The timing of surgical treatment of knee dislocations: a systematic review
Gespeichert in:
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)
Online Zugang:
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| 005 | 20210128100228.0 | ||
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| 008 | 210128e20151001xx s 000 0 eng | ||
| 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 | ||