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Een knieluxatie na minimaal trauma bij morbide obesitas; twee casussen

Stabilisatie met een fixateur externe

  • casus
  • Published:
Nederlands Tijdschrift voor Traumatologie

Samenvatting

Knieluxaties zijn relatief zeldzame letsels die veelal worden veroorzaakt door een hoogenergetisch trauma. Bij patiënten met morbide obesitas kan echter een gering trauma, zoals door de knie zakken, al leiden tot een knieluxatie. Naast de uitgebreide laesies van de intra- en extra-articulaire stabiliserende structuren, zijn vooral ook neurovasculaire letsels berucht. De groeiende populatie obese patiënten in ogenschouw nemend, is dit een zorgwekkende constatering. Omdat er, gezien de habitus, een relatief groot risico is op complicaties en recidivering, heeft operatieve reconstructie bij deze groep patiënten niet de voorkeur.

Abstract

Dislocation of the knee is rare and usually occurs as a result of high-energy trauma. In obese patients, however, even minor trauma can result in this severe lesion. Damage may not be exclusive to the stabilizing ligaments, neurovascular structures are also at risk. This is of concern regarding the increase in the population of obese patients. Furthermore, operative treatment in these patients is not preferable, due to the high complication rate and the high probability of recurrence.

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Authors and Affiliations

  1. Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherland

    J.A. van der Linde, C.P. van der Hart & S.J. Ham

Authors
  1. J.A. van der Linde
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  2. C.P. van der Hart
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  3. S.J. Ham
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Additional information

aios orthopedie, orthopedisch chirurg, orthopedisch chirurg

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van der Linde, J., van der Hart, C. & Ham, S. Een knieluxatie na minimaal trauma bij morbide obesitas; twee casussen. TIJD. TRAUMATOLOGIE 18, 176–179 (2010). https://doi.org/10.1007/s12506-010-0855-5

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  • DOI: https://doi.org/10.1007/s12506-010-0855-5

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