[Knee dislocation. Long-term results after operative treatment].
BACKGROUND
Traumatic dislocation is the most severe ligamentous injury of the knee. The indications for operative and conservative treatment are still controversial.


RESULTS
From 1974 to 1994, 38 patients with documented knee dislocation were treated operatively in our department. Thirty-four of these patients were followed up for 3-16 years (mean: 8.6 years). In 29 cases of the follow-up group, reconstruction of both cruciate ligaments was performed. In the remaining cases the cruciate ligaments were left alone. At the time of follow-up, 90 % of the patients showed good knee stability, but 90 % had lack of motion as well. Post-traumatic osteoarthritis was mostly mild to moderate. Thirty-five percent of the patients achieved excellent to good results in the Lysholm Score.


CONCLUSIONS
Positive prognostic factors were an age less than 40 years at the time of the accident, a low-energy trauma, e. g., a sports-related injury, early reconstruction of both cruciate ligaments, and initial postoperative functional treatment.
Richter
M
M
Unfallchirurgische Klinik, Medizinische Hochschule Hannover. drmrichter@online.de
Lobenhoffer
P
P
Tscherne
H
H
D000293:Adolescent; D000328:Adult; D016118:Anterior Cruciate Ligament / Q000000981:diagnostic imaging / Q000601:surgery; D000070598:Anterior Cruciate Ligament Injuries; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal; D006801:Humans; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000601:surgery*; D007718:Knee Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D016119:Posterior Cruciate Ligament / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011379:Prognosis; D011859:Radiography; D016896:Treatment Outcome
Knieluxation. Langzeitergebnisse nach operativer Therapie.