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Complex Knee Injuries in Young Patients

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Complex Knee Ligament Injuries

Abstract

Knee dislocation is an infrequent pathology. This prevalence has been increasing in later years due to a better understanding of the lesion and the advance in imaging diagnostic techniques. Once the dislocation is reduced, a thorough neurovascular examination should be carried out.

Indicating an MRI is fundamental so as to allow us to see important details of the meniscal, ligament and capsular lesions. To approach the treatment of knee dislocation, we base ourselves on the anatomic classification described by Robert Schenck.

We do obtain the best results performing surgical treatment as soon as possible. When we are able to perform the surgery in the acute period, we opt for performing a repair plus reconstruction with an allo- or autograft of the ligament structures involved. The availability of an allograft is relevant since it lowers morbidity and surgical time.

The surgeon’s experience in the treatment of this type of lesions is crucial in the final results.

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References

  1. Hegyes MS, Richardson MW, Miller MD. Knee dislocation: complications of non-operative and operative management. Clin Sports Med. 2000;19(3):519–43.

    Article  CAS  Google Scholar 

  2. Keating JF. Acute knee ligament injuries and knee dislocation. Eur Surg Orthop Traumatol. 2014:2949–71.

    Google Scholar 

  3. Schenck RC Jr, Richter DL, Wascher DC. Knee dislocations lessons learned from 20-Year follow-up. 2014. Investigation performed at the University of New Mexico School of Medicine, Albuquerque, New Mexico, USA.

    Article  Google Scholar 

  4. Bonnevialle P, Dubrana F, Galau B, et al. Common peroneal nerve palsy complicating knee dislocation and bicruciate ligaments tears. Orthop Traumatol Surg Res. 2010;96:64–9.

    Article  CAS  Google Scholar 

  5. Schenck RC Jr, Hunter RE, Ostrum RF, Perry CR. Knee dislocations. Instr Course Lect. 1999;48:515–22.

    PubMed  Google Scholar 

  6. Rihn JA, Cha PS, Yram JG, Harner CD. The acutely dislocated knee: evaluation and management. J Am Acad Orthop Surg. 2004;12(5):334–46.

    Article  Google Scholar 

  7. Hohmann E, Glatt V, Tetsworth K. Early or delayed reconstruction in multi-ligament knee injuries: a systematic review and meta-analysis THEKNE-02490; No of Pages 8.

    Google Scholar 

  8. Jiang W, Yao J, He Y, Sun W, Huang Y, Kong D. The timing of surgical treatment of knee dislocations: a systematic review. Knee Surg Sports Traumatol Arthrosc. 2014;

    Google Scholar 

  9. Ohkoshi Y, Nagasaki S, Shibata N, Yamamoto K, Hashimoto T, Yamane S. Two-stage reconstruction with autografts for knee dislocations. Clin Orthop Relat Res. 2002;398:169–75.

    Article  Google Scholar 

  10. LaPrade RF, Engebretsen AH, Ly TV, Johansen S, Wentorf FA, Engebretsen L. The anatomy of the medial part of the knee. J Bone Joint Surg Am. 2010;. Current concepts review injuries to the MCL and associated medial structures of the Knee Wijdicks, Griffith, Johansen, Engebretsen and LaPrade J Bone Joint Surg Am. 2010

    Google Scholar 

  11. Fanelli y Larson. Practical management of posterolateral instability of the knee. Arthroscopy. 2002;18(2):1.

    Article  Google Scholar 

  12. Arciero RA. Anatomic posterolateral corner knee reconstruction. Arthroscopy. 2005;

    Google Scholar 

  13. Treme G, Ortiz G, Gill GK, Menzer HM, Johnson PJ, Salas C, Qeadan F, Schenck RC, Richter DL, Wascher DC. A biomechanical comparison of knee stability after posterolateral corner reconstruction: Arciero vs. Laprade. 2017. Presented at: AOSSM Annual Meeting 2017; July 20–23; Toronto, Canada, Abstract.

    Google Scholar 

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Correspondence to Rodrigo Maestu .

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Rainaudi, P., Batista, J., Maestu, R. (2019). Complex Knee Injuries in Young Patients. In: Margheritini, F., Espregueira-Mendes, J., Gobbi, A. (eds) Complex Knee Ligament Injuries. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-58245-9_15

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  • DOI: https://doi.org/10.1007/978-3-662-58245-9_15

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-58244-2

  • Online ISBN: 978-3-662-58245-9

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