Acute knee dislocation: An evidence based approach to the management of the multiligament injured knee

被引：103

作者：

Howells, Nick R. ^{[1
]}

Brunton, Luke R. ^{[1
]}

Robinson, James ^{[1
]}

Porteus, Andrew J. ^{[1
]}

Eldridge, Jonathan D. ^{[1
]}

Murray, James R. ^{[1
]}

机构：

[1] Avon Orthopaed Ctr, Bristol, Avon, England

来源：

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED | 2011年 / 42卷 / 11期

关键词：

Acute knee dislocation; Multiligament knee injuries; POSTERIOR CRUCIATE LIGAMENT; COMMON PERONEAL NERVE; POPLITEAL ARTERY; PHYSICAL-EXAMINATION; VASCULAR INJURY; SELECTIVE ARTERIOGRAPHY; TRAUMATIC DISLOCATION; RECONSTRUCTION; ANTERIOR; JOINT;

D O I：

10.1016/j.injury.2010.11.018

中图分类号：

R4 [临床医学];

学科分类号：

100218 [急诊医学];

摘要：

Traumatic knee dislocations are uncommon yet serious injuries that historically have had variable prognosis. The evaluation and management of traumatic knee dislocations remains controversial. Appropriate early management has been shown to have a significant impact on long term functional outcome. A comprehensive review of the recent literature is presented alongside our current approach to management. The dislocated knee is an under diagnosed injury which relies on a high index of clinical suspicion on presentation of any knee injury. There is now a degree of consensus regarding need for surgery, timing of surgery, vascular investigations, surgical techniques and rehabilitation protocols. Vigilant monitoring for neurovascular complications, appropriate investigations and early involvement of surgeons with a specialist interest in knee ligament surgeries is the key to successful management of these difficult injuries. (C) 2010 Elsevier Ltd. All rights reserved.

引用

页码：1198 / 1204

页数：7

共 79 条

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Blunt lower-extremity trauma and popliteal artery injuries - Revisiting the case for selective arteriography [J].