SA Orthopaedic Journal
On-line version ISSN 2309-8309
Acute dislocation of the knee is an uncommon but devastating injury. A high level of suspicion is needed in diagnosing it. Repeated neurovascular examinations are extremely important and even though it is wiser in our setting to do a routine angiogram, this is not a substitute for and does not exempt the patient from receiving a full neurovascular assessment. Outcome is better when the knees are treated surgically - immediately if there is vascular compromise, with the remainder being treated before two weeks as soon as the soft tissues allow. Anatomical restitution of the injured structures is the surgical goal. Avoidance of chronic persistent posterior subluxation and a controlled rehabilitation programme will yield best results.