2006
DOI: 10.1097/00005131-200603000-00009
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Simultaneous Ipsilateral Posterior Knee and Hip Dislocations

Abstract: In isolation, dislocations of the hip and knee require emergent reduction to minimize the risks of serious complications, including vascular and neurologic injury, osteonecrosis of the femoral head, and loss of motion and function. With simultaneous dislocation of the ipsilateral hip and knee, as in the situation of hip dislocation with concomitant femoral shaft fracture, reduction of the hip may prove difficult because of the inability to control the femoral segment. In this setting, general anesthesia is com… Show more

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Cited by 14 publications
(6 citation statements)
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“… 1 , 11 Four patients including our case had common peroneal nerve fallout. 2 , 7 , 12 Three patients ultimately recovered, but in our case recovery was only partial. Cornwall and Radomisli 18 reported a 10% incidence of nerve complication following traumatic hip dislocation.…”
Section: Discussionmentioning
confidence: 47%
“… 1 , 11 Four patients including our case had common peroneal nerve fallout. 2 , 7 , 12 Three patients ultimately recovered, but in our case recovery was only partial. Cornwall and Radomisli 18 reported a 10% incidence of nerve complication following traumatic hip dislocation.…”
Section: Discussionmentioning
confidence: 47%
“…DuBois et al recently reported a case of ipsilateral hip and knee dislocations that required the use of general anesthesia and insertion of Schanz pins in the femur to assist in the reduction of the hip [7]. In our case, the hip was easily reduced after the patient was intubated with the hip and knee in the 90/90 flexed position with an assistant stabilizing the knee.…”
Section: Discussionmentioning
confidence: 76%
“…Bilateral traumatic knee dislocations are even rarer, and there are few reports in the literature [5, 6]. Cases of ipsilateral knee and hip dislocations have also been described [710]. Knee dislocations are associated with a host of morbidities, including multiligamentous instability, popliteal artery injury, peroneal nerve palsy, loss of motion, amputation, and intraarticular pathology such as meniscus and cartilage damage [1, 6, 11–16].…”
Section: Introductionmentioning
confidence: 99%
“…Most cases can be treated with closed reduction; however, open reduction may be indicated most commonly in cases involving vascular injury, compartment syndrome, adjacent fracture, nonconcentric reduction, or irreducible dislocation 1,2,[4][5][6][7] . Simultaneous ipsilateral hip and knee dislocations, and isolated inferior dislocation of the hip (luxatio erecta femoris), are both rare injuries that present an increased risk for complications [8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25] . A review of the world literature identified only 19 previous cases of simultaneous ipsilateral hip and knee dislocations, only 3 of which involved luxatio erecta femoris, but none in which the femoral head was incarcerated.…”
mentioning
confidence: 99%