Traumatic dislocation of the knee joint

Traumatic Proximal Tibiofibular Dislocation

“…In that article, they [15][16][17][18][19][20][21][22] and a nerve recovery rate varying from 14% to 75% (average, 40%). Peskun 14 reported a 29% (26 of 91 dislocations) rate of peroneal nerve palsy, 31% of which recovered.…”

The Multiple Ligament–Injured Knee: Evaluation, Treatment, and Rehabilitation

“…1 Because neurovascular injuries were so frequently associated with knee dislocation, any outcome other than amputation was considered a success, even if the result was severe loss of motion or signifi cant residual laxity. [8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27] Studies addressing treatment protocols are compromised by being retrospective and by having small sample size, multiple treatment and rehabilitation protocols, and defi nitions of success that often fail to assess a patient's ability to return to high-demand activities such as athletics. 2 However, until recently, the treatment of traumatic knee dislocation generally consisted of closed reduction and cast or brace immobilization.…”

“…[91][92][93] Provided that normal perfusion and venous return have been reestablished, it is generally safe to perform the defi nitive ligamentous repair/reconstruction for MLKI within 10 to 14 days. 14,95,97 The results of cable grafting have not proven to be reliable. Isolated venous injury may also occasionally occur, but the incidence has not been defi ned.…”

Peroneal Nerve Dysfunction due to Multiligament Knee Injury

“…1 The incidence of associated neurologic dysfunction with MLI or knee dislocation is reported to range from 10% to 40% with a markedly wide discrepancy between series, but most reporting an incidence between 25% and 35%. [1][2][3][4][5][6][7][8][9][10] The common peroneal nerve is most commonly injured because of anatomic constraints on its ability to accommodate to traumatic changes in knee position both proximally at the fibular neck and distally at the intermuscular septum. 1,11,12 Posttraumatic peroneal nerve palsy portends substantial morbidity.…”