Skip to main content
Erschienen in: Archives of Orthopaedic and Trauma Surgery 11/2008

01.11.2008 | Trauma Surgery

A new hinged dynamic distractor, for immediate mobilization after knee dislocations: Technical note

verfasst von: Stefano Zaffagnini, Francesco Iacono, Mirco Lo Presti, Alessandro Di Martino, Stavros Chochlidakis, Daniel J. Elkin, Giovanni Giordano, Maurilio Marcacci

Erschienen in: Archives of Orthopaedic and Trauma Surgery | Ausgabe 11/2008

Einloggen, um Zugang zu erhalten

Abstract

Knee dislocation is always a difficult topic mainly with regard to the structures that have been damaged and the best treatment option. The purpose of this study is to describe a new dynamic external fixator (EF) to be applied after knee dislocation, in combination with posterior cruciate ligament (PCL) reconstruction. This approach permits an immediate postoperative mobilization of the joint, with the possibility to perform a delayed ACL reconstruction and eventually reducing the complication rate related to multiple ligament surgery
Literatur
1.
Zurück zum Zitat Kennedy JC (1963) Complete dislocation of the knee joint. J Bone joint Surg Am 45:889–904PubMed Kennedy JC (1963) Complete dislocation of the knee joint. J Bone joint Surg Am 45:889–904PubMed
2.
Zurück zum Zitat Montgomery TJ, Savoie FH, Whilte JL (1995) Orthopaedic management of knee dislocations: comparison of surgical reconstruction and immobilization. J Knee Surg 8:97–103 Montgomery TJ, Savoie FH, Whilte JL (1995) Orthopaedic management of knee dislocations: comparison of surgical reconstruction and immobilization. J Knee Surg 8:97–103
3.
Zurück zum Zitat Richter M, Bosch U, Wipperman B, Hofmann A, Krettek C (2002) Comparison of surgical repair or reconstruction of the cruciate ligaments versus nonsurgical treatment in patients with traumatic knee dislocations. Am J Sports Med 30:718–727PubMed Richter M, Bosch U, Wipperman B, Hofmann A, Krettek C (2002) Comparison of surgical repair or reconstruction of the cruciate ligaments versus nonsurgical treatment in patients with traumatic knee dislocations. Am J Sports Med 30:718–727PubMed
4.
Zurück zum Zitat Stayner LR, Coen MJ (2000) Historic perspectives of treatment algorithms in knee dislocation. Clin Sports Med 19:399–413PubMedCrossRef Stayner LR, Coen MJ (2000) Historic perspectives of treatment algorithms in knee dislocation. Clin Sports Med 19:399–413PubMedCrossRef
5.
Zurück zum Zitat Kim SJ, Park IS, Cheon YM, Ryu SW (2004) New technique for chronic posterolateral instability of the knee: posterolateral reconstruction using the tibialis posterior tendon allograft. Arthroscopy 20:195–200PubMedCrossRef Kim SJ, Park IS, Cheon YM, Ryu SW (2004) New technique for chronic posterolateral instability of the knee: posterolateral reconstruction using the tibialis posterior tendon allograft. Arthroscopy 20:195–200PubMedCrossRef
6.
Zurück zum Zitat Noyes FR, Barber-Westin SD (1996) Treatment of complex injuries involving the posterior cruciate and posterolateral ligaments of the knee. Am J Sports Med 24:35–45PubMedCrossRef Noyes FR, Barber-Westin SD (1996) Treatment of complex injuries involving the posterior cruciate and posterolateral ligaments of the knee. Am J Sports Med 24:35–45PubMedCrossRef
7.
Zurück zum Zitat Simmonian PT, Wickiewicz TL, Hotchkiss RN, Waren RF (1998) Cronic knee dislocation, reduction reconstruction and application of a skeletally fixed knee hinge. Am J Sports Med 26:591–597 Simmonian PT, Wickiewicz TL, Hotchkiss RN, Waren RF (1998) Cronic knee dislocation, reduction reconstruction and application of a skeletally fixed knee hinge. Am J Sports Med 26:591–597
