• 作者：A. Ló ; pez-Hualda ; ^{alhualda@hotmail.com} ; H. Valencia-Garcí ; a ; J. Martí ; nez-Martí ; n
• 关键词：Rodilla ; Luxaci&oacute ; n de rodilla ; Lesi&oacute ; n vascular ; Protocolo diagn&oacute ; stico
• 刊名：Revista Espa帽ola de Cirug铆a Ortop茅dica y Traumatolog铆a
• 出版年：2012
• 期刊代码：pca311_18884415
• 类别：med
• 出版时间：July-August, 2012
• 卷：56
• 期：4
• 页码：260-266
• 文件大小：898 K

lass="h4">Introduction

Knee dislocation is an unusual condition, and can have catastrophic consequences, such as vascular and neurological complications, in addition to the ligament injuries.

lass="h4">Objective

The aim of this study is to analyse the effectiveness of a protocol of early diagnosis of vascular injuries associated with knee dislocations.

lass="h4">Materials and methods

A retrospective study was conducted which included acute knee dislocations treated in our institution, with a minimum of 12 months follow-up, between 1999-2010. A diagnostic protocol based on physical examination and ankle-brachial index was used in order to detect vascular injuries.

lass="h4">Results

Ten dislocations, 30%with popliteal artery injury, were diagnosed early and received emergency treatment within 8 hours. There were associated neurological injuries in two patients. There were no amputations.

lass="h4">Conclusions

The systematic use of this protocol has avoided consequences of late diagnosis and has drastically reduced the abusive use of invasive tests, such as arteriography.