Does the Presence of an Open Wound Influence the Outcome of Knee Dislocation with Associated Vascular Injury?
Daniel Whelan, MD; Emil H. Schemitsch, MD; Paul Grosso, MD; David Stephen, MD; Hans Kreder, MD; Michael D. McKee, MD; James P. Waddell, MD, University of Toronto, St. Michael’s Hospital, Toronto, Ontario, Canada Purpose: Previous reports have quoted the rate of vascular injury with knee dislocation as high as 35%. Little is known regarding the outcome of knee dislocation when combined with a vascular injury and open wound. The purpose of this study was to determine how the presence of an open wound influences the outcome of knee dislocation with associated vascular injury. Methods: Nineteen patients were followed for an average of 1 year after knee dislocation with an associated vascular injury. Data collected included basic demographic information, mechanism of injury, status of the soft tissues, associated injuries, treatment of the vascular injury and of the knee dislocation. Outcome measures included amputation rate, incidence and nature of complications and number of subsequent su
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