Open knee dislocation, triple intra-articular fractures and patellar tendon rupture: case report of a knee disaster treated with aggressive irrigation/debridement, ... View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2022-05-09

AUTHORS

Farzad Vosoughi, Fardis Vosoughi, Seyed Hadi Kalantar

ABSTRACT

BackgroundOpen knee fracture-dislocation is a rare orthopedic injury. However, the importance of its correct management could not be overstated. To the best of our knowledge, this is the fifth study reporting a case with simultaneous Hoffa fracture and knee dislocation and the 1st study describing a patient with open plateau fracture-dislocation accompanied with Hoffa fracture, patella fracture, and patellar tendon tear. In addition, this report is noticeable as our case had no gross ligament injury unlike frequent association of knee dislocation with knee collateral ligament damage.Case presentationIn this study, we describe a 34-year-old motorcyclist referred to our center following a motor car accident. Further work-up revealed an open irreducible posterolateral knee dislocation, type 5 Hohl and Moore plateau fracture, lateral femoral condyle Hoffa’s fracture, patellar fracture, and patellar tendon tear of his right knee. During an open reduction, it turned out that an entrapped lateral meniscus prevented the joint to be reduced by closed means. After applying a temporary external fixator, the patient was finally managed with open reduction and internal fixation.ConclusionIrreducible knee dislocation needs further work up to rule out any interposed soft tissue into the joint. Aggressive irrigation/ debridement, early anatomic reduction, and internal fixation may help reduce open fracture complications including infection, non-union, and stiffness. More... »

PAGES

431

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s12891-022-05268-y

DOI

http://dx.doi.org/10.1186/s12891-022-05268-y

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https://app.dimensions.ai/details/publication/pub.1147723644

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/35534818


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211 schema:name Department of Orthopedic and Trauma Surgery, Joint Reconstruction Research Center, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran
212 Orthopedic Surgery Department, Joint Reconstruction Research Center, Imam Khomeini Hospital Complex, End of Keshavarz Blvd, 1419733141, Tehran, Iran
213 rdf:type schema:Organization
214 grid-institutes:grid.415646.4 schema:alternateName Department of Orthopedic and Trauma Surgery, Center of Orthopedic Trans-Disciplinary Applied Research (COTAR), Tehran University of Medical Sciences, Shariati hospital, Tehran, Iran
215 schema:name Department of Orthopedic and Trauma Surgery, Center of Orthopedic Trans-Disciplinary Applied Research (COTAR), Tehran University of Medical Sciences, Shariati hospital, Tehran, Iran
216 rdf:type schema:Organization
 




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