caa a22 4500 605458391 CHVBK 20210128100228.0 cr unu---uuuuu 210128e20151001xx s 000 0 eng 10.1007/s00167-014-3435-1 doi (NATIONALLICENCE)springer-10.1007/s00167-014-3435-1 The timing of surgical treatment of knee dislocations: a systematic review [Elektronische Daten] [Wu Jiang, Jianhua Yao, Yuan He, Wei Sun, Yan Huang, Dejia Kong] 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. European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA), 2014 Systematic review nationallicence Knee dislocation nationallicence Multiligament knee injuries nationallicence Surgical timing nationallicence Jiang Wu Department of Orthopaedics, General Hospital of Beijing Military Command, Dongcheng District, Nanmencang No. 5, Beijing, China aut Yao Jianhua Department of Orthopaedics, General Hospital of Beijing Military Command, Dongcheng District, Nanmencang No. 5, Beijing, China aut He Yuan Department of Oncology, Nanfang Hospital, Baiyun District, Guangzhou Avenue No. 1838, Guangzhou, China aut Sun Wei Department of Orthopaedics, General Hospital of Beijing Military Command, Dongcheng District, Nanmencang No. 5, Beijing, China aut Huang Yan Department of Orthopaedics, General Hospital of Beijing Military Command, Dongcheng District, Nanmencang No. 5, Beijing, China aut Kong Dejia Clinical College of Integrated Chinese and Western Medicine, Anhui University of Chinese Medicine, Shushan District, Meishan Road No. 70, Hefei, China aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/10(2015-10-01), 3108-3113 0942-2056 23:10<3108 2015 23 167 https://doi.org/10.1007/s00167-014-3435-1 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-014-3435-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Jiang Wu Department of Orthopaedics, General Hospital of Beijing Military Command, Dongcheng District, Nanmencang No. 5, Beijing, China aut NATIONALLICENCE 700 1- Yao Jianhua Department of Orthopaedics, General Hospital of Beijing Military Command, Dongcheng District, Nanmencang No. 5, Beijing, China aut NATIONALLICENCE 700 1- He Yuan Department of Oncology, Nanfang Hospital, Baiyun District, Guangzhou Avenue No. 1838, Guangzhou, China aut NATIONALLICENCE 700 1- Sun Wei Department of Orthopaedics, General Hospital of Beijing Military Command, Dongcheng District, Nanmencang No. 5, Beijing, China aut NATIONALLICENCE 700 1- Huang Yan Department of Orthopaedics, General Hospital of Beijing Military Command, Dongcheng District, Nanmencang No. 5, Beijing, China aut NATIONALLICENCE 700 1- Kong Dejia Clinical College of Integrated Chinese and Western Medicine, Anhui University of Chinese Medicine, Shushan District, Meishan Road No. 70, Hefei, China aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/10(2015-10-01), 3108-3113 0942-2056 23:10<3108 2015 23 167