Traumatic, Old, and Unreduced Bilateral Knee Dislocation: A Case Study and Literature Review
Background: Old unreduced knee dislocation is rare, which means the experience is still lacking about the best treatment options. Moreover, several surgical options for this condition are still lacking in peer-reviewed research. This is a case report of the treatment of a patient who had bilateral...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Tehran University of Medical Sciences
2020-05-01
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| Series: | Journal of Orthopedic and Spine Trauma |
| Subjects: | |
| Online Access: | https://jost.tums.ac.ir/index.php/jost/article/view/136 |
| Summary: | Background: Old unreduced knee dislocation is rare, which means the experience is still lacking about the best treatment options. Moreover, several surgical options for this condition are still lacking in peer-reviewed research. This is a case report of the treatment of a patient who had bilateral traumatic knee dislocations that were unreduced two months after injury.
Case Presentation: A 45-year-old man with bilateral traumatic unreduced knee dislocation came 2 months after injury. He had no active knee extension and was unable to walk. He underwent open reduction and external fixation. He had a good range of motion (ROM) and painless walking in short term. After 5 years, he had acceptable ROM and painless walking, but x-rays showed persistent posterior subluxation of the left knee and some bone loss of the right tibia.
Conclusions: Open reduction, repair of torn ligaments, and external fixation was an effective treatment in regaining ROM and stability in a patient who had bilateral unreduced knee dislocations of two months duration. After five years, the patient had a satisfactory function, but radiographs showed persistent posterior subluxation of one knee and some bone loss of the tibia in the other
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| ISSN: | 2538-2330 2538-4600 |