Knee dislocation: treatment of high-velocity knee dislocation.
BACKGROUND
We report the outcomes of patients treated with a new arthroscopic treatment modality for knee dislocation after high-velocity trauma.


METHODS
Twenty-three patients (12 men, 11 women; 25 knees) with traumatic knee dislocation were treated with this technique. Under arthroscopy with gravity inflow irrigation, the ruptured posterior cruciate ligament was reconstructed with a patellar bone-tendon-bone graft, and the anterior cruciate ligament was debrided subacutely. The collateral ligament, meniscus, and capsules were repaired through additional incisions.


RESULTS
The average interval between injury and surgery was 11.1+/-5 days (range, 5 to 25 days). After a mean follow-up period of 27.2+/-7.86 months, the mean extension was 1+/-2 degrees and the average flexion was 129.6+/-4.91 degrees. The mean Lysholm score was 84. There were no major complications.


CONCLUSIONS
Arthroscopic posterior cruciate ligament reconstruction seems to be an effective treatment for traumatic knee dislocation.
Yeh
W L
WL
Division of Trauma & Emergency Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan, ROC.
Tu
Y K
YK
Su
J Y
JY
Hsu
R W
RW
D000293:Adolescent; D000328:Adult; D000368:Aged; D001182:Arthroscopy; D004630:Emergencies; D005260:Female; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery*; D007718:Knee Injuries / Q000209:etiology / Q000534:rehabilitation / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D016119:Posterior Cruciate Ligament / Q000601:surgery*; D011184:Postoperative Period; D016059:Range of Motion, Articular; D016896:Treatment Outcome