Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Knee Dislocation”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 271 records · Page 15Linked to original sources
PubMed1984

Combined skeletal and vascular injuries of the lower extremities.

In order to determine the long-term results of surgical treatment in patients with significant combined skeletal and arterial injuries, the authors reviewed the records of those patients treated for this injury between 1970 and 1981, at their institutions. These cases were confined to fractures and/or dislocations of the femur, knee, and tibia which were associated with vascular injuries. Thirty-one patients with 32 injured extremities fit these criteria for our review. The distribution of the orthopedic injuries were as follows: femoral fractures, 16; tibial fractures, 20; and knee dislocations, four. Fifty percent of the injuries had neurologic deficit; significant soft tissue injury was present in 22 extremities; and all but 4 had attempted arterial revascularization. Vascular procedures included saphenous vein by-pass, saphenous vein interposition, end-to-end anastomosis and lateral arteriorrhaphy. Orthopedic repairs were generally accomplished by external means with only five cases treated by immediate internal fixation. Long-term results were categorized as excellent, fair, or poor. Amputations were classified as primary and secondary. Excellent results were found in only five of the reconstructed extremities. Thirty-five percent of the extremities were classified as having a fair result. Two extremities had a poor result. Four extremities were primarily amputated, and secondary amputation was performed on seven extremities. Associated nerve deficits and/or significant soft tissue injuries were found to be the major factors determining the eventual success or failure of reconstructive efforts.

Adolescent↗
PubMedDate not supplied

Congenital dislocation of the knee.

Between February 1988 and June 1995, 24 congenital dislocations of the knee joints (17 patients) were reduced with closed methods including immediate reduction, serial casting, or traction in patients from 10 min to 26 days old. At an average follow-up of 4 years and 10 months, an excellent or good result was achieved if there were no associated anomalies. Fair or poor results were the result of delayed treatment or associated musculoskeletal anomalies including arthrogryposis multiplex congenita or Larsen's syndrome. Routine check of the hip dislocation is suggested. Diagnosis with manual testing was difficult, and other methods such as radiography or sonography were suggested in combination to detect hip dysplasia. The dislocated knee should be reduced before treating the hip dislocation. Concomitant treatment of the congenital dislocation of the knee and the hip with Pavlik harness provided satisfactory results. When late, progressive, genu valgus deformity occurred because of global instability of the knee and asymmetric physeal growth, reconstruction of the medial structures of the knee and prolonged bracing provided good results.

Casts, Surgical↗
PubMed1981

Complete dislocations of the knee with popliteal vascular injury.

Complete dislocation of the knee is rare, but is frequently associated with popliteal artery disruption. Prompt recognition and early revascularization are paramount for a successful and functional result. Arteriography is recommended in all cases of complete dislocation of the knee. Excision of the damaged arterial segment with saphenous vein bypass grafting is the treatment of choice. Associated venous and nerve injuries should be recognized and repaired early. Liberal use of compartment decompression procedures give better long-term results.

Humans↗
PubMed2004

Spontaneous non-traumatic dislocation of the knee.

Ligamentous injuries of the knee occur during sports and where there is extensive injury associated with subluxation or dislocation. We present a case of an obese female who sustained spontaneous non-traumatic posterior knee dislocation when she caught her foot while rising from the sitting down position. There was associated peroneal nerve injury but an angiogram confirmed no vascular compromise. Surgical ligamentous reconstruction was undertaken.

Adult↗
PubMed1996

[A case of inveterate dislocation of the knee joint].

A case of inveterate dislocation of the knee treated by the authors is presented. Due to initial circumstances inclusive of polytrauma and life threatening condition of the patient the dislocation was untreated for 8 weeks. Surgical reduction supplemented with capsule ligamentoplasty despite development of multiple periarticular calcifications allowed for regaining sufficient mobility and function of the joint.

Adolescent↗
PubMed1999

Congenital dislocation of the knee: overview of management options.

Congenital dislocation of the knee (CDK) is rare and includes a spectrum of hyperextension disorders of the knee. Early recognition of CDK is important, and careful evaluation is required to rule out associated hip deformity. Early manipulation, combined with splinting and casting, is the mainstay of initial treatment. Patients with seemingly fixed contractures may respond rapidly to serial casting and then can be placed in a Pavlik harness. Severe recalcitrant deformities or late presentation of the deformity may require surgical release. We highlight the importance of diagnostic categorization, show management options, and provide an overview of this rare but clinically significant problem. We present two case reports that illustrate the full range of management options.

Humans↗
PubMed1977

[Congenital dislocations of the knee joint (author's transl)].

The authors discuss the frequency, etiology, clinical symptomatology, classification, and treatment of congenital dislocations of the knee joint. They present 8 cases of their own material. The congenital knee joint dislocation can be treated conservatively with good results. Treatment with plaster casts does not interfere with treatment of simultaneous hip dysplasias in Pavlik bandages. Even foot deformities can be treated at the same time. They emphasise the need for earliest treatment which seems equally important for all three deformities: knee joint dislocations, hip dysplasias, and club feet.

Abnormalities, Multiple↗
PubMed1989

Traumatic dislocation of the knee.

The incidence, classification, anatomy, and biomechanical etiology of traumatic dislocation of the knee are reviewed. This injury occurs rarely, but it can result in significant long-term disability. The popliteal space must be carefully evaluated because of the high frequency of associated neurovascular injuries. If gross deformity is present, closed reduction should be performed immediately, followed by radiography to delineate possible fractures and by immobilization in a posterior splint. However, posterolateral dislocation is often irreducible by closed manipulation. The neurovascular status should be reassessed following closed reduction; liberal use of angiography is recommended. Complications from untreated vascular injury can include thrombosis. Peroneal nerve injury, less frequent than vascular damage, has a poor prognosis for long-term function recovery, and surgical repair has been of no value. Treatment of ligament injuries associated with knee dislocations has ranged from closed reduction and immobilization to open partial or total repair. Operative repair is most appropriate for young patients, active older patients, and patients with torn collateral ligaments. One study has concluded that early physical therapy, regardless of treatment, is crucial to a good outcome.

Humans↗