Knee dislocation is a serious and rare injury. Its rarity and the variety of injuries that\nresult from it mean that there is no adequate management that is universally accepted.\nThe aim of this study was to evaluate our emergency care strategy for these\ninjuries. Materials and methodology: This was a retrospective study conducted from\nJanuary 1992 to December 2004 on nine cases of knee dislocation. It consisted of six\nmen and three women. The average age of these subjects was 35, ranging from 15\nto 50 years. The causes for these injuries included: public road accidents (n = 4),\nhousehold accidents (n = 3), a sporting accident and a dislocation that occurred following\na fight. The dislocations were anteromedial (n = 4), posterolateral (n = 2),\nposterior (n = 2) and anterior (n = 1). Associated injuries were sore joint (n = 2),\ncontusion of the common peroneal nerve (n = 1) and vascular injury (n = 1). An angiography\nwas performed on one patient for a vascular injury and an Elecmyography\n(EMG) for a common peroneal nerve injury. Closed reduction was used for eight patients\nand open reduction for one patient. Results: Five knees were stable with normal\nrange of motion and some residual pain. Four patients had knee instability; two\nanterior, one anteroposterior and one lateral. In three of these patients, the CT arthrography/\narthro-scan confirmed central pivot damage, with meniscal damage in two\nof them. The four patients were referred to a knee surgeon in a private practice. The\npost-operational effects were minimal in vascular injury. The EMG performed for\nthe common peroneal nerve detected a nerve contusion. Conclusion: Our emergency\ncare strategy remains closed reduction. This therapeutic management is consistent,\nat least in the first 15 days, with the literature.
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