Bilateral sequential knee dislocation in a patient with connective tissue disorder: Report of an unusual case and lessons learnt
| Autor: | Angus Robertson, Konrad Wronka, James Lewis, Adel Ghandour, Waheeb Al-Azzani |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
030203 arthritis & rheumatology
030222 orthopedics medicine.medical_specialty Connective Tissue Disorder Unusual case Functional impairment business.industry Knee Dislocation medicine.medical_treatment Case Report musculoskeletal system medicine.disease Surgery 03 medical and health sciences 0302 clinical medicine Amputation Antiphospholipid syndrome Anti-Phospholipid Syndrome medicine Orthopedics and Sports Medicine Hamstring Tendons business |
| Zdroj: | Journal of Clinical Orthopaedics and Trauma. 7:41-44 |
| ISSN: | 0976-5662 |
| DOI: | 10.1016/j.jcot.2016.09.013 |
| Popis: | Tibiofemoral knee dislocation is a rare but serious limb-threatening injury. Without prompt recognition and management, amputation or long-term functional impairment may result. The authors present a case of bilateral sequential knee dislocation, secondary to low-energy trauma, in a patient with Systemic Lupus Erythematosus and antiphospholipid syndrome. Adequate stability was achieved on both occasions by reconstruction of the postero-lateral corner and MCL. During the first reconstruction, ipsi-lateral autograft, as well as hamstring tendons from the contra-lateral side, were used to strengthen the graft. For the second reconstruction, allografts were used. This case highlights that, a patient with soft-tissue disorder presenting with low-energy knee dislocation may be at risk of further dislocations. Treating surgeons should anticipate these issues and consider the role of allograft in ligamentous repair. |
| Databáze: | OpenAIRE |
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