Kolosky Michael, Spindler Kurt P
Department of Orthopaedic Surgery, Cleveland Clinic-South Pointe, Warrensville Heights, OH (Dr. Kolosky); the Department of Orthopaedic Surgery (Dr. Spindler), Cleveland Clinic; and the Cleveland Clinic Sports Health (Dr. Spindler), Cleveland Clinic, Cleveland, OH.
J Am Acad Orthop Surg Glob Res Rev. 2018 Nov 2;2(11):e073. doi: 10.5435/JAAOSGlobal-D-18-00073. eCollection 2018 Nov.
Traumatic knee dislocations are thought to be relatively uncommon; however, they are a devastating injury that can be life altering. A concomitant vascular injury carries a particularly high morbidity rate, with some studies reporting as many as one in five patients losing a limb. Neurologic injury can pose problems as well, in particular for athlete populations that have structure and function as integral parts of their activities. This case study looks at the journey of an elite-level football player (NCAA Division I Pac-12 conference) who sustained a traumatic knee dislocation with vascular and neurologic injury and, eventually, his return to play. The study analyzes the treatment and management course, his ultimate performance after injury, and potential benefits in aiding the management of future knee dislocation with vascular and neurologic injuries.
创伤性膝关节脱位被认为相对不常见；然而，它们是一种极具破坏性的损伤，可能改变人生。同时发生的血管损伤发病率特别高，一些研究报告称，多达五分之一的患者会失去肢体。神经损伤也会带来问题，特别是对于那些将身体结构和功能视为活动不可或缺部分的运动员群体。本案例研究关注一名精英级足球运动员（美国大学体育总会一级太平洋十二校联盟）的经历，他遭受了伴有血管和神经损伤的创伤性膝关节脱位，最终重返赛场。该研究分析了治疗和管理过程、他受伤后的最终表现，以及对未来伴有血管和神经损伤的膝关节脱位管理可能带来的益处。
