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
| Autor: | Ioannis S. Benetos, Vasilios D. Polyzois, Spyros G. Pneumaticos, Ioannis P. Stathopoulos |
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| Rok vydání: | 2016 |
| Předmět: |
Male
Ilizarov Technique medicine.medical_specialty Knee Dislocation Knee Joint Anterior cruciate ligament medicine.medical_treatment Posterior Cruciate Ligament Reconstruction Arthroscopy Young Adult 03 medical and health sciences 0302 clinical medicine medicine Humans Orthopedics and Sports Medicine Anterior Cruciate Ligament Range of Motion Articular Reduction (orthopedic surgery) 030222 orthopedics medicine.diagnostic_test business.industry 030208 emergency & critical care medicine Plastic Surgery Procedures musculoskeletal system Surgery Treatment Outcome medicine.anatomical_structure Posterior cruciate ligament Posterior Cruciate Ligament business |
| Zdroj: | The Knee. 23:181-184 |
| ISSN: | 0968-0160 |
| DOI: | 10.1016/j.knee.2015.08.009 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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