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J Trauma Inj > Volume 29(4); 2016 > Article
Journal of Trauma and Injury 2016;29(4):167-171.
DOI: https://doi.org/10.20408/jti.2016.29.4.167    Published online December 31, 2016.
Arthroscopic Reduction of Irreducible Posterolateral Knee Dislocation with Interposition of the Vastus Medialis: A Case Report
Jae Ang Sim, Byung Kag Kim, Beom Koo Lee, Yong Cheol Yoon, Eun Suk Choi
Department of Orthopedic Surgery, Gil Medical Center, Gacheon University of Medicine and Science, Incheon, Korea. es_choi@gilhospital.com
Received: 20 September 2016   • Revised: 27 November 2016   • Accepted: 15 December 2016
Abstract
Irreducible traumatic knee dislocation is rare. The knee dislocation is classified depending on the incarcerated structures. Complete reduction is achieved by extracting the incarcerated structure. Several reports introduce the reduction of irreducible traumatic knee dislocation by open surgery or arthroscopy. This case describes irreducible posterolateral knee dislocation with interposition of the vastus medialis. Closed reduction failed in the emergency room, and complete reduction was attained by arthroscopically sectioning the muscle and fascia of the vastus medialis in the intercondylar notch.
Key Words: Knee; Dislocation; Vastus medialis
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