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慢性膝关节后外侧及髌骨脱位:病例报告

A chronic posterolateral knee and patella dislocation: case report.

作者信息

Van Thiel Geoffrey S, Baker Champ L, Bush-Joseph Charles

机构信息

Department of Orthopaedic Surgery, Rush University Medical Center, 1725 W Harrison Street, Suite 1063, Chicago, IL 60612, USA.

出版信息

J Orthop Trauma. 2009 Aug;23(7):541-5. doi: 10.1097/BOT.0b013e3181a27e64.

Abstract

Knee dislocations are uncommon as isolated orthopaedic injuries, but their prevalence is increased in the setting of high-energy multiple trauma. In these circumstances, it is important for the orthopaedic clinician to recognize and appropriately treat the knee dislocation in parallel with other significant injuries. We report the case of an 18-year-old woman who was involved in a motor vehicle collision and sustained multiple injuries in addition to a posterolateral knee dislocation. An attempt at reduction was made in the initial trauma setting, and the patient was medically stabilized. She was discharged from the hospital in a splint with orthopaedic follow-up and presented 3 months after injury with an unreduced posterolateral dislocation. A single-stage operation was performed with reduction and stabilization of the knee. Postoperatively, the patient has done well and regained significant range of motion.

摘要

膝关节脱位作为孤立的骨科损伤并不常见,但在高能多发伤情况下其发生率会增加。在这些情况下,骨科临床医生在处理其他严重损伤的同时,识别并妥善治疗膝关节脱位非常重要。我们报告一例18岁女性患者,她在机动车碰撞事故中受伤,除了膝关节后外侧脱位外还受到多处损伤。在初始创伤环境中尝试进行了复位,并使患者病情得到医学稳定。她出院时戴着夹板,接受骨科随访,受伤3个月后因后外侧脱位未复位前来就诊。进行了一期手术,对膝关节进行复位和固定。术后,患者恢复良好,膝关节活动范围显著恢复。

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