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J Knee Surg 2016; 29(04): 300-302
DOI: 10.1055/s-0036-1583177
Special Focus Section
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Fracture Dislocation of the Knee

James Stannard
1   Department of Orthopaedic Surgery, University of Missouri Hospital, Columbia, Missouri
› Author Affiliations
Further Information

Publication History

07 March 2016

11 March 2016

Publication Date:
18 April 2016 (online)

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Abstract

Fracture dislocation of the knee is a potentially limb-threatening injury with poor outcomes in the historical literature. This article describes a treatment algorithm for this injury that begins with making the correct diagnosis and continues through a staged treatment protocol. Results of 27 patients who were treated using this protocol are reported, demonstrating that good results can be obtained. There is a high incidence of complications associated with this injury, but patient outcomes are still good if they are recognized and treated appropriately.

Keywords

fracture dislocation - ligament - outcomes
 

  • References

  • 1 Dendrinos GK, Kontos S, Katsenis D, Dalas A. Treatment of high-energy tibial plateau fractures by the Ilizarov circular fixator. J Bone Joint Surg Br 1996; 78 (5) 710-717
    PubMedGoogle Scholar
  • 2 Hohl M. Tibial condylar fractures. J Bone Joint Surg Am 1967; 49 (7) 1455-1467
    PubMedGoogle Scholar
  • 3 Mills WJ, Nork SE. Open reduction and internal fixation of high-energy tibial plateau fractures. Orthop Clin North Am 2002; 33 (1) 177-198 , ix
    CrossrefPubMedGoogle Scholar
  • 4 Moore TM. Fracture—dislocation of the knee. Clin Orthop Relat Res 1981; (156) 128-140
    PubMedGoogle Scholar
  • 5 Stokel EA, Sadasivan KK. Tibial plateau fractures: standardized evaluation of operative results. Orthopedics 1991; 14 (3) 263-270
    PubMedGoogle Scholar
  • 6 Stannard JP, Fanelli GC. Knee dislocations and ligament Injuries. In Stannard JP, and Schmidt AH. , eds. Surgical Treatment of Orthopaedic Trauma. 2nd ed. New York, NY: Thieme; 2016: 888-912
    Article in Thieme ConnectGoogle Scholar
  • 7 Gardner MJ, Yacoubian S, Geller D , et al. Prediction of soft-tissue injuries in Schatzker II tibial plateau fractures based on measurements of plain radiographs. J Trauma 2006; 60 (2) 319-323 , discussion 324
    Google Scholar
  • 8 Gardner MJ, Yacoubian S, Geller D , et al. The incidence of soft tissue injury in operative tibial plateau fractures: a magnetic resonance imaging analysis of 103 patients. J Orthop Trauma 2005; 19 (2) 79-84
    CrossrefPubMedGoogle Scholar
  • 9 Holt MD, Williams LA, Dent CM. MRI in the management of tibial plateau fractures. Injury 1995; 26 (9) 595-599
    CrossrefPubMedGoogle Scholar
  • 10 Stannard JP, Lopez R, Volgas D. Soft tissue injury of the knee after tibial plateau fractures. J Knee Surg 2010; 23 (4) 187-192
    Article in Thieme ConnectPubMedGoogle Scholar
  • 11 Yacoubian SV, Nevins RT, Sallis JG, Potter HG, Lorich DG. Impact of MRI on treatment plan and fracture classification of tibial plateau fractures. J Orthop Trauma 2002; 16 (9) 632-637
    CrossrefPubMedGoogle Scholar
  • 12 Mariani PP, Santoriello P, Iannone S, Condello V, Adriani E. Comparison of surgical treatments for knee dislocation. Am J Knee Surg 1999; 12 (4) 214-221
    PubMedGoogle Scholar
  • 13 Martinek V, Steinbacher G, Friederich NF, Müller WE. Operative treatment of combined anterior and posterior cruciate ligament injuries in complex knee trauma: can the cruciate ligaments be preserved?. Am J Knee Surg 2000; 13 (2) 74-82
    PubMedGoogle Scholar
  • 14 Richter M, Bosch U, Wippermann B, Hofmann A, Krettek C. Comparison of surgical repair or reconstruction of the cruciate ligaments versus nonsurgical treatment in patients with traumatic knee dislocations. Am J Sports Med 2002; 30 (5) 718-727
    PubMedGoogle Scholar