Document Detail


The Dislocated Knee.
MedLine Citation:
PMID:  10795034     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Knee dislocation, although relatively rare, may be the result of high-or low-velocity injuries. Well established is the need for urgent diagnosis and treatment to avoid vascular complications and amputation. The initial evaluation should include objective assessment of arterial circulation by means of Doppler pressure measurements; the finding of any asymmetric pressure warrants an arteriogram. Late arterial occlusion may occur, which mandates careful serial reexamination in all patients, including those with initially symmetric pressure. Injury to the peroneal nerve is also common, and the recovery of neurologic function is unpredictable. An operative approach for the young and otherwise healthy patient is outlined. In the absence of definitive clinical studies, the timing and extent of the repair/reconstruction and the optimum rehabilitation still remain uncertain. Therefore, individual patient management must be dictated by circumstances such as instability, swelling, activity level, and the risk of postoperative joint stiffness.
Authors:
Good; Johnson
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Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  The Journal of the American Academy of Orthopaedic Surgeons     Volume:  3     ISSN:  1067-151X     ISO Abbreviation:  J Am Acad Orthop Surg     Publication Date:  1995 Oct 
Date Detail:
Created Date:  2000-05-04     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9417468     Medline TA:  J Am Acad Orthop Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  284-292     Citation Subset:  -    
Affiliation:
Department of Orthopaedics and Rehabilitation, College of Medicine, The University of Vermont, Burlington; and Department of Orthopaedic Surgery, University Hospital, Linköping, Sweden.
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