Management of penetrating injuries of the knee

One hundred and two patients with 121 known or suspected penetrating wounds of the knee demonstrated that successful results are dependent upon early diagnosis and surgical treatment. The willingness to act immediately on the basis of clinical judgment alone is important in order to avoid irreparable damage damage to the joint. The knee should be debrided and thoroughly irrigated. The menisci, articular cartilage and bony stock should be preserved as much as possible. The joint and skin are left open. If joint surfaces are damaged or infection is grossly purulent, the synovium is also left open. The dressing is dry fluff gauze, and a Jones compression dressing which allows drainage and prevents fluid accumulation. Early active mobilization of the joint is important.