Treatment included surgical intervention, revascularization, and antibiotic therapy.

Main Results:

  • 14 of 19 salvaged knees had fair to poor function.
  • 47% had neurologic or vascular injury; 42% had wound healing issues.

Related Experiment Videos

  • 3 amputations and 1 fusion were performed; 3/5 arterial repairs were successful.
  • Conclusions:

    • Traumatic open knee dislocations have a guarded prognosis for limb survival and function.
    • High incidence of infection and neurologic injury necessitates aggressive management.