Limits...
Outcomes of operatively treated acute knee dislocations.

Eranki V, Begg C, Wallace B - Open Orthop J (2010)

Bottom Line: Patients pain scores decreased over time to an acceptable level.Despite the severity of the injury, majority of patients achieved a satisfactory outcome, although none of the patients reached the same level of function as before the injury. 80% of the patients were satisfied with their outcome.All dissatisfied patients suffered postoperative complications.

View Article: PubMed Central - PubMed

Affiliation: The Royal Adelaide Hospital, North Terrace, Adelaide, SA, 5000, Australia.

ABSTRACT
Knee dislocation is a complex and rare injury often presenting in the context of high velocity trauma. The aim of this study is to establish the subjective outcomes of surgically treated knee dislocations. A total of 20 knees dislocations treated by open repair were reviewed. Their progress and outcomes were assessed by using a modified Lysholm score questionnaire. Data was obtained on patient demographics, details of injury, investigation, treatment, rehabilitation, 24 months objective outcome and subjective outcomes. Six patients had a vascular deficit and six had neurological deficits. The median range of motion was 0 degrees -100 degrees . Patients with an initially lower pre-injury level of function were able to return an activity level comparable to their pre-injury status. 22% of competitive athletes retuned to competitive sports. 38% of patients undertaking heavy activity returned to comparable pre-injury level of activity and 67% of patients undertaking moderate level of activity before injury returned to a comparable level after repair. 68% regularly had problems running, 70% problem squatting, 40% swelling and 42% problem with stairs. Most patients however did not have locking of the knee or problems with knees giving way. Patients pain scores decreased over time to an acceptable level. Despite the severity of the injury, majority of patients achieved a satisfactory outcome, although none of the patients reached the same level of function as before the injury. 80% of the patients were satisfied with their outcome. All dissatisfied patients suffered postoperative complications.

No MeSH data available.


Related in: MedlinePlus

Patient’s level of pain following knee dislocation.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC2836735&req=5

Figure 4: Patient’s level of pain following knee dislocation.

Mentions: Fig. 4 demonstrates the median level of pain in patients immediately after injury, 3 months after the injury and at the time of the questionnaire. Severe pain is defined as greater than 7 and low/acceptable pain level lower than 3. Immediate after surgery, all patients reported pain in the knee. The mean pain score was 6 with a median of 7. The pain ranged from 2 to 10 with a standard deviation of 2.5. Three months after surgery, the mean and median pain scores were 4. The pain ranged from 1 to 7 with a standard deviation of 2. At the time of the questionnaire, mean pain score was 2 with a median of 1.5. The pain ranged from 0 (nil) to 7 with a standard deviation of 2. As expected, all patients had a high level of pain immediately after the injury. The levels declined with time following treatment.


Outcomes of operatively treated acute knee dislocations.

Eranki V, Begg C, Wallace B - Open Orthop J (2010)

Patient’s level of pain following knee dislocation.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2836735&req=5

Figure 4: Patient’s level of pain following knee dislocation.
Mentions: Fig. 4 demonstrates the median level of pain in patients immediately after injury, 3 months after the injury and at the time of the questionnaire. Severe pain is defined as greater than 7 and low/acceptable pain level lower than 3. Immediate after surgery, all patients reported pain in the knee. The mean pain score was 6 with a median of 7. The pain ranged from 2 to 10 with a standard deviation of 2.5. Three months after surgery, the mean and median pain scores were 4. The pain ranged from 1 to 7 with a standard deviation of 2. At the time of the questionnaire, mean pain score was 2 with a median of 1.5. The pain ranged from 0 (nil) to 7 with a standard deviation of 2. As expected, all patients had a high level of pain immediately after the injury. The levels declined with time following treatment.

Bottom Line: Patients pain scores decreased over time to an acceptable level.Despite the severity of the injury, majority of patients achieved a satisfactory outcome, although none of the patients reached the same level of function as before the injury. 80% of the patients were satisfied with their outcome.All dissatisfied patients suffered postoperative complications.

View Article: PubMed Central - PubMed

Affiliation: The Royal Adelaide Hospital, North Terrace, Adelaide, SA, 5000, Australia.

ABSTRACT
Knee dislocation is a complex and rare injury often presenting in the context of high velocity trauma. The aim of this study is to establish the subjective outcomes of surgically treated knee dislocations. A total of 20 knees dislocations treated by open repair were reviewed. Their progress and outcomes were assessed by using a modified Lysholm score questionnaire. Data was obtained on patient demographics, details of injury, investigation, treatment, rehabilitation, 24 months objective outcome and subjective outcomes. Six patients had a vascular deficit and six had neurological deficits. The median range of motion was 0 degrees -100 degrees . Patients with an initially lower pre-injury level of function were able to return an activity level comparable to their pre-injury status. 22% of competitive athletes retuned to competitive sports. 38% of patients undertaking heavy activity returned to comparable pre-injury level of activity and 67% of patients undertaking moderate level of activity before injury returned to a comparable level after repair. 68% regularly had problems running, 70% problem squatting, 40% swelling and 42% problem with stairs. Most patients however did not have locking of the knee or problems with knees giving way. Patients pain scores decreased over time to an acceptable level. Despite the severity of the injury, majority of patients achieved a satisfactory outcome, although none of the patients reached the same level of function as before the injury. 80% of the patients were satisfied with their outcome. All dissatisfied patients suffered postoperative complications.

No MeSH data available.


Related in: MedlinePlus