Immediate identification and management of an open posterior knee dislocation: Important lessons from a case report

Traumatic knee dislocation represents a rare event, contributing to less than 0.02 % of all orthopedic trauma and 0.05 % of joint dislocations, respectively. It is critically important to recognize, identify, and appropriately manage such cases as ‘time’ is implicated as an outcome-determining facto...

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Main Authors: Diana Martinez-Urrea, Aaron Bencomo, Elaine Song, Yashendra Sethi, Inderbir Padda, Samuel Casas-Espinosa, Matthew Fulton
Format: Article
Language:English
Published: Elsevier 2023-08-01
Series:Trauma Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352644023000948
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author Diana Martinez-Urrea
Aaron Bencomo
Elaine Song
Yashendra Sethi
Inderbir Padda
Samuel Casas-Espinosa
Matthew Fulton
author_facet Diana Martinez-Urrea
Aaron Bencomo
Elaine Song
Yashendra Sethi
Inderbir Padda
Samuel Casas-Espinosa
Matthew Fulton
author_sort Diana Martinez-Urrea
collection DOAJ
description Traumatic knee dislocation represents a rare event, contributing to less than 0.02 % of all orthopedic trauma and 0.05 % of joint dislocations, respectively. It is critically important to recognize, identify, and appropriately manage such cases as ‘time’ is implicated as an outcome-determining factor. Thus, such cases warrant quick consideration and appropriate management to mitigate the possibility of neurovascular damage and long-term sequelae. We report a case of a 59-year-old man struck by a motor vehicle in a remote rural community in northern Mexico managed with external fixation 16 h after the initial trauma, and later resulting in a supracondylar amputation. The authors of this case report underline the importance of timely intervention strategies when faced with such cases of knee dislocation and promote enhanced training of peripheral trauma-care providers to help improve patient outcomes.
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spelling doaj.art-375c5954b9b64d158120388281d67c022023-06-16T05:10:08ZengElsevierTrauma Case Reports2352-64402023-08-0146100846Immediate identification and management of an open posterior knee dislocation: Important lessons from a case reportDiana Martinez-Urrea0Aaron Bencomo1Elaine Song2Yashendra Sethi3Inderbir Padda4Samuel Casas-Espinosa5Matthew Fulton6Universidad de Monterrey, Department of Trauma, Monterrey, MexicoUniversidad de Monterrey, Department of Trauma, Monterrey, MexicoUniversidad de Monterrey, Department of Trauma, Monterrey, MexicoGovernment Doon Medical College, Department of Medicine and Surgery, Dehradun, IndiaRichmond University Medical Center, Department of Medicine, New York City, NY, United States of AmericaUniversidad de Monterrey, Department of Trauma, Monterrey, MexicoUniversidad de Monterrey, Department of Trauma, Monterrey, Mexico; Texas Tech University Health Sciences Center, Department of Emergency Medicine, El Paso, TX, United States of America; Richmond University Medical Center, Department of Medicine, New York City, NY, United States of America; Corresponding author at: Universidad de Monterrey, Monterrey, Mexico.Traumatic knee dislocation represents a rare event, contributing to less than 0.02 % of all orthopedic trauma and 0.05 % of joint dislocations, respectively. It is critically important to recognize, identify, and appropriately manage such cases as ‘time’ is implicated as an outcome-determining factor. Thus, such cases warrant quick consideration and appropriate management to mitigate the possibility of neurovascular damage and long-term sequelae. We report a case of a 59-year-old man struck by a motor vehicle in a remote rural community in northern Mexico managed with external fixation 16 h after the initial trauma, and later resulting in a supracondylar amputation. The authors of this case report underline the importance of timely intervention strategies when faced with such cases of knee dislocation and promote enhanced training of peripheral trauma-care providers to help improve patient outcomes.http://www.sciencedirect.com/science/article/pii/S2352644023000948Posterior knee dislocationOpen fractureMulti-ligament ruptureExternal fixatorVascular injury
spellingShingle Diana Martinez-Urrea
Aaron Bencomo
Elaine Song
Yashendra Sethi
Inderbir Padda
Samuel Casas-Espinosa
Matthew Fulton
Immediate identification and management of an open posterior knee dislocation: Important lessons from a case report
Trauma Case Reports
Posterior knee dislocation
Open fracture
Multi-ligament rupture
External fixator
Vascular injury
title Immediate identification and management of an open posterior knee dislocation: Important lessons from a case report
title_full Immediate identification and management of an open posterior knee dislocation: Important lessons from a case report
title_fullStr Immediate identification and management of an open posterior knee dislocation: Important lessons from a case report
title_full_unstemmed Immediate identification and management of an open posterior knee dislocation: Important lessons from a case report
title_short Immediate identification and management of an open posterior knee dislocation: Important lessons from a case report
title_sort immediate identification and management of an open posterior knee dislocation important lessons from a case report
topic Posterior knee dislocation
Open fracture
Multi-ligament rupture
External fixator
Vascular injury
url http://www.sciencedirect.com/science/article/pii/S2352644023000948
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