Neglected rotatory knee dislocation: A case report |
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| Affiliation: | 1. Sports Medicine and Shoulder Service, Department of Orthopaedic Surgery, Hospital for Special Surgery, Weill Medical College of Cornell University, New York, NY, United States;2. Limb Lengthening and Complex Reconstruction Service, Department of Orthopaedic Surgery, Hospital for Special Surgery, Weill Medical College of Cornell University, New York, NY, United States;1. Department of Rheumatology & Clinical Immunology, UMC Utrecht, The Netherlands;2. Department of Orthopedics, Maartenskliniek Woerden, The Netherlands;3. Department of Orthopedics, UMC Utrecht, The Netherlands;4. Department of Orthopedics, Medical Centre Amstelveen, The Netherlands;1. Department of Orthopedic Surgery, Diakonessen Hospital, Bosboomstraat 1, 3582 KE Utrecht, The Netherlands;2. Department of Rehabilitation Medicine, VU University Medical Center, Amsterdam, The Netherlands;3. Department of Rehabilitation Medicine and Research Institute MOVE, VU University Medical Center, Amsterdam, The Netherlands;4. Department of Epidemiology and Biostatistics, EMGO Institute of Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands;5. Department of Orthopedic Surgery, AVE Orthopaedic Clinics, Huizen, The Netherlands;6. Department of Orthopedic Surgery, Slotervaart Hospital and VU University Medical Center, Amsterdam, The Netherlands |
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| Abstract: | We report here a unique case of a 3 year neglected rotatory tibiofemoral dislocation associated with a lateral patellar dislocation. The rotational deformity was gradually corrected using a Taylor spatial frame and the patella was realigned by tibial tubercle osteotomy and transfer. The patient also underwent multiple soft tissue releases and quadricepsplasty to improve knee flexion. At nine year follow-up, the patient has good knee range of motion, a congruent knee joint and a good functional result.Clinical relevance: Taylor spatial frame combined with other orthopedic approaches can be a useful tool while dealing with neglected knee dislocations. |
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