Τίτλος:
A Two-stage procedure for the treatment of a neglected posterolateral knee dislocation: Gradual reduction with an Ilizarov external fixator followed by arthroscopic anterior and posterior cruciate ligament reconstruction
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Background: Neglected knee dislocations are extremely uncommon and their management cannot be evidence-based since only a few case reports have been published describing different treatment methods. We present the case of a young man with a neglected posterolateral knee dislocation and a concomitant sciatic nerve injury. Methods: A two-stage treatment strategy with gradual reduction using the Ilizarov technique and subsequent arthroscopic anterior and posterior cruciate ligament reconstruction was followed. Results: The two-stage treatment approach led to a satisfactory clinical outcome. At the latest follow-up evaluation the patient was fully ambulatory and the knee was painless with no anteroposterior instability. Conclusions: In neglected knee dislocations treatment optios are guided by the severity of the concomitant injuries and the status of articulating surfaces. Gradual reduction with the Ilizarov technique and subsequent arthroscopic ligamentous reconstruction is a reliable alternative to open surgical procedures. © 2015 Elsevier B.V..
Συγγραφείς:
Polyzois, V.D.
Stathopoulos, I.P.
Benetos, I.S.
Pneumaticos, S.G.
Λέξεις-κλειδιά:
adult; allograft; anterior cruciate ligament reconstruction; arthroscopic surgery; Article; bone radiography; case report; denervation; electromyography; femur diaphysis; femur fracture; human; Ilizarov external fixator; knee dislocation; male; nuclear magnetic resonance imaging; paralysis; paresis; physiotherapy; posterior cruciate ligament reconstruction; priority journal; range of motion; sciatic nerve injury; traffic accident; young adult; anterior cruciate ligament; arthroscopy; Ilizarov technique; joint characteristics and functions; knee; knee dislocation; pathophysiology; posterior cruciate ligament; posterior cruciate ligament reconstruction; procedures; reconstructive surgery; treatment outcome, Anterior Cruciate Ligament; Arthroscopy; Humans; Ilizarov Technique; Knee Dislocation; Knee Joint; Male; Posterior Cruciate Ligament; Posterior Cruciate Ligament Reconstruction; Range of Motion, Articular; Reconstructive Surgical Procedures; Treatment Outcome; Young Adult
DOI:
10.1016/j.knee.2015.08.009
