Fatal Knee Dislocation in a Morbidly Obese Jehovah’s Witness. A Case Report

Streubel, Philipp N.; Arndt, S.; Armitage, Marshal S.; Wilson, Charles H.; Gladden, Paul B

doi:10.1007/s11695-008-9733-2

Cited by 11 publications

(8 citation statements)

References 9 publications

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“…Both patients sustained either a nerve or vascular injury. Streubel et al 41 reported a case of a morbidly obese patient who sustained a popliteal artery and vein transection after a spontaneous knee dislocation. After surgical repair, the patient deteriorated and died.…”

Section: Discussionmentioning

confidence: 99%

“…Recently, cases of obese patients sustaining knee dislocations from seemingly innocuous lowvelocity mechanisms have been reported. 1,7,8,13,30,41 Given the limb-threatening nature of these injuries and the challenges in diagnosis inherent to this particular subpopulation, ultra-low velocity (ULV) knee dislocations warrant further investigation to characterize the epidemiology, risk factors, and results of operative and nonoperative management. Complete knee dislocation is estimated to account for only 0.001% to 0.013% of all orthopaedic injuries, making it a relatively rare injury.…”

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confidence: 99%

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Ultra-Low Velocity Knee Dislocations

et al. 2013

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Ultra-Low Velocity Knee Dislocations

et al. 2013

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“…Kniegelenksluxationen sind seltene, aber schwerwiegende Verletzungen, die auch in extrem seltenen Fällen letal enden können [10]. Die 1.…”

Section: Postoperative Nachbehandlungunclassified

Atraumatische anteriore Kniegelenksluxation bei Pangonarthrose

et al. 2013

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Complete knee dislocation is a rare and severe injury and usually follows high-energy trauma. Non-traumatic knee dislocations are exceedingly rare, while severe overweight appears to be the main cause of the knee dislocation. We here report on a spontaneous knee dislocation in a patient with severe osteoarthritis of the left knee. A 68-year-old woman was admitted to our hospital for an elective total knee replacement. One year prior to admission, a planned joint replacement was not performed due to an existing ulcus cruris. After healing of the ulcus cruris, the patient presented with progressive pain and instability of the left knee without any trauma. The clinical examination showed a multidirectional instability of the left knee with a restricted range of motion (ROM) with 0-0-40 degrees for extension and flexion. The performed radiological examination revealed an anterior knee dislocation of the left knee. Intraoperative findings suggest a non-traumatic aetiology. We suspect that osteoarthritis of the left knee has caused the dislocation. Therefore, we recommend, even in usually "harmless" osteoarthritis, close clinical and radiological follow-up examinations to detect and treat possible complications.

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“…Using these methods, survival has been reported following high volume blood loss in JW patients including ruptured aortic dissection ( 3 ), splenic laceration ( 4 ), poly-trauma ( 5 , 6 ) and subtotal colectomy for bleeding ( 7 ). However, death following surgical interventions for traumatic injuries in JW patients has also been reported ( 8 , 9 ).…”

Section: Introductionmentioning

confidence: 99%

Hemoglobin-Based Oxygen Carrier for Traumatic Hemorrhagic Shock Treatment in a Jehovah’s Witness

Posluszny

Napolitano

2016

Arch Trauma Res

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Introduction:Treatment of severe hemorrhagic shock due to acute blood loss from traumatic injuries in a Jehovah’s witness (JW) trauma patient is very challenging since hemostatic blood product resuscitation is limited by refusal of the transfusion of allogeneic blood products.Case Presentation:We describe a multifaceted approach to the clinical care of a severely anemic JW trauma patient including the early administration of a bovine hemoglobin-based oxygen carrier (HBOC) as a bridge to resolution of critical anemia (nadir hemoglobin 3.9 g/dL). Hemoglobin-based oxygen carrier infusions were used to supplement oxygen delivery until endogenous erythropoiesis could restore adequate red blood cell mass. Subsequent endogenous bone marrow recovery was supported by early administration of high-dose erythropoiesis-stimulating agents and iron supplementation.Conclusions:Early HBOC administration can be used in the treatment of severe hemorrhagic shock in trauma patients who refuse allogeneic blood.

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Fatal Knee Dislocation in a Morbidly Obese Jehovah’s Witness. A Case Report

Cited by 11 publications

References 9 publications

Ultra-Low Velocity Knee Dislocations

Ultra-Low Velocity Knee Dislocations

Atraumatische anteriore Kniegelenksluxation bei Pangonarthrose

Hemoglobin-Based Oxygen Carrier for Traumatic Hemorrhagic Shock Treatment in a Jehovah’s Witness

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