Abstract
Bilateral traumatic knee dislocations are a rarity. We report a case of bilateral traumatic knee dislocations with concomitant right hip dislocation and complete traumatic amputation of the left, nondominant upper extremity at the level of the proximal one-third of the humerus. Angiograms revealed no evidence of popliteal artery injury. Orthopedic treatment consisted of immediate reduction of the dislocations and urgent revision amputation of the upper extremity. Staged, bilateral knee ligamentous reconstructions were performed on hospital days 24 and 29, respectively. Despite this constellation of devastating injuries, the patient had a satisfactory outcome. In patients with high-energy hip or knee dislocations, the bilateral hips and knees should be carefully examined to check for associated fractures and/or dislocations.
References
Hoover N (1961) Injuries of the popliteal artery associated with dislocation of the knee. Surg Clin North Am 41:1099–1112
Kennedy JC (1963) Complete dislocation of the knee joint. J Bone Joint Surg 45:889–903
Quinlan AG, Sharrard WJW (1958) Posterolateral dislocation of the knee with capsular interposition. J Bone Joint Surg 40:660–663
Rihn JA, Cha PS, Groff YJ, Harner CD (2004) The acutely dislocated knee: evaluation and management. J Am Acad Orthop Surg 12(5):334–346, Oct
Marinovic I (1956) Case of bilateral knee dislocation of the knee. Acta Chir Iugosl 3(2):163–169
Sisto DJ, Warren RF (1985) Complete knee dislocation. Clin Orthop Relat Res (198):94–101, Sept
DuBois B, Montgomery WH Jr, Dunbar RP, Chapman J (2006) Simultaneous ipsilateral posterior knee and hip dislocations: case report, including a technique for closed reduction of the hip. J Orthop Trauma 20(3):216–219, Mar
Freedman DM, Freedman EL, Shapiro MS (1994) Ipsilateral hip and knee dislocation. J Orthop Trauma 8(2):177–180
Kreibich ND, Moran CG, Pinder I (1989) Ipsilateral hip and knee dislocation: a case report. Acta Orthop Scand 60:90–91
Millea TP, Romanelli RR, Segal LS (1991) Ipsilateral fracture-dislocation of the hip, knee, and ankle. J Trauma 31:416–419
Almekinders LC, Logan TC (1992) Results following treatment of traumatic dislocations of the knee joint. Clin Orthop 284:203–207
Cole BJ, Harner CD (1999) The multiple ligament injured knee. Clin Sports Med 18:241–262
Green NE, Allen BL (1977) Vascular injuries associated with dislocation of the knee. J Bone Joint Surg 59:236–239
Niall DM, Nutton RW, Keating JF (2005) Palsy of the peroneal nerve after traumatic dislocation of the knee. J Bone Joint Surg Br 87(5):664–667, May
Richter M (2002) Comparison of surgical repair or reconstruction of the cruciate ligaments versus nonsurgical treatment in patients with traumatic knee dislocations. Am J Sports Med 30:718–727
Taylor AR, Arden GP, Rainey HA (1972) Traumatic dislocation of the knee joint: a report of forty-three cases with special reference to conservative treatment. J Bone Joint Surg Br 54:96–102
Chhabra A, Cha PS, Rihn JA, Cole B, Bennett CH, Waltrip RL, Harner CD (2005) Surgical management of knee dislocations. Surgical technique. J Bone Joint Surg 87:1–21
Harner CD, Waltrip RL, Bennett CH, Francis KA, Cole B, Irrgang JJ (2004) Surgical management of knee dislocations. J Bone Joint Surg 86:262–273
Noyes FR, Barber-Westin SD (1997) Reconstruction of the anterior and posterior cruciate ligaments after knee dislocation: use of early protected postoperative motion to decrease arthrofibrosis. Am J Sports Med 25:769–778
Shapiro MS, Freedman EL (1995) Allograft reconstruction of the anterior and posterior cruciate ligaments after traumatic knee dislocation. Am J Sports Med 23:580–587
Bosworth DM (1952) Transplantation of the semitendinosus for repair of laceration of medial collateral ligament of the knee. J Bone Joint Surg Am 34-A(1):196–202, Jan
Schierz A, Hotz T, Kach K (2002) Ipsilateral knee and hip joint dislocation. Unfallchirurg 105(7):660–663
Schmidt GL Sciulli R, Altman GT (2005) Knee injury in patients experiencing a high-energy traumatic ipsilateral hip dislocation. J Bone Joint Surg 87(6):1200–1204, Jun
Tabuenca J, Truan JR (2000) Knee injuries in traumatic hip dislocation. Clin Orthop Relat Res (377):78–83, Aug
Cooper DE, Speer KP, Wickiewicz TL, Warren RF (1992) Complete knee dislocation without posterior cruciate ligament disruption. A report of four cases and review of the literature. Clin Orthop Relat Res (284):228–233, Nov
Shelbourne KD, Pritchard J, Rettig AC, McCarroll JR, Vanmeter CD (1992) Knee dislocations with intact PCL. Orthop Rev 21(5):607–608 610–611, May
Gollehon DL, Torzilli PA, Warren RF (1987) The role of the posterolateral and cruciate ligaments in the stability of the human knee. A biomechanical study. J Bone Joint Surg 69:233–242
Verma NN, Mithofer K, Battaglia M, MacGillivray JD (2005) The docking technique for posterolateral corner reconstruction. Arthroscopy 21(2):238–242
Athanasian EA, Wickiewicz TL, Warren RF (1995) Osteonecrosis of the femoral condyle after arthroscopic reconstruction of a cruciate ligament: report of two cases. J Bone Joint Surg 77:1418–1422
Stannard JP, Sheils TM, McGwin G, Volgas DA, Alonso JE (2003) Use of a hinged external knee fixator after surgery for knee dislocation. Arthroscopy 19(6):626–631, Jul–Aug
Donachy JE, Brannon KD, Hughes LS, Seahorn J, Crutcher TT, Christian EL (2004) Strength and endurance training of an individual with left upper and lower limb amputations. Disabil Rehabil 26(8):495–499, Apr 22
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Voos, J.E., Heyworth, B.E., Piasecki, D.P. et al. Traumatic Bilateral Knee Dislocations, Unilateral Hip Dislocation, and Contralateral Humeral Amputation: A Case Report. HSS Jrnl 5, 40–44 (2009). https://doi.org/10.1007/s11420-008-9100-9
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DOI: https://doi.org/10.1007/s11420-008-9100-9