Outcomes of Knee Dislocations and Subluxations in Polytrauma Patients at a Major Trauma Center
2024

Outcomes of Knee Dislocations and Subluxations in Polytrauma Patients

Sample size: 24 publication 10 minutes Evidence: moderate

Author Information

Author(s): Muacevic Alexander, Adler John R, Gompels Benjamin, Holdroyd David, Bennett Jonathan, Strangmark Estelle, Molloy Tom, Barter Reece, Castagno Simone, McDonnell Stephen, Rawal Jai

Primary Institution: Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust

Hypothesis

What are the outcomes of knee dislocations and subluxations in polytrauma patients?

Conclusion

Knee dislocations are rare injuries in polytrauma patients, often associated with multiple injuries and a high rate of vascular compromise.

Supporting Evidence

  • Over eight years, 187 polytrauma patients sustained knee injuries, with 17 having dislocations and 7 subluxations.
  • 80% of patients had an associated lower limb fracture.
  • One-third of patients sustained an associated vascular injury.

Takeaway

This study looked at patients with knee injuries from serious accidents and found that many had other injuries too, especially to their blood vessels.

Methodology

Data was extracted from the Trauma Audit and Research Network database over eight years, including demographic and injury information.

Potential Biases

Potential biases due to reliance on database records and incomplete information.

Limitations

The study's retrospective nature and small sample size may limit the generalizability of the findings.

Participant Demographics

Mean age of 46 years, predominantly male (18 males, 6 females), mean BMI of 28.

Statistical Information

P-Value

p=0.0498

Confidence Interval

95% CI 0.2-9.2

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.7759/cureus.75024

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