What question did this study set out to answer?

To evaluate the clinical outcomes, complication rates, and functional recovery associated with traumatic open knee dislocations.

April 1, 1995Journal of Orthopaedic Trauma

Open Dislocation of the Knee

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Authors

DWDouglas G. WrightLouisiana State University Health Sciences Center Shreveport DCDana C. CoveyNaval Medical Center San Diego CBChristopher T. BornBrown University

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Implication

Retrospective study reveals poor functional recovery and high amputation rates in open knee dislocations, highlighting guarded limb survival despite emergent surgery.

Key Points

To evaluate the clinical outcomes, complication rates, and functional recovery associated with traumatic open knee dislocations.
Retrospective review of 18 patients presenting with 19 open knee dislocations treated over an 18-year period across two academic medical centers.
Assessed functional outcomes among salvaged extremities using the Hospital for Special Surgery Knee Injury Score at an average follow-up of 36 months.
Concomitant neurovascular injuries occurred in 47% (9/19) of cases, and 42% (8/19) experienced wound healing complications.
Emergency revascularization was performed for five popliteal or posterior tibial artery disruptions, succeeding in three extremities while two required above-knee amputations; overall, three above-knee amputations, one knee fusion, and one total knee arthroplasty were performed.
Among the 14 salvaged knees, function was fair to poor with an average Hospital for Special Surgery Knee Injury Score of 29 (range, 17 to 37).

Cite This Study

Wright et al. (1995) studied this question.

synapsesocial.com/papers/69da0c2b5e5bcb4e3b8385ca https://doi.org/10.1097/00005131-199504000-00008

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Implication

Retrospective study reveals poor functional recovery and high amputation rates in open knee dislocations, highlighting guarded limb survival despite emergent surgery.

Open Dislocation of the Knee

Discussion

Member takes

Implication

Key Points

Cite This Study

Open Dislocation of the Knee

Discussion

Member takes

Implication

Key Points

Cite This Study

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