The timing of surgical treatment of knee dislocations: a systematic review

Verfasser / Beitragende:
[Wu Jiang, Jianhua Yao, Yuan He, Wei Sun, Yan Huang, Dejia Kong]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/10(2015-10-01), 3108-3113
Format:
Artikel (online)
ID: 605458391
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024 7 0 |a 10.1007/s00167-014-3435-1  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-3435-1 
245 0 4 |a The timing of surgical treatment of knee dislocations: a systematic review  |h [Elektronische Daten]  |c [Wu Jiang, Jianhua Yao, Yuan He, Wei Sun, Yan Huang, Dejia Kong] 
520 3 |a Purpose: Traumatic knee dislocations (KDs) are unusual yet limb-threatening injuries; the timing of surgical intervention is still debated. A systematic review was performed to determine the optimal timing of surgery with respect to injury pattern. Methods: A comprehensive search of Medline, EMBASE, and Cochrane Central Register of Controlled Trials was performed for studies published between 1 January 1974 and 20 April 2014 on the surgical management of "knee dislocation” and "multiligament knee injuries”. Surgical timing was classified as acute, chronic, or staged. A systematic review was performed for patients with KD-III according to Schenck's classification using individual patient data. Results: Twelve studies including 150 patients (153 knees) with KDs fulfilled the study requirements. Sixty-nine cases with KD-IIIM and 84 cases with KD-IIIL were identified. Excellent or good results were demonstrated in 79.1% (34 cases) of cases managed with staged treatment versus 58.4% (45 cases) of cases undergoing acute surgery (p=0.02), and versus 45.5% (15 cases) of cases undergoing chronic surgery (p=0.002). No statistically significant difference was found in the percentage of excellent or good results between the acute and chronic surgery groups (n.s.), or between the KD-IIIM and KD-IIIL groups (n.s.). Conclusion: Staged treatment yields the best clinical results for patients with KD-III. No statistically significant difference was shown in the clinical results between acute surgery and chronic surgery groups. Level of evidence: IV. 
540 |a European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA), 2014 
690 7 |a Systematic review  |2 nationallicence 
690 7 |a Knee dislocation  |2 nationallicence 
690 7 |a Multiligament knee injuries  |2 nationallicence 
690 7 |a Surgical timing  |2 nationallicence 
700 1 |a Jiang  |D Wu  |u Department of Orthopaedics, General Hospital of Beijing Military Command, Dongcheng District, Nanmencang No. 5, Beijing, China  |4 aut 
700 1 |a Yao  |D Jianhua  |u Department of Orthopaedics, General Hospital of Beijing Military Command, Dongcheng District, Nanmencang No. 5, Beijing, China  |4 aut 
700 1 |a He  |D Yuan  |u Department of Oncology, Nanfang Hospital, Baiyun District, Guangzhou Avenue No. 1838, Guangzhou, China  |4 aut 
700 1 |a Sun  |D Wei  |u Department of Orthopaedics, General Hospital of Beijing Military Command, Dongcheng District, Nanmencang No. 5, Beijing, China  |4 aut 
700 1 |a Huang  |D Yan  |u Department of Orthopaedics, General Hospital of Beijing Military Command, Dongcheng District, Nanmencang No. 5, Beijing, China  |4 aut 
700 1 |a Kong  |D Dejia  |u Clinical College of Integrated Chinese and Western Medicine, Anhui University of Chinese Medicine, Shushan District, Meishan Road No. 70, Hefei, China  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/10(2015-10-01), 3108-3113  |x 0942-2056  |q 23:10<3108  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-3435-1  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-014-3435-1  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Jiang  |D Wu  |u Department of Orthopaedics, General Hospital of Beijing Military Command, Dongcheng District, Nanmencang No. 5, Beijing, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Yao  |D Jianhua  |u Department of Orthopaedics, General Hospital of Beijing Military Command, Dongcheng District, Nanmencang No. 5, Beijing, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a He  |D Yuan  |u Department of Oncology, Nanfang Hospital, Baiyun District, Guangzhou Avenue No. 1838, Guangzhou, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Sun  |D Wei  |u Department of Orthopaedics, General Hospital of Beijing Military Command, Dongcheng District, Nanmencang No. 5, Beijing, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Huang  |D Yan  |u Department of Orthopaedics, General Hospital of Beijing Military Command, Dongcheng District, Nanmencang No. 5, Beijing, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kong  |D Dejia  |u Clinical College of Integrated Chinese and Western Medicine, Anhui University of Chinese Medicine, Shushan District, Meishan Road No. 70, Hefei, China  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/10(2015-10-01), 3108-3113  |x 0942-2056  |q 23:10<3108  |1 2015  |2 23  |o 167