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Orthopedic Research Online Journal

Knee Dislocation with Tibial Shaft Fracture

  • Open or CloseNesa Milan1, Alireza Nezami2*, Aref Daneshi2, Yousef Fallah3, Paniz Nezami4 and Hossein Nematian1

    1Research Assistant at Center of Orthopedic Trans-Disciplinary Applied Research (COTAR), Tehran University of Medical Sciences, Iran

    2Orthopedic Resident, Tehran University of Medical Sciences, Iran

    3Assistant Professor at Orthopedic Department, Tehran University of Medical Sciences, Iran

    4Cardiology Resident, Tehran University of Medical Sciences, Iran

    *Corresponding author:Alireza Nezami, Orthopedic Resident, Tehran University of Medical Sciences, Iran

Submission: July 23, 2021Published: August 06, 2021

DOI: 10.31031/OPROJ.2021.08.000691

ISSN : 2576-8875
Volume8 Issue4

Abstract

We present a case of anterior dislocation of the knee combined with tibial shaft fracture and multi-ligament injury. To our knowledge, a complex case like this has rarely been documented. A 53-year-old male was involved in a car crash. Radiographies showed a fracture in the shaft of the tibia and fibula, anterior dislocation of the knee, and an avulsion fracture of the fibula. In MRI scan, ACL was torn entirely, and PCL had a high-grade intra-sheath tearing. The surgery was performed in two steps with 4-day interval. At first step, we fixed the tibial shaft fracture with a plate and screw, and in the second step, we reconstructed the ligament injury. All components of this lesion were quickly diagnosed and treated appropriately. Three months after treatment, the patient had achieved adequate daily functioning following the onset of early rehabilitation exercises.

Keywords: Knee dislocation; Tibial fracture; Ligament; ACL; PFL; Avulsion fracture

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