This Article
Right arrow Full Text (PDF)
Right arrow Letters to the Editor: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Letters to the Editor are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowReprints and Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by MEYERS, M. H.
Right arrow Articles by HARVEY, J. P.
Right arrow Search for Related Content
PubMed
Right arrow Articles by MEYERS, M. H.
Right arrow Articles by HARVEY, J. P., JR.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Technorati  
What's this?
Journal of Bone and Joint Surgery, 1971;53:16-29.
© 1971 by The Journal of Bone and Joint Surgery, Inc

Traumatic Dislocation of the Knee Joint

A STUDY OF EIGHTEEN CASES

MARVIN H. MEYERS M.D.1 and J. PAUL HARVEY JR. M.D.1

1 From the Department of Surgery-Orthopedics, University of Southern California School of Medicine and Los Angeles County General Hospital, Los Angeles

Eighteen traumatic dislocations of the knee treated at the Los Angeles County-University of Southern California Medical Center in recent years have been analyzed.

The findings in this series differ from those in some of the studies reported in the literature. No one individual has had enough experience to make definitive statements concerning the treatment of this injury. In our series, all of the knees, except one with massive scarring, that did not undergo surgical repair of all torn ligaments were unstable and symptomatic at follow-up.

The following plan of treatment is suggested:

1. Immediate closed reduction and examination of the knee for stability under anesthesia;

2. Early operative repair of all torn ligaments, including the posterior cruciate ligament and all capsular tears, especially the posterior capsule—the importance of the latter as a stabilizing component of the knee is emphasized;

3. Careful monitoring of the vascular status of the leg is imperative;

4. Arteriography followed by early explorations of the popliteal vessels, if there is any doubt as to the adequacy of the circulation, is maisdatory if amputation is to be avoided;

5. Immobilization in a plaster cast for at least six weeks after operation with supported weight-bearing for an additional six weeks is recommended.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Technorati Technorati    What's this?


This article has been cited by other articles:


Home page
 J Am Acad Orthop SurgHome page
J. A. Rihn, P. S. Cha, Y. J. Groff, and C. D. Harner
The Acutely Dislocated Knee: Evaluation and Management
J. Am. Acad. Ortho. Surg., September 1, 2004; 12(5): 334 - 346.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
C. D. Harner, R. L. Waltrip, C. H. Bennett, K. A. Francis, B. Cole, and J. J. Irrgang
Surgical Management of Knee Dislocations
J. Bone Joint Surg. Am., February 1, 2004; 86(2): 262 - 273.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
M. Richter, U. Bosch, B. Wippermann, A. Hofmann, and C. Krettek
Comparison of Surgical Repair or Reconstruction of the Cruciate Ligaments versus Nonsurgical Treatment in Patients with Traumatic Knee Dislocations
Am. J. Sports Med., September 1, 2002; 30(5): 718 - 727.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
D. C. Wascher, J. R. Becker, J. G. Dexter, and F. T. Blevins
Reconstruction of the Anterior and Posterior Cruciate Ligaments After Knee Dislocation : Results Using Fresh-Frozen Nonirradiated Allografts
Am. J. Sports Med., March 1, 1999; 27(2): 189 - 196.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
F. R. Noyes and S. D. Barber-Westin
Reconstruction of the Anterior and Posterior Cruciate Ligaments After Knee Dislocation: Use of Early Protected Postoperative Motion to Decrease Arthrofibrosis
Am. J. Sports Med., December 1, 1997; 25(6): 769 - 778.
[Abstract] [PDF]

Home page
 Am J Sports MedHome page
M. S. Shapiro and E. L. Freedman
Allograft Reconstruction of the Anterior and Posterior Cruciate Ligaments After Traumatic Knee Dislocation
Am. J. Sports Med., September 1, 1995; 23(5): 580 - 587.
[Abstract] [PDF]

Home page
 Am J Sports MedHome page
J. C. DeLee, M. B. Riley, and C. A. Rockwood JR
Acute straight lateral instability of the knee
Am. J. Sports Med., December 1, 1983; 11(6): 404 - 411.
[Abstract] [PDF]