Abstract
Knee dislocation is always a difficult topic mainly with regard to the structures that have been damaged and the best treatment option. The purpose of this study is to describe a new dynamic external fixator (EF) to be applied after knee dislocation, in combination with posterior cruciate ligament (PCL) reconstruction. This approach permits an immediate postoperative mobilization of the joint, with the possibility to perform a delayed ACL reconstruction and eventually reducing the complication rate related to multiple ligament surgery
Similar content being viewed by others
References
Kennedy JC (1963) Complete dislocation of the knee joint. J Bone joint Surg Am 45:889–904
Montgomery TJ, Savoie FH, Whilte JL (1995) Orthopaedic management of knee dislocations: comparison of surgical reconstruction and immobilization. J Knee Surg 8:97–103
Richter M, Bosch U, Wipperman B, Hofmann A, Krettek C (2002) Comparison of surgical repair or reconstruction of the cruciate ligaments versus nonsurgical treatment in patients with traumatic knee dislocations. Am J Sports Med 30:718–727
Stayner LR, Coen MJ (2000) Historic perspectives of treatment algorithms in knee dislocation. Clin Sports Med 19:399–413
Kim SJ, Park IS, Cheon YM, Ryu SW (2004) New technique for chronic posterolateral instability of the knee: posterolateral reconstruction using the tibialis posterior tendon allograft. Arthroscopy 20:195–200
Noyes FR, Barber-Westin SD (1996) Treatment of complex injuries involving the posterior cruciate and posterolateral ligaments of the knee. Am J Sports Med 24:35–45
Simmonian PT, Wickiewicz TL, Hotchkiss RN, Waren RF (1998) Cronic knee dislocation, reduction reconstruction and application of a skeletally fixed knee hinge. Am J Sports Med 26:591–597
James P, Todd M, McGwin G, Volgas DA, Alonso J (2003) Use of a hinged external knee fixator after surgery for knee dislocation. Arthroscopy 19(6):626–631
Fanelli GC, Edson CJ (2004) Combined posterior cruciate ligament-posterolateral reconstruction with Achilles tendon allograft and biceps femoris tenodesis: 2- to10-year follow-up. Arthroscopy 20:339–345
Harner CD, Waltrip RL, Bennet CH, Francis KA, Cole B (2004) Surgical management of the knee dislocations. J Bone Joint Surg Am 86:262–273
Rios A, Villa A, Fahandezh H, deJose C, Vaquero J (2003) Results after treatment of traumatic knee dislocations: a report of 26 cases. J Trauma 55:489–494
Shelbourne KD, Davis TJ, Patel DV (1999) The natural history of acute, isolated nonoperatively treated posterior cruciate ligament injuries: a prospective study. Am J Sports Med 27:276–283
Shelbourne KD, Wilckens JH, Mollabashy A, DeCarlo MS (1991) Arthrofibrosis in acute anterior cruciate ligament reconstruction: the effect of timing of reconstruction and rehabilitation. Am J Sports Med 19:332–336
Wong CH, Tan JL, Chang HC, Low CO (2004) Knee dislocations- a retrospective study comparing operative versus closed immobilization treatment outcomes. Knee Surg Sports Traumatol Arthrosc 12:540–544
Liow RYL, McNicholas MJ, Keating JF, Nutton RW (2003) Ligament repair and reconstruction in traumatic dislocation of the knee. J Bone Joint Surg Br 85-B:845–851
Taylor AR, Arden GP, Rainey HA (1972) Traumatic dislocation of the knee. A report of forty-three cases with special reference to conservative treatment. J Bone Joint Surg Br 54:96–102
Shelbourne KD, Haro MS, Tinker G (2007) Knee dislocation with lateral side injury: results of an en masse surgical repair technique of the lateral side Am. J Sports Med 35:1105–1116
Churchill DL, Incavo SJ, Johnson BS, Beynnon BD (1998) The transepicondylar axis approximates the optimal flexion axis of the knee. Clin Orthop and Rel Res 356:111–118
Sommers MS, Fitzpatric DC, Kahn KM, Marsh JL, Bottlang M (2004) Hinged external fixation of the knee. Intrinsic factors influencing passive joint motion. J Orthop Trauma 18:163–169
Siston RA, Patel JJ, Goodman SB, Delp SL, Giori NJ (2005) The variability of femoral rotational alignment in total knee arthroplasty. J Bone Joint Surg Am 87(10):2276–2280
Acknowledgments
We would like to thank Dr. Pullivar Vikrant for his contribution to this article in the correction of English language.
Author information
Authors and Affiliations
Corresponding author
Additional information
No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article.
Rights and permissions
About this article
Cite this article
Zaffagnini, S., Iacono, F., Lo Presti, M. et al. A new hinged dynamic distractor, for immediate mobilization after knee dislocations: Technical note. Arch Orthop Trauma Surg 128, 1233–1237 (2008). https://doi.org/10.1007/s00402-007-0515-4
Received:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00402-007-0515-4