膝关节脱位

HongkongUniversityShenzhenHospitalTRAUMATICKNEEDISLOCATIONSHongkongUniversityShenzhenHospitalCase1M/25CompanymanCaraccidentGoodpasthealth，Nootherjointdislocation,NojointlaxityPE:Deformity，thepulse,sensation,movementofthefootisnormalNochestandabdomeninjuryHongkongUniversityShenzhenHospital07-15thX-RayHongkongUniversityShenzhenHospitalX-RayafterimmediateclosereductionHongkongUniversityShenzhenHospitalUltrasoundafterCRThearteriesandveinsoflowerlimbsarenormalHongkongUniversityShenzhenHospitalMRI(3dayspostreduction)HongkongUniversityShenzhenHospitalMCLrepair(23thJuly)HongkongUniversityShenzhenHospitalArthroscopicassistedarthrolysisduetostiffness(10-80degree)on24thSeptemberHongkongUniversityShenzhenHospitalRe-checkMRI(28thOct)HongkongUniversityShenzhenHospitalPE:Lachmantest(-)Anteriorandposteriordrawtest(+-)Step-offsign(+)Sagsign(+)ROM:5-120degreeHongkongUniversityShenzhenHospitalPCLReconstruction(4thNov)HongkongUniversityShenzhenHospitalCase217/MFallinginjuryHongkongUniversityShenzhenHospitalHongkongUniversityShenzhenHospitalBereceivedPLCreconstruction20thAprilHongkongUniversityShenzhenHospitalACL&PCLreconstructionHongkongUniversityShenzhenHospitalCase3M/42Behurtedbyafallingobject5monthsagoHongkongUniversityShenzhenHospitalRightACL&PCL&MCLruptureHongkongUniversityShenzhenHospitalHongkongUniversityShenzhenHospitalACL&PCLReconstructionHongkongUniversityShenzhenHospitalDiagnosisDeformityPainSwellingPaymoreattentiontothosecases:SpontaneousreductionbeforemedicalevaluationHongkongUniversityShenzhenHospitalCLASSIFICATIONopenorclosedhighvelocity,lowvelocity,orultralowvelocity;anterior,posterior,medial,lateral,orrotaryHongkongUniversityShenzhenHospitalSchneckclassificationHongkongUniversityShenzhenHospitalAssociatedInjuryVascularinjuryLigamentinjuryNerveinjuryFractureOsteochondralfractureMeniscaltearsHongkongUniversityShenzhenHospitalVascularinjuryThefirstpriorityintheassessmentandtreatmentoftraumaticdislocationsofthekneeis:ThevascularstatusAnkleBrachialPressureIndex(ABPI)HongkongUniversityShenzhenHospitalTreatmentAlgorithmforkneedislocationHongkongUniversityShenzhenHospitalTreatmentClosereductionandplasterimmobilization30to45degreesofkneeflexionImmediatesurgeryindications:arterialinjuries,openinjury,compartmentsyndromeHongkongUniversityShenzhenHospitalTreatmentLigamentrepairorreconstructionHongkongUniversityShenzhenHospitalRescultOperativetreatmenthasbeenshowntoproducebetterrangeofmotionandhigherfunctionalscoresthannonoperativetreatmentAllthepatientswhosufferedfromkneedislocationcannotfullyrecoveredHongkongUniversityShenzhenHospitalRehabilitationProtocolAfterMultipleLigamentReconstructionHongkongUniversityShenzhenHospital