膝关节脱位

Rescult
Operative treatment has been shown to produce better range of motion and higher functional scores than nonoperative treatment
All the patients who suffered from knee dislocation
Hongkong University Shenzhen Hospital
MRI (3 days post reduction)
Hongkong University Shenzhen Hospital
MCL repair (23th July)
Hongkong University Shenzhen Hospital
Fracture
Osteochondral fracture Meniscal tears
Hongkong University Shenzhen Hospital
Vascular injury
The first priority in the
assessment and
treatment of traumatic dislocations of the knee is :The vascular status Ankle Brachial Pressure Index (ABPI)
TRAUMATIC KNEE DISLOCATIONS
Hongkong University Shenzhen Hospital
Case 1
M/25 Company man Car accident
Good past health，No other joint dislocation, No
Hongkong University Shenzhen Hospital
Hongkong University Shenzhen Hospital
Right ACL & PCL &MCL rupture
Hongkong University Shenzhen Hospital
Hongkong University Shenzhen Hospital
ACL &PCL Reconstruction
can not fully recovered
Hongkong University Shenzhen Hospital
Rehabilitation Protocol After Multiple Ligament Reconstruction
Hongkong University Shenzhen Hospital
Arthroscopic assisted arthrolysis due to stiffness(10-80 degree) on 24th September
Hongkong University Shenzhen Hospital
Re-check MRI (28th Oct)
Hongkong University Shenzhen Hospital
Hongkong University Shenzhen Hospital
Diagnosis
Deformity Pain Swelling
Pay more attention to those cases: Spontaneous
reduction before medical evaluation
Hongkong University Shenzhen Hospital
Treatment Algorithm for knee dislocation
Hongkong University Shenzhen Hospital
Treatment
Close reduction and plaster immobilization 30 to 45 degrees of knee flexion Immediate surgery indications: arterial injuries,
Be received PLC reconstruction 20th April
Hongkong University Shenzhen Hospital
ACL &PCL reconstruction
Hongkong University Shenzhen Hospital
Case 3
M/42 Be hurted by a falling object 5 months ago
joint laxity PE: Deformity，the pulse , sensation, movement of the foot is normal No chest and abdomen injury
Hongkong University Shenzhen Hospital
07-15th X-Ray

PE: Lachman test (-) Anterior and posterior draw test(+-) Step-off sign(+) Sag sign(+)
ROM:5-120 degree
Hongkong University Shenzhen Hospital
Hongkong University Shenzhen Hospital
X-Ray after immediate close reduction
Hongkong University Shenzhen HospiΒιβλιοθήκη Baidual
Ultrasound after CR
The arteries and veins of lower limbs are normal
open injury, compartment syndrome
Hongkong University Shenzhen Hospital
Treatment
Ligament repair or reconstruction
Hongkong University Shenzhen Hospital
Hongkong University Shenzhen Hospital
Schneck classification
Hongkong University Shenzhen Hospital
Associated Injury
Vascular injury Ligament injury Nerve injury
PCL Reconstruction(4th Nov)
Hongkong University Shenzhen Hospital
Case 2
17/M Falling injury
Hongkong University Shenzhen Hospital
Hongkong University Shenzhen Hospital
Hongkong University Shenzhen Hospital
CLASSIFICATION
open or closed high velocity, low velocity, or ultralow velocity; anterior, posterior, medial, lateral, or rotary