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Journal Title
Title of Journal: Knee Surg Sports Traumatol Arthrosc
Abbravation: Knee Surgery, Sports Traumatology, Arthroscopy
Publisher
Springer-Verlag
DOI
10.1016/0306-9192(80)90136-0
ISSN
1433-7347
Nine knees in 9 patients consisting of 6 males and 3 females mean age 304 range 19–44 years with diagnosis or presumption of knee dislocation were treated with a protocol of stabilization with external fixator Mean followup was 24 range 13–42 months Indications for spanning external fixation included significant vascular injury gross instability on examination with failure to maintain joint reduction open knee dislocation inability to tolerate mobilization in a brace The standard protocol involved vascular examination including anklebrachial index ligamentous examination under anesthesia when applicable stabilization with temporary joint spanning external fixator thromboprophylaxis reconstructive knee surgery and standard rehabilitationThe treatment algorithm utilized in this series for management of the dislocated knee demonstrated satisfactory clinical and functional outcomes This staged protocol provides a management option for those patients who may be best served with initial spanning joint external fixation Larger prospective studies are needed to fully understand the merit of staged protocols in this setting