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Primary repair of knee dislocations: results in 25 patients (28 knees) at a mean follow-up of four years
UMass Chan Affiliations
Department of Orthopedics and Physical RehabilitationDocument Type
Journal ArticlePublication Date
2007-02-17Keywords
AdolescentAdult
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
Metadata
Show full item recordAbstract
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 siteDOI
10.1097/BOT.0b013e3180321318Permanent Link to this Item
http://hdl.handle.net/20.500.14038/43066PubMed ID
17304061Related Resources
Link to Article in PubMedae974a485f413a2113503eed53cd6c53
10.1097/BOT.0b013e3180321318