Traumatic, Old, and Unreduced Bilateral Knee Dislocation: A Case Study and Literature Review

  • SM Javad Mortazavi Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran
  • Nima Bagheri Mail Joint Reconstruction Research Center, Tehran University of Medical Sciences
  • Mohammad Vahedian Ardakani Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran
  • Hojjat Askari Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran
Keywords:
Knee Dislocation; Range of Motion; Articular; Joint Dislocations; Knee Joint

Abstract

 Background: Old unreduced knee dislocation is rare, which means the experience is still lacking about the best treatment options. Moreover, several surgical options for this condition are still lacking in peer-reviewed research. This is a case report of the treatment of a patient who had bilateral traumatic knee dislocations that were unreduced two months after injury.

Case Presentation: A 45-year-old man with bilateral traumatic unreduced knee dislocation came 2 months after injury. He had no active knee extension and was unable to walk. He underwent open reduction and external fixation. He had a good range of motion (ROM) and painless walking in short term. After 5 years, he had acceptable ROM and painless walking, but x-rays showed persistent posterior subluxation of the left knee and some bone loss of the right tibia.

Conclusions: Open reduction, repair of torn ligaments, and external fixation was an effective treatment in regaining ROM and stability in a patient who had bilateral unreduced knee dislocations of two months duration. After five years, the patient had a satisfactory function, but radiographs showed persistent posterior subluxation of one knee and some bone loss of the tibia in the other

Author Biographies

SM Javad Mortazavi, Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran
Professor, Department of Orthopedic Surgery, Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran
Nima Bagheri, Joint Reconstruction Research Center, Tehran University of Medical Sciences
Assistant Professor, Department of Orthopedic Surgery, Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran
Hojjat Askari, Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran
Resident of Orthopedics, Department of Orthopedic Surgery, Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran

References

1. Karn NK, Khanal GP, Singh MP. Long-standing unreduced anterior dislocation of the knee-a case report. Internet Journal of Medical Update–EJOURNAL. 2010;5(1):51-3. doi: 10.4314/ijmu.v5i1.49295.

2. Vicente-Guillen P, Figa-Mataro J, Coloma-Bellver J. Long-standing unreduced dislocation of the knee. A case report. Int Orthop. 1998;22(4):275-6. doi: 10.1007/s002640050259.

[PubMed: 9795820]. [PubMed Central: PMC3619615].

3. Chen HC, Chiu FY. Chronic knee dislocation treated with arthroplasty. Injury Extra. 2007;38(8):258-61.

4. Richter M, Lobenhoffer P. Chronic posterior knee dislocation: Treatment with arthrolysis, posterior cruciate ligament reconstruction and hinged external fixation device. Injury. 1998;29(7):546-9. doi: 10.1016/s0020-1383(98)00095-3. [PubMed: 10193500].

5. Said HG, Learmonth DJ. Chronic irreducible posterolateral knee dislocation: Two-stage surgical approach. Arthroscopy. 2007;23(5):564. doi: 10.1016/j.arthro.2005.12.046. [PubMed: 17478296].

6. Saini R, Mootha AK, Goni VG, Dhillon MS. Neglected irreducible posterolateral knee dislocation. Indian J Orthop. 2010;44(4):468-70. doi: 10.4103/0019-5413.69323. [PubMed: 20924494]. [PubMed Central: PMC2947740].

7. Simonian PT, Wickiewicz TL, Hotchkiss RN, Warren RF. Chronic knee dislocation: Reduction, reconstruction, and application of a skeletally fixed knee hinge. A report of two cases. Am J Sports Med. 1998;26(4):591-6. doi: 10.1177/03635465980260042201. [PubMed: 9689385].

8. Henshaw RM, Shapiro MS, Oppenheim WL. Delayed reduction of traumatic knee dislocation. A case report and literature review. Clin Orthop Relat Res. 1996;(330):152-6. doi: 10.1097/00003086-199609000-00018. [PubMed: 8804285].

9. Petrie RS, Trousdale RT, Cabanela ME. Total knee arthroplasty for chronic posterior knee dislocation: Report of 2 cases with technical considerations. J Arthroplasty. 2000;15(3):380-6. doi: 10.1016/s0883-5403(00)90854-4. [PubMed: 10794237].

10. Leonardi F, Zorzan A, Palermo A, Molfetta L. Neglected posterior knee dislocation: An unusual case report. Joints. 2017;5(4):253-5. doi: 10.1055/s-0037-1607219. [PubMed: 29270565]. [PubMed Central: PMC5738492].

11. Jabalameli M, Bagherifard A, Hadi H, Askari A, Ghaffari S. Total knee arthroplasty for chronic anterior knee dislocation. Clin Med Insights Case Rep. 2018;11:1179547618782882. doi: 10.1177/1179547618782882. [PubMed: 29977119]. [PubMed Central: PMC6024489].
Published
2020-05-07
How to Cite
1.
Mortazavi SJ, Bagheri N, Vahedian Ardakani M, Askari H. Traumatic, Old, and Unreduced Bilateral Knee Dislocation: A Case Study and Literature Review. J Orthop Spine Trauma. 4(4):84-87.
Section
Case Report