Abstract
Chronic fixed posterior tibial subluxation in the multiple ligament injured knee, although extremely rare, is a difficult problem that requires complex management. There are two opposing goals after catastrophic ligamentous knee injury: stability and range of motion. Achieving both of these goals can be very difficult.1–8 Multiple ligamentous reconstructions are currently the recommended method of dealing with acute unstable knee injuries.1–4,9–11 Despite modern techniques, recurrent knee laxity or stiffness can be prob-lematic.l–3,5–8,11,12 These problems are amplified in the case of a chronic posterior tibial subluxation.
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References
Almekinders LC, Logan TC. Results following treatment of traumatic dislocations of the knee joint. Clin Orthop 1992; 284: 203–207.
Almekinders LC, Dedmond BT. Outcomes of the operatively treated knee dislocation. Clin Sports Med 2000; 19: 503–518.
Dedmond BT, Almekinders LC. Operative versus nonoperative treatment of knee dislocations. Am J Knee Surg 2001; 14 (1): 33–38.
Fanelli GC. Treatment of combined anterior cruciate ligament-posterior cruciate ligament-lateral side injuries of the knee. Clin Sports Med 2000; 19: 493503.
Frassica FJ, Sim FH, Staeheli JW, Pairolero PC. Dislocation of the knee. Clin Orthop 1991; 263: 200–205.
Roman PD, Hopson CN, Zenni EJ. Traumatic dislocation of the knee: a report of 30 cases and literature review. Orthop Rev 1987; 16: 917–924.
Shields L, Mital M, Cave EF. Complete dislocation of the knee: experience at the Massachusetts General Hospital. J Trauma 1969; 9: 192–215.
Thomsen PB, Rud B, Jensen UH. Stability and motion after traumatic dislocation of the knee. Acta Orthop Scand 1984; 55: 278–283.
Myers MH, Moore TM, Harvey JR Traumatic dislocation of the knee joint. J Bone Joint Surg Am 1975; 57: 430–433.
Sisto DJ, Warren RE Complete knee dislocation. A follow-up study of operative treatment. Clin Orthop 1985; 198: 94–101.
Stayner LR, Coen MJ. Historic perspectives of treatment algorithms in knee dislocation. Clin Sports Med 2000; 19: 399–413.
Montgomery JB. Dislocation of the knee. Orthop Clin North Am 1987; 18: 149–156.
Henshaw RM, Shapiro MS, Oppenheim WL. Delayed reduction of traumatic knee dislocation. Clin Orthop 1996; 330: 152–156.
Petrie RS, Trousdale RT, Cabanela ME. Total knee arthroplasty for chronic posterior knee dislocation. J Arthroplasty 2000; 15: 380–386.
Richter M, Lobenhoffer P. Chronic posterior knee dislocation: treatment with arthrolysis, posterior cruciate ligament reconstruction and external fixation device. Injury 1998; 29: 546–549.
Simonian PT, Wickiewicz TL, Hotchkiss RN, et al. Chronic knee dislocation: reduction, reconstruction, and application of a skeletally fixed knee hinge. Am J Sports Med 1998; 26: 1–5.
Simonian PT, Shafer BL, Wickiewicz TL. Management of chronic posterior tibial subluxation in the multiligament-injured knee. Sports Med Arthrosc Rev 2001; 9: 239–246.
Laasonsen EM, Kivioja A. Delayed diagnosis of extremity injuries in patients with multiple injuries. J Trauma 1991; 31: 257–260.
Montgomery TJ, Savoie FH, White JL, et al. Orthopedic management of knee dislocations: comparison of surgical reconstruction and immobilization. Am Knee Surg 1995; 8: 97–103.
Simonian PT, Sussman PS, Wickiewicz TL, et al. The skeletally fixed knee hinge for the grossly unstable knee. Am J Knee Surg 1998; 11: 181–187.
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© 2004 Springer Science+Business Media New York
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Chudik, S.C., Simonian, P.T., Wickiewicz, T.L. (2004). Management of Chronic Posterior Tibial Subluxation. In: Fanelli, G.C. (eds) The Multiple Ligament Injured Knee. Springer, New York, NY. https://doi.org/10.1007/978-0-387-22522-7_13
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DOI: https://doi.org/10.1007/978-0-387-22522-7_13
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