Drop Foot After Knee Dislocation

Cush, Gerard J.; Irgıt, Kaan

doi:10.1097/jsa.0b013e3182191897

Cited by 42 publications

(12 citation statements)

References 61 publications

(68 reference statements)

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“…The complication of foot drop has been shown to be an association with knee dislocation and ligaments' injures and knee arthroplasty surgery [29, 30]. …”

Section: Discussionmentioning

confidence: 99%

Risk Factors for In-Hospital Complications of Fall-Related Fractures among Older Chinese: A Retrospective Study

Yuan

Wang

et al. 2016

BioMed Research International

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Purpose. The aim of this study was to investigate the risk factors and the efficacy of the preventive measurements for the in-hospital complications of fall-related fractures. Methods. The data on older Chinese patients with fall-related fractures were collected, including information on the patients, diseases, and preventive measurements. The potential risk factors for the in-hospital complications included health status on admission, comorbidity, fractures, preventive measures of the complications, and drugs use for the comorbidity. After univariate analyses, multivariate logistic regression analyses were applied to investigate the impact of the potential risk factors on the number of the complications and each individual complication, respectively, and the efficacy of the preventive measurements. Results. A total of 525 male and 1367 female were included in this study. After univariate analyses, multiple logistic regression showed that dementia, pneumonia, antidepressant, postural hypotension, and cerebral infarction could increase the incidence and number of comorbidities. Meanwhile, dementia has shown the strongest association with each individual complication. Conclusions. Different combinations of comorbidity, medication use, and preventive measurements were related to the in-hospital complications of fall-related fractures. Dementia emerged as the most important risk factor for these complications, while most of the preventive measurements could not reduce their incidences.

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“…The complication of foot drop has been shown to be an association with knee dislocation and ligaments' injures and knee arthroplasty surgery [29, 30]. …”

Section: Discussionmentioning

confidence: 99%

Risk Factors for In-Hospital Complications of Fall-Related Fractures among Older Chinese: A Retrospective Study

Yuan

Wang

et al. 2016

BioMed Research International

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“… 21 The initial assessment of the nerve injury was performed according to clinical manifestations (complete or deficient sensory distribution and/or motor skills) and, if doubt persisted, by electromyography in the medium term. 6 , 23 These examinations were repeated under general anesthesia before surgery. Before open reduction, conventional knee arthroscopic surgery was performed to inspect intra-articular conditions, and arthroscopic reduction of interposed tissue was attempted ( Figure 3 ).…”

Section: Methodsmentioning

confidence: 99%

The Effect of Irreducible Dislocation on Functional Outcomes in Knees With Multiligament Injuries: A Matched-Cohort Analysis

Zhong

Zhang

Mao

et al. 2020

Orthopaedic Journal of Sports Medicine

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Background: Most cases of bicruciate knee dislocation (KD) with associated posteromedial disruption (KD-IIIM) are reducible, but some cannot be reduced by closed reduction because of soft tissue incarceration. Purpose: To compare the clinical characteristics and functional outcomes of KD-IIIM injuries in patients with or without incarceration of soft tissue requiring open or arthroscopic reduction. Study Design: Cohort study; Level of evidence, 3. Methods: This retrospective cohort study of patients with KD was conducted between January 2013 and December 2017 at a single large institution. We applied a 1:2 matching ratio between patients with irreducible KD-IIIM injuries (irreducible group; n = 14) and those with reducible KD-IIIM injuries (control group; n = 28). There were 13 patients in the irreducible group and 25 in the control group who completed follow-up (≥2 years) and were included in our analysis. The efficacy of treatment in patients with KD was evaluated based on range of motion, the Tegner score, the Lysholm score, and the International Knee Documentation Committee (IKDC) score. Results: At the end of follow-up, the mean Tegner score was 4.5 (range, 4-6), the mean Lysholm score was 79.2 (range, 60-95), and the mean IKDC score was 78.6 (range, 60.9-95.4) in the irreducible group. The respective results in the control group were 4.6 (range, 3-8), 83.1 (range, 39-100), and 80.6 (range, 42.5-96.6). These scores did not differ significantly between the 2 groups. Similarly, mean range of motion was similar between groups (irreducible, 118.1°; control, 124.8°). In the irreducible group, the acute subgroup showed significantly higher Lysholm and IKDC scores than the chronic subgroup, while the acute and chronic subgroups in the control group showed no significant differences in these respective outcome scores. Conclusion: In the present study, the treatment of irreducible KD led to similar functional outcomes compared with reducible KD. However, the treatment of chronic irreducible KD led to worse outcomes compared with acute irreducible KD, and therefore, urgent reduction is recommended in these patients.

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“…For persistent nerve damage, surgery is the treatment of choice as it results in better functional outcomes. 9 , 15 Neurolysis, primary nerve repair, nerve grafting, and posterior tibialis tendon transfer have all been used by surgeons as viable surgical treatment options. Our preference is for exploration and neurolysis of the peroneal nerve at the time of planned ligament reconstruction.…”

Section: Neurological Evaluation and Treatment In The Dislocated Kneementioning

confidence: 99%

Knee Dislocations

Schenck

Richter

Wascher

2014

Orthopaedic Journal of Sports Medicine

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Background:Traumatic knee dislocation is becoming more prevalent because of improved recognition and increased exposure to high-energy trauma, but long-term results are lacking.Purpose:To present 2 cases with minimum 20-year follow-up and a review of the literature to illustrate some of the fundamental principles in the management of the dislocated knee.Study Design:Review and case reports.Methods:Two patients with knee dislocations who underwent multiligamentous knee reconstruction were reviewed, with a minimum 20-year follow-up. These patients were brought back for a clinical evaluation using both subjective and objective measures. Subjective measures include the following scales: Lysholm, Tegner activity, visual analog scale (VAS), Short Form–36 (SF-36), International Knee Documentation Committee (IKDC), and a psychosocial questionnaire. Objective measures included ligamentous examination, radiographic evaluation (including Telos stress radiographs), and physical therapy assessment of function and stability.Results:The mean follow-up was 22 years. One patient had a vascular injury requiring repair prior to ligament reconstruction. The average assessment scores were as follows: SF-36 physical health, 52; SF-36 mental health, 59; Lysholm, 92; IKDC, 86.5; VAS involved, 10.5 mm; and VAS uninvolved, 2.5 mm. Both patients had excellent stability and were functioning at high levels of activity for their age (eg, hiking, skydiving). Both patients had radiographic signs of arthritis, which lowered 1 subject’s IKDC score to “C.”Conclusion:Knee dislocations have rare long-term excellent results, and most intermediate-term studies show fair to good functional results. By following fundamental principles in the management of a dislocated knee, patients can be given the opportunity to function at high levels. Hopefully, continued advances in the evaluation and treatment of knee dislocations will improve the long-term outcomes for these patients in the future.

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Drop Foot After Knee Dislocation

Cited by 42 publications

References 61 publications

Risk Factors for In-Hospital Complications of Fall-Related Fractures among Older Chinese: A Retrospective Study

Risk Factors for In-Hospital Complications of Fall-Related Fractures among Older Chinese: A Retrospective Study

The Effect of Irreducible Dislocation on Functional Outcomes in Knees With Multiligament Injuries: A Matched-Cohort Analysis

Knee Dislocations

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