PMID- 29576239
OWN - NLM
STAT- MEDLINE
DCOM- 20181217
LR  - 20181217
IS  - 1879-0267 (Electronic)
IS  - 0020-1383 (Linking)
VI  - 49
IP  - 6
DP  - 2018 Jun
TI  - Epidemiology and outcomes of traumatic knee dislocations: Isolated vs 
      multi-trauma injuries.
PG  - 1183-1187
LID - S0020-1383(18)30072-X [pii]
LID - 10.1016/j.injury.2018.02.016 [doi]
AB  - BACKGROUND AND PURPOSE: Traumatic dislocation of the knee (TKD) is a rare injury, 
      accounting for approximately 0.02% of orthopaedic injuries. They are a 
      challenging entity for orthopaedic surgeons to manage, and can have devastating 
      consequences. The aim of this study was to describe the epidemiology of traumatic 
      knee dislocations (TKD'S) and contrast the incidence of neurovascular injury 
      between isolated and multi-trauma dislocations as well as key patient reported 
      outcomes achieved between these groups. MATERIAL AND METHODS: Patients who had a 
      traumatic disruption of the tibiofemoral articulation between March 1 2007 and 
      February 31, 2015 were identified from the Victorian Orthopaedic Trauma Outcomes 
      Registry (VOTOR). Data was cross-checked with medical records and radiological 
      reports to confirm true multi-ligamentous dislocation. VOTOR collects information 
      pertaining to orthopaedic injuries, treatment, complications and outcomes from 
      four adult hospitals in Victoria, Australia, including the major trauma centers. 
      Patient-reported outcomes are collected by VOTOR at 12 months post-injury 
      including the EQ-5D-3L (EQ-5D) and Glasgow Extended Outcome Scores (GOS-E) and 
      return to work status. Patient reported functional and quality of life outcomes 
      at 12 months after injury were analysed. RESULTS: A cohort of 88 patients were 
      identified that fit the inclusion criteria for the study, and at 12 months 
      post-injury there was data available for 80 patients (90.9%). There were 38 
      (42.9%) patients who experienced an isolated traumatic knee dislocation and 52 
      (57.1%) who experienced a traumatic knee dislocation in association with another 
      injury. Of the 88 patients identified as eligible for the study, two had 
      bilateral knee dislocations, hence there were 90 multi-ligamentous knee injuries. 
      Those who were injured at a higher velocity were more likely to have additional 
      injuries. Dislocations that occurred at a lower velocity were shown to have 
      better overall outcomes, as did dislocations that occurred in isolation. 
      CONCLUSIONS: Traumatic knee dislocations that occur in isolation typically result 
      in better outcomes than those that occur with associated injuries. TKD's are a 
      rare but severe injury that requires further research in order for functional 
      outcomes to be optimized.
CI  - Copyright (c) 2018 Elsevier Ltd. All rights reserved.
FAU - Darcy, Genevieve
AU  - Darcy G
AD  - Victorian Orthopaedic Trauma Outcomes Registry (VOTOR), Monash University, 
      Department of Epidemiology and Preventative Medicine, Melbourne, Australia. 
      Electronic address: Genevieve.Darcy@svha.org.au.
FAU - Edwards, Elton
AU  - Edwards E
AD  - Department of Orthopaedics, Alfred Health, Victorian Orthopaedic Trauma Outcomes 
      Registry (VOTOR), Monash University, Department of Epidemiology and Preventative 
      Medicine, Melbourne, Australia. Electronic address: ere@bigpond.net.au.
FAU - Hau, Raphael
AU  - Hau R
AD  - Department of Orthopaedics, Northern Health, Victorian Orthopaedic Trauma 
      Outcomes Registry (VOTOR), Monash University, Department of Epidemiology and 
      Preventative Medicine, Melbourne, Australia. Electronic address: 
      raphaelhau@hotmail.com.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
DEP - 20180221
PL  - Netherlands
TA  - Injury
JT  - Injury
JID - 0226040
SB  - IM
MH  - Adult
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Knee Dislocation/epidemiology/physiopathology/*surgery
MH  - Knee Injuries/epidemiology/physiopathology/*surgery
MH  - Male
MH  - Middle Aged
MH  - Multiple Trauma/epidemiology/*therapy
MH  - Postoperative Complications/*epidemiology/physiopathology
MH  - Recovery of Function
MH  - Retrospective Studies
MH  - Soft Tissue Injuries/epidemiology/physiopathology/*therapy
MH  - Trauma Centers
MH  - Treatment Outcome
MH  - Vascular System Injuries/epidemiology/physiopathology/*surgery
MH  - Victoria/epidemiology
MH  - Young Adult
OTO - NOTNLM
OT  - Australia
OT  - Dislocation
OT  - Epidemiology
OT  - Functional outcomes
OT  - Isolated multiligamentous knee injury
OT  - Isolated traumatic knee dislocation
OT  - Isolation knee dislocation
OT  - Knee
OT  - Knee dislocation
OT  - Multiligamentous knee injury
OT  - Orthopaedic
OT  - Outcomes
OT  - Quality of life outcomes
OT  - Short term outcomes
OT  - Trauma
OT  - Traumatic knee dislocation
OT  - Traumatic multi-ligamentous knee dislocation
OT  - VOTOR
OT  - Victoria
OT  - Victorian orthopaedic trauma outcomes registry
EDAT- 2018/03/27 06:00
MHDA- 2018/12/18 06:00
CRDT- 2018/03/27 06:00
PHST- 2017/11/04 00:00 [received]
PHST- 2018/02/06 00:00 [revised]
PHST- 2018/02/14 00:00 [accepted]
PHST- 2018/03/27 06:00 [pubmed]
PHST- 2018/12/18 06:00 [medline]
PHST- 2018/03/27 06:00 [entrez]
AID - S0020-1383(18)30072-X [pii]
AID - 10.1016/j.injury.2018.02.016 [doi]
PST - ppublish
SO  - Injury. 2018 Jun;49(6):1183-1187. doi: 10.1016/j.injury.2018.02.016. Epub 2018 
      Feb 21.