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The e-mémoires of the Académie Nationale de Chirurgie

Knee dislocation

VERSIER G | NEYRET P | AIT SI SELMI T

Seance of wednesday 19 october 2005 (VOIES DE PROGRES EN CHIRURGIE ORTHOPEDIQUE)

Abstract

Knee dislocation is a surgical challenge for all surgeons. The treatmentof these lesions associates the difficulty of both cruciate ligamentssurgery. It is necessary to understand injury mechanism toknow associated lesions and propose a consensual surgical treatment.Healing soft tissue is the rule, particularly when articularrotational center takes a good place after correction of posteriortibial translation. Functional outcome is satisfactory for patientswho have resigned themselves to give up high-demand sports.Diagnosis of vascular trauma, and an appropriate reduction andimmobilization are essential. Surgical procedure must be performedafter testing under anaesthesia and angio-MRI.