A Two-stage procedure for the treatment of a neglected posterolateral knee dislocation: Gradual reduction with an Ilizarov external fixator followed by arthroscopic anterior and posterior cruciate ligament reconstruction

Abstract Background Neglected knee dislocations are extremely uncommon and their management cannot be evidence-based since only a few case reports have been published describing different treatment methods. We present the case of a young man with a neglected posterolateral knee dislocation and a con...

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Bibliographic Details
Published in:The knee 2016-01, Vol.23 (1), p.181-184
Main Authors: Polyzois, Vasilios D, Stathopoulos, Ioannis P, Benetos, Ioannis S, Pneumaticos, Spyros G
Format: Article
Language:English
Subjects:
Anterior cruciate ligament
Anterior Cruciate Ligament - surgery
Arthroscopy
Arthroscopy - methods
Conflicts of interest
Humans
Ilizarov
Ilizarov Technique
Knee
Knee Dislocation - surgery
Knee Joint - physiopathology
Knee Joint - surgery
Ligaments
Male
Neglected knee dislocation
Orthopedics
Posterior cruciate ligament
Posterior Cruciate Ligament - surgery
Posterior Cruciate Ligament Reconstruction - methods
Range of Motion, Articular
Reconstructive Surgical Procedures - methods
Skin & tissue grafts
Sports injuries
Treatment Outcome
Young Adult
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Summary:Abstract Background Neglected knee dislocations are extremely uncommon and their management cannot be evidence-based since only a few case reports have been published describing different treatment methods. We present the case of a young man with a neglected posterolateral knee dislocation and a concomitant sciatic nerve injury. Methods A two-stage treatment strategy with gradual reduction using the Ilizarov technique and subsequent arthroscopic anterior and posterior cruciate ligament reconstruction was followed. Results The two-stage treatment approach led to a satisfactory clinical outcome. At the latest follow-up evaluation the patient was fully ambulatory and the knee was painless with no anteroposterior instability. Conclusions In neglected knee dislocations treatment optios are guided by the severity of the concomitant injuries and the status of articulating surfaces. Gradual reduction with the Ilizarov technique and subsequent arthroscopic ligamentous reconstruction is a reliable alternative to open surgical procedures.
ISSN:0968-0160
1873-5800
DOI:10.1016/j.knee.2015.08.009