title: Acute surgical management of traumatic knee dislocations--Average follow-up of 10 years.
abstract: BACKGROUND
  Traumatic knee dislocations have been managed historically by means of either delayed reconstruction or non-operative methods. More recently, there has been a trend towards early reconstruction. There is no clear consensus in the literature as to how such patients should be managed and in what time frame.
  
  
  OBJECTIVE
  The aim of this study was to establish the long-term outcome of patients who underwent acute surgical management of their traumatic knee dislocation.
  
  
  METHODS
  Thirty-six patients with traumatic knee dislocations were treated by multi-ligament reconstruction. All surgical interventions occurred within 21 days of presentation. The collateral ligament complexes were primarily repaired where possible and reconstructions were performed with either autograft, allograft or the ligament augmentation and reconstruction system (LARS) synthetic graft.
  
  
  RESULTS
  The mean time to surgery was 12 days (1 to 21) with a mean follow-up of 10.1 years (7 to 19). The International Knee Documentation Committee (IKDC) assessment demonstrates that 56% of patients went on to have "nearly normal" knee function and the average Tegner-Lysholm score of 80 (57 to 91), is consistent with good function. The Knee Outcome score (KOS) was 84% for Activities of Daily Living and 74% for Sports.
  
  
  CONCLUSIONS
  This study demonstrates a high level of overall knee function following the acute surgical reconstruction of traumatic knee dislocations.
  
  
  METHODS
  Level 2B: Cohort Study with Outcome Measures.
authors.affiliation: St George's University Hospitals NHS Foundation Trust, Blackshaw Road, London SW17 0QT, United Kingdom; Frimley Park Hospital NHS Foundation Trust, Portsmouth Road, Frimley, Surrey GU16 7UJ, United Kingdom.
authors.forename: R S
authors.initials: RS
authors.lastname: Khakha
authors.affiliation: St George's University Hospitals NHS Foundation Trust, Blackshaw Road, London SW17 0QT, United Kingdom. Electronic address: adriancday@hotmail.com.
authors.forename: A C
authors.initials: AC
authors.lastname: Day
authors.affiliation: St George's University Hospitals NHS Foundation Trust, Blackshaw Road, London SW17 0QT, United Kingdom.
authors.forename: J
authors.initials: J
authors.lastname: Gibbs
authors.affiliation: St George's University Hospitals NHS Foundation Trust, Blackshaw Road, London SW17 0QT, United Kingdom.
authors.forename: S
authors.initials: S
authors.lastname: Allen
authors.affiliation: Frimley Park Hospital NHS Foundation Trust, Portsmouth Road, Frimley, Surrey GU16 7UJ, United Kingdom.
authors.forename: P
authors.initials: P
authors.lastname: Hill
authors.affiliation: Frimley Park Hospital NHS Foundation Trust, Portsmouth Road, Frimley, Surrey GU16 7UJ, United Kingdom.
authors.forename: J
authors.initials: J
authors.lastname: Hull
authors.affiliation: Frimley Park Hospital NHS Foundation Trust, Portsmouth Road, Frimley, Surrey GU16 7UJ, United Kingdom.
authors.forename: A
authors.initials: A
authors.lastname: Perry
authors.affiliation: Frimley Park Hospital NHS Foundation Trust, Portsmouth Road, Frimley, Surrey GU16 7UJ, United Kingdom.
authors.forename: H
authors.initials: H
authors.lastname: Chissell
mesh_terms: D000208:Acute Disease; D000328:Adult; D000368:Aged; D016118:Anterior Cruciate Ligament / Q000601:surgery*; D017885:Collateral Ligaments / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D005544:Forecasting; D006801:Humans; D031221:Knee Dislocation / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D007718:Knee Injuries / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D007719:Knee Joint / Q000000981:diagnostic imaging / Q000503:physiopathology; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011859:Radiography; D016059:Range of Motion, Articular; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D055815:Young Adult
keywords: Knee dislocation; Multi-ligament reconstruction; Trauma