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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Indian Orthopaedic Research Group
2023
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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. |
format | Online Article Text |
id | pubmed-10664230 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Indian Orthopaedic Research Group |
record_format | MEDLINE/PubMed |
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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