AI Article Synopsis
- A 62-year-old man suffered a knee dislocation from a motorcycle accident, initially treated without surgery but later faced complications due to noncompliance and health issues.
- A multiplanar knee-spanning external fixator and patellar tendon repair were utilized as effective treatments, avoiding the need for ligament reconstruction.
- This approach resulted in a stable, functional knee with minimal pain for the patient.
Article Abstract
Case: A 62-year-old man presented with a posterolateral knee dislocation sustained in a motorcycle collision initially managed nonsurgically. His treatment was complicated by recurrent dislocation from noncompliance with bracing and weight-bearing restrictions and by comorbidities including peripheral artery disease, type 2 diabetes, and heavy smoking and drinking. He was treated with a multiplanar knee-spanning external fixator and patellar tendon repair without further ligamentous reconstruction. This treatment provided a stable, functional knee with minimal pain.
Conclusions: In this complex, noncompliant patient with a subacute knee dislocation, knee-spanning biplanar external fixation and patellar tendon repair without ligament reconstruction were crucial in achieving a satisfactory outcome.
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| http://dx.doi.org/10.2106/JBJS.CC.18.00258 | DOI Listing |
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