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Ipsilateral Knee Dislocation and Ankle Fracture Dislocation

INTRODUCTION: A dislocated knee is a potential limb-threatening injury. Simultaneous dislocation of knee and ankle joint in an ipsilateral limb is a very rare pattern of injury. A few cases of ipsilateral hip and knee dislocation were described in literature. Rare injury such as posterior dislocatio...

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Autores principales: Salaria, Amit Kumar, Vatsyan, Kuldeep Chand, Kalia, Sandeep, Gupta, Lokesh, Rathore, Lakshya Prateek, Katoch, Punit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Indian Orthopaedic Research Group 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10664230/
https://www.ncbi.nlm.nih.gov/pubmed/38025347
http://dx.doi.org/10.13107/jocr.2023.v13.i11.4026
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author Salaria, Amit Kumar
Vatsyan, Kuldeep Chand
Kalia, Sandeep
Gupta, Lokesh
Rathore, Lakshya Prateek
Katoch, Punit
author_facet Salaria, Amit Kumar
Vatsyan, Kuldeep Chand
Kalia, Sandeep
Gupta, Lokesh
Rathore, Lakshya Prateek
Katoch, Punit
author_sort Salaria, Amit Kumar
collection PubMed
description INTRODUCTION: A dislocated knee is a potential limb-threatening injury. Simultaneous dislocation of knee and ankle joint in an ipsilateral limb is a very rare pattern of injury. A few cases of ipsilateral hip and knee dislocation were described in literature. Rare injury such as posterior dislocation knee with ipsilateral ankle fracture dislocation cases was also presented. However, lateral dislocation of knee along with the same side ankle fracture dislocation is a rare scenario. To the best of our knowledge, these two simultaneous lesions do not seem to have been reported previously. Immediate management of such injury is to reduce both joint and stabilization with external fixator and definitive surgery in the second stage when soft-tissue condition allows. CASE REPORT: We describe a rare case of a 37-year-old farmer having injury to his right leg with tiller machine. Lateral right knee dislocation and right ankle fracture dislocation reduced in the emergency department. In emergency OT, external fixator applied for knee and ankle stabilization. When swelling subsides in ankle, fracture fixation is done with plates and screws. Knee fixator is kept for 6 weeks then knee physiotherapy started. CONCLUSION: Dislocation of any joint is treated as an orthopedic emergency. Simultaneous dislocation of knee and ankle joints in an ipsilateral limb is a challenging situation for even the experienced surgeon. The outcome of such patients varies with associated injuries and time took for relocation and meticulous physical examination, with a high index of clinical suspicion is needed in diagnosing and management of such cases.
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spelling pubmed-106642302023-11-01 Ipsilateral Knee Dislocation and Ankle Fracture Dislocation Salaria, Amit Kumar Vatsyan, Kuldeep Chand Kalia, Sandeep Gupta, Lokesh Rathore, Lakshya Prateek Katoch, Punit J Orthop Case Rep Case Report INTRODUCTION: A dislocated knee is a potential limb-threatening injury. Simultaneous dislocation of knee and ankle joint in an ipsilateral limb is a very rare pattern of injury. A few cases of ipsilateral hip and knee dislocation were described in literature. Rare injury such as posterior dislocation knee with ipsilateral ankle fracture dislocation cases was also presented. However, lateral dislocation of knee along with the same side ankle fracture dislocation is a rare scenario. To the best of our knowledge, these two simultaneous lesions do not seem to have been reported previously. Immediate management of such injury is to reduce both joint and stabilization with external fixator and definitive surgery in the second stage when soft-tissue condition allows. CASE REPORT: We describe a rare case of a 37-year-old farmer having injury to his right leg with tiller machine. Lateral right knee dislocation and right ankle fracture dislocation reduced in the emergency department. In emergency OT, external fixator applied for knee and ankle stabilization. When swelling subsides in ankle, fracture fixation is done with plates and screws. Knee fixator is kept for 6 weeks then knee physiotherapy started. CONCLUSION: Dislocation of any joint is treated as an orthopedic emergency. Simultaneous dislocation of knee and ankle joints in an ipsilateral limb is a challenging situation for even the experienced surgeon. The outcome of such patients varies with associated injuries and time took for relocation and meticulous physical examination, with a high index of clinical suspicion is needed in diagnosing and management of such cases. Indian Orthopaedic Research Group 2023-11 2023-11 /pmc/articles/PMC10664230/ /pubmed/38025347 http://dx.doi.org/10.13107/jocr.2023.v13.i11.4026 Text en Copyright: © Indian Orthopaedic Research Group https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 Unported, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms
spellingShingle Case Report
Salaria, Amit Kumar
Vatsyan, Kuldeep Chand
Kalia, Sandeep
Gupta, Lokesh
Rathore, Lakshya Prateek
Katoch, Punit
Ipsilateral Knee Dislocation and Ankle Fracture Dislocation
title Ipsilateral Knee Dislocation and Ankle Fracture Dislocation
title_full Ipsilateral Knee Dislocation and Ankle Fracture Dislocation
title_fullStr Ipsilateral Knee Dislocation and Ankle Fracture Dislocation
title_full_unstemmed Ipsilateral Knee Dislocation and Ankle Fracture Dislocation
title_short Ipsilateral Knee Dislocation and Ankle Fracture Dislocation
title_sort ipsilateral knee dislocation and ankle fracture dislocation
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10664230/
https://www.ncbi.nlm.nih.gov/pubmed/38025347
http://dx.doi.org/10.13107/jocr.2023.v13.i11.4026
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