Reconstruction technique of multiligamentous knee injury in a patient with traumatic transtibial amputation

Multiligamentary knee injuries associated with transtibial amputation is a pathologie with a low incidence, so their diagnosis and treatment represent a great challenge for the medical team, mainly due to the low rate of scientific publications on the matter. This article intends to present the trea...

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Main Authors: Mario Holgado Fernández, Carlos Galindo Rubín, Rebeca García Barcenilla, Gustavo Gutierrez Castanedo, Sara García Gonzalez, Pablo Pernía Gómez, Pedro Muñiz Zatón, Pablo Galindo Rubín
Format: Article
Language:English
Published: Elsevier 2023-12-01
Series:Trauma Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352644023001887
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author Mario Holgado Fernández
Carlos Galindo Rubín
Rebeca García Barcenilla
Gustavo Gutierrez Castanedo
Sara García Gonzalez
Pablo Pernía Gómez
Pedro Muñiz Zatón
Pablo Galindo Rubín
author_facet Mario Holgado Fernández
Carlos Galindo Rubín
Rebeca García Barcenilla
Gustavo Gutierrez Castanedo
Sara García Gonzalez
Pablo Pernía Gómez
Pedro Muñiz Zatón
Pablo Galindo Rubín
author_sort Mario Holgado Fernández
collection DOAJ
description Multiligamentary knee injuries associated with transtibial amputation is a pathologie with a low incidence, so their diagnosis and treatment represent a great challenge for the medical team, mainly due to the low rate of scientific publications on the matter. This article intends to present the treatment of a really infrequent pathology, presenting the clinical case of a polytraumatized patient who suffered a left transtibial amputation associated with a multiligament knee injury with dislocation of the proximal tibiofibular joint.After analyzing the multiple therapeutic options, a specific surgical planning is carried out for the specific case of a multiligament knee injury associated with an ipsilateral transtibial amputation, proceeding to the execution of the reconstruction of the injury with good results. For this, several specific surgical gestures are carried out, adapted to the patient's condition, which will facilitate the surgery and are explained in the surgical technique. In conclusion, we must know that in order to obtain satisfactory results in these patients, it is important to carry out an early diagnosis and treatment of the injury, analyzing the proximal tibiofibular stability and providing adequate stability through the execution of a precise surgical technique.
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spelling doaj.art-cef22e9ca7de43c69b321f2f816fa0022023-12-04T05:23:16ZengElsevierTrauma Case Reports2352-64402023-12-0148100941Reconstruction technique of multiligamentous knee injury in a patient with traumatic transtibial amputationMario Holgado Fernández0Carlos Galindo Rubín1Rebeca García Barcenilla2Gustavo Gutierrez Castanedo3Sara García Gonzalez4Pablo Pernía Gómez5Pedro Muñiz Zatón6Pablo Galindo Rubín7Corresponding author.; Hospital Universitario Marqués de Valdecilla, Avda. Valdecilla 25, 39.008 Santander, Cantabria, SpainHospital Universitario Marqués de Valdecilla, Avda. Valdecilla 25, 39.008 Santander, Cantabria, SpainHospital Universitario Marqués de Valdecilla, Avda. Valdecilla 25, 39.008 Santander, Cantabria, SpainHospital Universitario Marqués de Valdecilla, Avda. Valdecilla 25, 39.008 Santander, Cantabria, SpainHospital Universitario Marqués de Valdecilla, Avda. Valdecilla 25, 39.008 Santander, Cantabria, SpainHospital Universitario Marqués de Valdecilla, Avda. Valdecilla 25, 39.008 Santander, Cantabria, SpainHospital Universitario Marqués de Valdecilla, Avda. Valdecilla 25, 39.008 Santander, Cantabria, SpainHospital Universitario Marqués de Valdecilla, Avda. Valdecilla 25, 39.008 Santander, Cantabria, SpainMultiligamentary knee injuries associated with transtibial amputation is a pathologie with a low incidence, so their diagnosis and treatment represent a great challenge for the medical team, mainly due to the low rate of scientific publications on the matter. This article intends to present the treatment of a really infrequent pathology, presenting the clinical case of a polytraumatized patient who suffered a left transtibial amputation associated with a multiligament knee injury with dislocation of the proximal tibiofibular joint.After analyzing the multiple therapeutic options, a specific surgical planning is carried out for the specific case of a multiligament knee injury associated with an ipsilateral transtibial amputation, proceeding to the execution of the reconstruction of the injury with good results. For this, several specific surgical gestures are carried out, adapted to the patient's condition, which will facilitate the surgery and are explained in the surgical technique. In conclusion, we must know that in order to obtain satisfactory results in these patients, it is important to carry out an early diagnosis and treatment of the injury, analyzing the proximal tibiofibular stability and providing adequate stability through the execution of a precise surgical technique.http://www.sciencedirect.com/science/article/pii/S2352644023001887Reconstruction techniqueMultiligamentous knee injuryTraumaticAmputation
spellingShingle Mario Holgado Fernández
Carlos Galindo Rubín
Rebeca García Barcenilla
Gustavo Gutierrez Castanedo
Sara García Gonzalez
Pablo Pernía Gómez
Pedro Muñiz Zatón
Pablo Galindo Rubín
Reconstruction technique of multiligamentous knee injury in a patient with traumatic transtibial amputation
Trauma Case Reports
Reconstruction technique
Multiligamentous knee injury
Traumatic
Amputation
title Reconstruction technique of multiligamentous knee injury in a patient with traumatic transtibial amputation
title_full Reconstruction technique of multiligamentous knee injury in a patient with traumatic transtibial amputation
title_fullStr Reconstruction technique of multiligamentous knee injury in a patient with traumatic transtibial amputation
title_full_unstemmed Reconstruction technique of multiligamentous knee injury in a patient with traumatic transtibial amputation
title_short Reconstruction technique of multiligamentous knee injury in a patient with traumatic transtibial amputation
title_sort reconstruction technique of multiligamentous knee injury in a patient with traumatic transtibial amputation
topic Reconstruction technique
Multiligamentous knee injury
Traumatic
Amputation
url http://www.sciencedirect.com/science/article/pii/S2352644023001887
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