8.
Zurück zum Zitat James P, Todd M, McGwin G, Volgas DA, Alonso J (2003) Use of a hinged external knee fixator after surgery for knee dislocation. Arthroscopy 19(6):626–631 James P, Todd M, McGwin G, Volgas DA, Alonso J (2003) Use of a hinged external knee fixator after surgery for knee dislocation. Arthroscopy 19(6):626–631
9.
Zurück zum Zitat Fanelli GC, Edson CJ (2004) Combined posterior cruciate ligament-posterolateral reconstruction with Achilles tendon allograft and biceps femoris tenodesis: 2- to10-year follow-up. Arthroscopy 20:339–345PubMedCrossRef Fanelli GC, Edson CJ (2004) Combined posterior cruciate ligament-posterolateral reconstruction with Achilles tendon allograft and biceps femoris tenodesis: 2- to10-year follow-up. Arthroscopy 20:339–345PubMedCrossRef
10.
Zurück zum Zitat Harner CD, Waltrip RL, Bennet CH, Francis KA, Cole B (2004) Surgical management of the knee dislocations. J Bone Joint Surg Am 86:262–273PubMed Harner CD, Waltrip RL, Bennet CH, Francis KA, Cole B (2004) Surgical management of the knee dislocations. J Bone Joint Surg Am 86:262–273PubMed
11.
Zurück zum Zitat Rios A, Villa A, Fahandezh H, deJose C, Vaquero J (2003) Results after treatment of traumatic knee dislocations: a report of 26 cases. J Trauma 55:489–494PubMedCrossRef Rios A, Villa A, Fahandezh H, deJose C, Vaquero J (2003) Results after treatment of traumatic knee dislocations: a report of 26 cases. J Trauma 55:489–494PubMedCrossRef
12.
Zurück zum Zitat Shelbourne KD, Davis TJ, Patel DV (1999) The natural history of acute, isolated nonoperatively treated posterior cruciate ligament injuries: a prospective study. Am J Sports Med 27:276–283PubMed Shelbourne KD, Davis TJ, Patel DV (1999) The natural history of acute, isolated nonoperatively treated posterior cruciate ligament injuries: a prospective study. Am J Sports Med 27:276–283PubMed
13.
Zurück zum Zitat Shelbourne KD, Wilckens JH, Mollabashy A, DeCarlo MS (1991) Arthrofibrosis in acute anterior cruciate ligament reconstruction: the effect of timing of reconstruction and rehabilitation. Am J Sports Med 19:332–336PubMedCrossRef Shelbourne KD, Wilckens JH, Mollabashy A, DeCarlo MS (1991) Arthrofibrosis in acute anterior cruciate ligament reconstruction: the effect of timing of reconstruction and rehabilitation. Am J Sports Med 19:332–336PubMedCrossRef
14.
Zurück zum Zitat Wong CH, Tan JL, Chang HC, Low CO (2004) Knee dislocations- a retrospective study comparing operative versus closed immobilization treatment outcomes. Knee Surg Sports Traumatol Arthrosc 12:540–544PubMedCrossRef Wong CH, Tan JL, Chang HC, Low CO (2004) Knee dislocations- a retrospective study comparing operative versus closed immobilization treatment outcomes. Knee Surg Sports Traumatol Arthrosc 12:540–544PubMedCrossRef
15.
Zurück zum Zitat Liow RYL, McNicholas MJ, Keating JF, Nutton RW (2003) Ligament repair and reconstruction in traumatic dislocation of the knee. J Bone Joint Surg Br 85-B:845–851 Liow RYL, McNicholas MJ, Keating JF, Nutton RW (2003) Ligament repair and reconstruction in traumatic dislocation of the knee. J Bone Joint Surg Br 85-B:845–851
16.
