Kapil Mani K C, Dirgha Raj R C, Parimal Acharya, Ram Pangeni Bandhu
Department of Orthopaedics, Civil Service Hospital, Kathmandu, Nepal.
Malays Orthop J. 2016 Nov;10(3):56-57. doi: 10.5704/MOJ.1611.011.
Old neglected dislocation of knee joint is a rare injury. Any orthopaedic surgeon would have faced only a few cases of unreduced neglected dislocation in his life time practice. We report the case of a 30-year old male patient with one month old unreduced knee dislocation which was managed with open reduction and stabilization with two intra-articular crossed Steinman pins for six weeks, followed by removal of the pins and gradual weight bearing in hinged knee brace. At the end of one year, range of movement of knee joint was 0 to 50 degree with minimal knee pain on walking.
陈旧性膝关节脱位是一种罕见的损伤。任何骨科医生在其职业生涯中可能仅遇到过几例未复位的陈旧性脱位病例。我们报告了一例30岁男性患者,其膝关节脱位一个月未复位,采用切开复位并用两根关节内交叉斯氏针固定六周,随后取出钢针并在带铰链的膝关节支具辅助下逐渐负重。一年后,膝关节活动范围为0至50度,行走时膝关节疼痛轻微。