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Orthopaedic Proceedings
Vol. 104-B, Issue SUPP_7 | Pages 89 - 89
1 Jul 2022
Rajput V Iqbal S Salim M Anand S
Full Access

Abstract

Introduction

Fractures of the articular surface of the patella or the lateral femoral condyle usually occur following acute dislocation of the patella. This study looked at the radiological and functional outcomes of fixation of osteochondral fractures

Methods

Twenty-nine patients (18 male, 11 female) sustained osteochondral fractures of the knee following patellar dislocation. All patients had detailed radiographic imaging and MRI scan of the knee preoperatively. An arthroscopic assessment was done, followed by fixation using bio-absorbable pins or headless screws either arthroscopically or mini-open arthrotomy. VMO plication or MPFL repair were done if necessary. MRI scan was done at follow-up to assess for healing of the fixed fragment prior to patient discharge.


Orthopaedic Proceedings
Vol. 104-B, Issue SUPP_7 | Pages 93 - 93
1 Jul 2022
Reddy G Rajput V Singh S Salim M Iqbal S Anand S
Full Access

Abstract

Background

Fracture dislocation of the knee involves disruption of knee ligaments with associated tibial plateau fracture. If these injuries are not evaluated swiftly, can result in a limb-threatening injury. The aim of this study is to look at the clinical outcomes of a single surgeon case series at a major trauma centre.

Methods

Prospectively collected data was analysed for a 5-year period. Primary outcome measures used were International Knee Documented Committee (IKDC) score and Knee Injury & Osteoarthritis Outcome Score (KOOS). The secondary outcome measures include Tegner activity scale, knee range of movements and complications.


Orthopaedic Proceedings
Vol. 104-B, Issue SUPP_7 | Pages 88 - 88
1 Jul 2022
Rajput V Reddy G Singh S Iqbal S Salim M Anand S
Full Access

Abstract

Introduction

Traumatic knee dislocations are devastating injuries and there is no single best accepted treatment. This study looked at functional outcome of a single surgeon case series of patients who underwent surgical management of their knee dislocation.

Methods

Eighty-seven patients with knee dislocation were treated at a major trauma centre. Acute surgical repair and reconstruction with fracture fixation within 4 weeks was preferred unless the patient was too unstable (Injury severity score>16). The collaterals were repaired and augmented using a variety of autografts, allografts or synthetic grafts. PCL was primarily braced and reconstructed subsequently, if required. Outcome was collected prospectively using IKDC score, KOOS and Tegner score.