Management of Neglected Multiple Ligament Rupture of the Knee: A Case Report

Maodah, F.A. and Rhatomy, Sholahuddin (2021) Management of Neglected Multiple Ligament Rupture of the Knee: A Case Report. Malaysian Orthopaedic Journal, 15 (3). 118 – 121. ISSN 19852533

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Abstract

Delayed or neglected multiple ligament injury of the knee is challenging or doctors and physiotherapists. We report on a 36-year-old army man who presented to the outpatient orthopaedic department with complaints of pain and deformity of his right knee and an inability to weight-bear on the right leg. The examination of the right knee revealed an unreduced posterior dislocation of the knee with instability in all planes and a limited range of motion (ROM) from 10° to 100°. Quadriceps wasting was noted. Roentgenograms revealed a posterior dislocation of the knee. Magnetic resonance imaging (MRI) showed complete rupture of the anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), medial collateral ligament (MCL) and the patellar tendon. A two-stage surgery was planned, involving soft tissue distraction with external fixation to restore the knee joint, followed by multiple ligament reconstruction. Three months after surgery, the patient could walk normally with ROM between 0° to 120°. © 2021, Malaysian Orthopaedic Association. All rights reserved.

Item Type: Article
Additional Information: Cited by: 0; All Open Access, Gold Open Access, Green Open Access
Uncontrolled Keywords: adult; anterior cruciate ligament rupture; arthrotomy; Article; case report; clinical article; clinical examination; fracture external fixation; human; human tissue; knee dislocation; knee function; knee instability; knee ligament injury; knee ligament surgery; knee medial collateral ligament; male; nuclear magnetic resonance imaging; patellar ligament; posterior cruciate ligament rupture; range of motion; soft tissue; X ray picture
Subjects: R Medicine > RB Biomedical Sciences
Divisions: Faculty of Medicine, Public Health and Nursing > Biomedical Sciences
Depositing User: Sri JUNANDI
Date Deposited: 27 Sep 2024 06:28
Last Modified: 27 Sep 2024 06:28
URI: https://ir.lib.ugm.ac.id/id/eprint/4527

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