Zurück zum Zitat Taylor AR, Arden GP, Rainey HA (1972) Traumatic dislocation of the knee. A report of forty-three cases with special reference to conservative treatment. J Bone Joint Surg Br 54:96–102PubMed Taylor AR, Arden GP, Rainey HA (1972) Traumatic dislocation of the knee. A report of forty-three cases with special reference to conservative treatment. J Bone Joint Surg Br 54:96–102PubMed
17.
Zurück zum Zitat Shelbourne KD, Haro MS, Tinker G (2007) Knee dislocation with lateral side injury: results of an en masse surgical repair technique of the lateral side Am. J Sports Med 35:1105–1116CrossRef Shelbourne KD, Haro MS, Tinker G (2007) Knee dislocation with lateral side injury: results of an en masse surgical repair technique of the lateral side Am. J Sports Med 35:1105–1116CrossRef
18.
Zurück zum Zitat Churchill DL, Incavo SJ, Johnson BS, Beynnon BD (1998) The transepicondylar axis approximates the optimal flexion axis of the knee. Clin Orthop and Rel Res 356:111–118CrossRef Churchill DL, Incavo SJ, Johnson BS, Beynnon BD (1998) The transepicondylar axis approximates the optimal flexion axis of the knee. Clin Orthop and Rel Res 356:111–118CrossRef
19.
Zurück zum Zitat Sommers MS, Fitzpatric DC, Kahn KM, Marsh JL, Bottlang M (2004) Hinged external fixation of the knee. Intrinsic factors influencing passive joint motion. J Orthop Trauma 18:163–169PubMedCrossRef Sommers MS, Fitzpatric DC, Kahn KM, Marsh JL, Bottlang M (2004) Hinged external fixation of the knee. Intrinsic factors influencing passive joint motion. J Orthop Trauma 18:163–169PubMedCrossRef
20.
Zurück zum Zitat Siston RA, Patel JJ, Goodman SB, Delp SL, Giori NJ (2005) The variability of femoral rotational alignment in total knee arthroplasty. J Bone Joint Surg Am 87(10):2276–2280PubMedCrossRef Siston RA, Patel JJ, Goodman SB, Delp SL, Giori NJ (2005) The variability of femoral rotational alignment in total knee arthroplasty. J Bone Joint Surg Am 87(10):2276–2280PubMedCrossRef
Metadaten
Titel
A new hinged dynamic distractor, for immediate mobilization after knee dislocations: Technical note
verfasst von
Stefano Zaffagnini
Francesco Iacono
Mirco Lo Presti
Alessandro Di Martino
Stavros Chochlidakis
Daniel J. Elkin
Giovanni Giordano
Maurilio Marcacci
Publikationsdatum
01.11.2008
Verlag
Springer-Verlag
Erschienen in
Archives of Orthopaedic and Trauma Surgery / Ausgabe 11/2008
Print ISSN: 0936-8051
Elektronische ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-007-0515-4

Weitere Artikel der Ausgabe 11/2008

Archives of Orthopaedic and Trauma Surgery 11/2008 Zur Ausgabe

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Proximale Humerusfraktur: Auch 100-Jährige operieren?

01.05.2024 DCK 2024 Kongressbericht

Mit dem demographischen Wandel versorgt auch die Chirurgie immer mehr betagte Menschen. Von Entwicklungen wie Fast-Track können auch ältere Menschen profitieren und bei proximaler Humerusfraktur können selbst manche 100-Jährige noch sicher operiert werden.

Sind Frauen die fähigeren Ärzte?

30.04.2024 Gendermedizin Nachrichten

Patienten, die von Ärztinnen behandelt werden, dürfen offenbar auf bessere Therapieergebnisse hoffen als Patienten von Ärzten. Besonders gilt das offenbar für weibliche Kranke, wie eine Studie zeigt.

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Arthroskopie kann Knieprothese nicht hinauszögern

25.04.2024 Gonarthrose Nachrichten

Ein arthroskopischer Eingriff bei Kniearthrose macht im Hinblick darauf, ob und wann ein Gelenkersatz fällig wird, offenbar keinen Unterschied.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.