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General Orthopaedics

Surgically managed knee dislocations: return to function

British Orthopaedic Association/Irish Orthopaedic Association Annual Congress (BOA/IOA)



Abstract

Introduction

It is now widely accepted that acute knee dislocations should be managed operatively. Most published studies are from outside the UK and from major trauma or specialist centres. The aim of the study is to report the functional outcomes of all patients presenting with an acute knee dislocation at our institution all of whom were surgically managed. The results were then compared to other published series. The hypothesis being that there would be no significant difference in the functional outcome scores between the groups.

Methods

All patients presenting with an acute knee dislocation over the last 15 years were included in the study. The patients were followed up using functional assessment scores: Knee outcome score (ADL), Knee outcome score (sports), Tegner Lysholm Scores and overall Patient Satisfaction. The patients were classified according to the Schecnk classification of knee dislocations.

Results

There were 22 patients in total, 21 male and 1 female. Average age was 42 years (range 16–54 years). The mean follow up was 6.3 years (range 1–15 years). The mean Knee Outcomes Score for ADL was 86% (68–100) and for Sports was 84% (44–100). The mean Tegner Lysholm Score was 82% (59–91) and the Overall Patient Satisfaction mean score was 77% (60–95). These results are comparable to other published data with no significant difference between the groups.

Conclusion

Satisfactory functional results can be obtained for surgically treated acute knee dislocations in a UK non-specialist centre.