Abstract

Background: Posterolateral knee dislocation rarely occur and might not reduce due to buttonholing of the Femoral condyle into the anteromedial knee joint capsule. These are complex injuries without any clear guidelines in terms of management.
 Case presentation: 40-year-old male presented with posterolateral knee dislocation due to a road traffic accident. Patient was having posterior cruciate ligament (PCL) injury along with posterolateral corner instability supported by clinical examination and confirmed with radiologic investigations.
 Management and Results: Patient was managed with single-stage arthroscopic reconstruction of PCL followed by open posterolateral corner ligaments reconstruction. Postoperatively patient had positive functional outcomes with satisfactory international knee documentation committee subjective knee form (IKDC) scores.
 Conclusion: Posterolateral Corner Injury (PLC) injury with associated PCL injury showed positive results when managed in a single-stage procedure.

Highlights

  • Posterolateral knee dislocations represent a small entity of knee dislocations[1]

  • We present a case of chronic posterolateral knee dislocation with its physical and investigational findings

  • Postoperative rehabilitation was started during the first week

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Summary

Introduction

Posterolateral knee dislocations represent a small entity of knee dislocations[1]. Anterior and Posterior knee dislocations are the most common types of knee dislocation. A 40-year-old male, Labourer by profession, presented in the outpatient department with complaints of pain and deformity of the left knee and inability to perform daily activities due to left knee joint instability for the last 8 months. Deformity and instability, the patient presented in tertiary care hospital. There was varus deformity of the knee with the appreciable head of fibula at the lateral aspect of the left knee. Sag sign was present and the patient was having recurvatum deformity of the tibia from lateral inspection. On Knee x-rays, the patient was having posterolateral shifting of the tibia over the femur.

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Conclusion

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