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    Primary repair of knee dislocations: results in 25 patients (28 knees) at a mean follow-up of four years

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    Authors
    Owens, Brett D.
    Neault, Mark
    Benson, Emily
    Busconi, Brian D.
    UMass Chan Affiliations
    Department of Orthopedics and Physical Rehabilitation
    Document Type
    Journal Article
    Publication Date
    2007-02-17
    Keywords
    Adolescent
    Adult
    Aged
    Female
    Follow-Up Studies
    Humans
    Knee Dislocation
    Ligaments, Articular
    Male
    Middle Aged
    Orthopedic Procedures
    Peroneal Nerve
    Range of Motion, Articular
    Retrospective Studies
    Treatment Outcome
    Orthopedics
    Rehabilitation and Therapy
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    Link to Full Text
    http://dx.doi.org/10.1097/BOT.0b013e3180321318
    Abstract
    OBJECTIVE: To investigate the outcomes of knee dislocations treated with primary repair and an early rehabilitation protocol. DESIGN: Retrospective. SETTINGS: Level 1 Trauma Center. PATIENTS: Consecutive patients with knee dislocation referred to a single surgeon for care between 1994 and 2002 were included, for a total of 27 patients with 30 knee dislocations. Twenty-five patients (28 knees) were evaluated by an independent observer at a mean of 48 months (13-82 months). INTERVENTION: All patients underwent primary repair of all injured ligaments using a consistent technique and early rehabilitation protocol. MAIN OUTCOME MEASUREMENTS: In addition to range of motion and stability assessment, Lysholm and Tegner scores were used to evaluate outcome. RESULTS: The mean post-operative Lysholm score was 89.0. Range of motion analysis for the 22 unilateral dislocations available for examination showed a mean extension loss of 1.9 degrees and mean flexion loss of 10.2 degrees , with a mean arc of motion of 119.3 degrees . Overall, the knees were found to be clinically stable. CONCLUSIONS: Primary repair of ligaments coupled with an early rehabilitation program provides comparable outcomes to published results of ligament reconstruction. Primary repair of ligaments in the dislocated knee should be considered as an effective option in the trauma population.
    Source
    J Orthop Trauma. 2007 Feb;21(2):92-6. Link to article on publisher's site
    DOI
    10.1097/BOT.0b013e3180321318
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/43066
    PubMed ID
    17304061
    Related Resources
    Link to Article in PubMed
    ae974a485f413a2113503eed53cd6c53
    10.1097/BOT.0b013e3180321318
    Scopus Count
    Collections
    UMass Chan Faculty and Researcher Publications
    Orthopedics and Physical Rehabilitation Publications

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