Staged protocol for initial management of the dislocated knee.

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
Bruce A LevyMichael J Stuart

Abstract

The purpose of this study was (1) to describe a staged protocol for management of the dislocated knee and (2) to describe clinical and functional outcomes for patients who received initial spanning external fixation as part of this protocol. Nine knees in 9 patients, consisting of 6 males and 3 females, mean age 30.4 (range 19-44) years with diagnosis or presumption of knee dislocation were treated with a protocol of stabilization with external fixator. Mean follow-up was 24 (range 13-42) months. Indications for spanning external fixation included significant vascular injury, gross instability on examination with failure to maintain joint reduction, open knee dislocation, inability to tolerate mobilization in a brace. The standard protocol involved vascular examination including ankle-brachial index, ligamentous examination (under anesthesia when applicable), stabilization with temporary joint spanning external fixator, thromboprophylaxis, reconstructive knee surgery, and standard rehabilitation. Mean range of motion (ROM) was 97.4° (range 80°-150°, SD 20.75, median 127.5). Median IKDC score was 80 (range 30-95), and mean Lysholm score was 76.7 (range 46-95). Heterotopic ossification (HO) was noted in 4 knees (44%). The treatme...Continue Reading

References

May 1, 1982·The American Journal of Sports Medicine·J Lysholm, J Gillquist
Apr 1, 1995·Journal of Orthopaedic Trauma·D G WrightK K Sadasivan
Sep 1, 1995·The American Journal of Sports Medicine·M S Shapiro, E L Freedman
Feb 1, 1996·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·G C FanelliC J Edson
Apr 27, 1999·The Journal of Trauma·W L YehR W Hsu
Jan 1, 2000·The Journal of Bone and Joint Surgery. British Volume·S A Ibrahim
Aug 5, 2000·Clinics in Sports Medicine·L C Almekinders, B T Dedmond
Sep 7, 2000·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·F R NoyesT P Heckmann
Feb 28, 2001·Journal of the American College of Surgeons·S H NorwoodJ W McLarty
Sep 5, 2002·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Gregory C Fanelli, Craig J Edson
Oct 9, 2002·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·James P StannardJorge E Alonso
Oct 16, 2002·Injury·Spyridon DarmanisDimitrios Pavlakis
May 22, 2003·Journal of Orthopaedic Trauma·William J Mills, Nirmal Tejwani
Jul 16, 2003·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·James P StannardJorge E Alonso
Sep 23, 2003·The Journal of Trauma·Antonio RíosJavier Vaquero
Mar 4, 2005·The Journal of Bone and Joint Surgery. American Volume·Anikar ChhabraChristopher D Harner
Apr 1, 2005·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Gregory C FanelliCraig J Edson
Sep 6, 2005·The American Journal of Emergency Medicine·Bruce A LevyPeter A Cole
Dec 6, 2005·The Journal of Bone and Joint Surgery. American Volume·Brent A PoncePeter J Millett
Nov 8, 2006·Revue de chirurgie orthopédique et réparatrice de l'appareil moteur·P BonnevialleUNKNOWN Membres du Groupe d'Etude en Traumatologie Ostéoarticulaire (GETRAUM)
Jan 25, 2007·Revue de chirurgie orthopédique et réparatrice de l'appareil moteur·P BonnevialleM Mansat
Mar 3, 2007·The Journal of Bone and Joint Surgery. American Volume·George HaidukewychBruce Levy
Feb 12, 2009·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Joseph J KingJames A Tom
Feb 28, 2009·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Steve J SchechingerRobert G Marx
Mar 25, 2009·The Journal of the American Academy of Orthopaedic Surgeons·Bruce A LevyUNKNOWN Knee Dislocation Study Group
Apr 4, 2009·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Bruce A LevyRobert G Marx

❮ Previous
Next ❯

Citations

Apr 4, 2014·Clinical Orthopaedics and Related Research·Trevor R BornMichael J Stuart
Feb 21, 2014·Clinical Orthopaedics and Related Research·Omar MedinaDavid R McAllister
Mar 10, 2016·Indian Journal of Orthopaedics·Lei SunYong Zhong Luo
Aug 20, 2015·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Nate M LevyBruce A Levy
Dec 1, 2017·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Jarret M WoodmassMichael J Stuart
Feb 23, 2018·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Alexander MaslarisEmmanouil Liodakis
Aug 8, 2018·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Eduard Alentorn-GeliClaude T Moorman
Jul 30, 2014·The Open Orthopaedics Journal·Lesley McKeeWasim S Khan
Jan 20, 2012·The Journal of Bone and Joint Surgery. American Volume·Sanjeev Sabharwal, S Robert Rozbruch
Apr 5, 2012·Journal of Orthopaedic Trauma·Michael J BeltranUNKNOWN Skeletal Trauma Research Consortium (STReC)
Jul 31, 2019·Sports Medicine and Arthroscopy Review·John T Richards, Jonathan F Dickens
Aug 3, 2020·Sports Medicine and Arthroscopy Review·Nicholas C DuethmanBruce A Levy
Jun 4, 2019·Orthopaedic Journal of Sports Medicine·Bertrand Sonnery-CottetStephane Boisgard
Apr 30, 2015·Journal of Orthopaedic Surgery·Takahiro NiikuraMasahiro Kurosaka
May 1, 2014·Orthopaedic Journal of Sports Medicine·Robert C SchenckDaniel C Wascher
Jun 20, 2013·Revista Brasileira De Ortopedia·Fabiano KupczikRodrigo Caldonazzo Fávaro
Mar 3, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Marc Jacob StraussTim Spalding
Nov 23, 2020·Archives of Orthopaedic and Trauma Surgery·Eduard Ramírez-BermejoNicolas Pujol
Sep 20, 2017·The Journal of Bone and Joint Surgery. American Volume·Thomas L SandersBruce A Levy
Aug 10, 2021·Orthopaedic Journal of Sports Medicine·Seong Hwan KimNicolas Pujol

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

© 2021 Meta ULC. All rights reserved