Document Type : Original Article
Authors
1
Department of Orthopedic Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
2
, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
3
School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
4
Department of Radiology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
10.22034/ijos.2025.243325
Abstract
Abstract
Introduction: Knee dislocation has potential for complex injury to blood vessels nerves and ligaments. It requires prompt diagnosis and treatment. Radiological assessments aid in guiding appropriate orthopedic and surgical interventions. This study aims to assess the treatment outcomes of knee dislocations.
Materials & Methods: A cross-sectional study of patients admitted to an orthopedic center within 4 years with knee dislocation was conducted. Demographic data, initial treatments, correlated injuries, pain severity, and post-surgery outcomes were collected. The initial management which was with external fixation or bracing were conquered. Statistical analysis was performed using SPSS v25.
Results & Discussion: Sixty-two patients (11 female, 51 male) were enrolled. Motor vehicle accident, car accident, and falls were common causes. Co-occurring injuries included ligamentous, vascular, and nerve injuries, with the first one being predominant. The initial treatments were by either bracing or external fixation. No re-dislocation was reported in the external fixator group, while 5 occurred in the bracing group. Pain severity scores were lower in the external fixator group at 1 and 3 months post-surgery. Time to return to work and duration of rehabilitation were, non-significantly, shorter in brace treatment group.
Conclusion: Both brace and external fixator show promise as initial knee dislocation treatments, offering distinct benefits. Definitive conclusions warrant comprehensive clinical trials.
Keywords
Subjects
