Abstract
Knee dislocation is a rare and devastating injury, may cause limb-threatening sequelae if damage to nerves and blood vessels. We describe a case of femoral shaft fracture without initial knee dislocation followed by stabilization with intramedullary nailing. When the patient postoperatively regained consciousness from anesthesia, he had restless agitation that caused an obvious knee dislocation. Emergency physicians need to keep in mind that spontaneous dislocation or relocation of the knee can occur at any point in time after trauma.
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