Simultaneous ipsilateral knee dislocation and hip fracture : A case report
González-Morgado, Diego (Hospital Universitari Vall d'Hebron)
Loya de la Cerda, Denisse Guadalupe Barro, Victor (Hospital Universitari Vall d'Hebron)
Barro, Victor (Hospital Universitari Vall d'Hebron)
Universitat Autònoma de Barcelona

Data:	2023
Resum:	Hip fracture is one of the main causes of medical attendance in trauma centers. By contrast, knee dislocation is a challenging and limb-threatening injury. We report a case of a 68-year-old male who sustained a simultaneous ipsilateral hip fracture and knee dislocation after a low-energy fall. Popliteal artery and common peroneal nerve injuries were associated. Knee dislocation treatment included closed reduction, external fixation and popliteal artery repair. Hip hemiarthroplasty was performed using a direct anterior approach. Revision multiligament knee reconstruction surgery was not considered. A rehabilitation program achieved a good long-term functional outcome. Simultaneous ipsilateral knee dislocation and associated proximal femoral injuries are rare and challenging, potentially requiring long-term staged management. The direct anterior approach to the hip is worth consideration when additional lower limb injuries are present, especially in the setting of a knee spanning external fixator.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Case report ; Ipsilateral ; Knee dislocation ; Hip fracture ; Direct anterior approach ; Revision multiligament knee reconstruction
Publicat a:	Trauma Case Reports, Vol. 43 (january 2023) , ISSN 2352-6440

DOI: 10.1016/j.tcr.2023.100767
PMID: 36691630

6 p, 1.9 MB

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