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. 2022 Jan:90:106745.
doi: 10.1016/j.ijscr.2021.106745. Epub 2021 Dec 30.

Two years neglected knee dislocation: An unusual case report

Hatim Garnaoui  1 , Mohamed Ali Trafeh  2 , Charafeddine El Kassimi  2 , Abderrahim Rafaoui  2 , Mohamed Rahmi  2 , Abdelhak Garch  2
Affiliations

Two years neglected knee dislocation: An unusual case report

Hatim Garnaoui et al. Int J Surg Case Rep. 2022 Jan.

Abstract

Introduction: Traumatic dislocation of the knee is a rare and severe injury, often caused by a severe trauma. Neglected knee dislocations are much more uncommon and treatment options are not clearly described.

Presentation of case: We reported the case of a 26-year-old man with two years neglected knee dislocation which was managed with open reduction and stabilization with external fixation and intra-articular Steinman pins for six weeks.

Discussion and conclusion: Knee dislocations are rare injuries that can be underestimated during the emergency assessment, particularly in the absence of neurovascular injuries, which usually lead to surgical treatment, or the presence of severe trauma that disguises dislocation as the case for our patient. Only a high clinical suspicion can avoid neglecting the more severe joint injury.

Keywords: Knee; Neglected dislocation; Open reduction; Results.

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Conflict of interest statement

The authors declare having no conflicts of interest for this article.

Figures

Fig. 1
Fig. 1
Clinical picture showing the deformity of the knee.
Fig. 2
Fig. 2
Preoperative knee radiographs showing a posterior knee dislocation with a bone callus on the proximal third of the tibial shaft.
Fig. 3
Fig. 3
Computed tomography angiography showing normal arterial blood flow.
Fig. 4
Fig. 4
Intraoperative images showing reduction of joint.
Fig. 5
Fig. 5
Knee radiographs showing reduction of joint and fixation with orthofix external fixator and an intra-articular Steinman pin.
See this image and copyright information in PMC

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