An Unexpected Complication of Hip Arthroplasty: Knee Dislocation

An increasing number of patients with hip fracture have been seen with osteoporosis associated with osteoarthritis. Although knee dislocation is related to high-energy trauma, low-grade injuries can also lead to knee dislocation which is defined as “ultra-low velocity dislocation.” The case reported...

Full description

Saved in:
Bibliographic Details
Main Authors: Serdar Yilmaz, Deniz Cankaya, Alper Deveci, Mahmut Ozdemir, Murat Bozkurt
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2015/294187
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850216346445414400
author Serdar Yilmaz
Deniz Cankaya
Alper Deveci
Mahmut Ozdemir
Murat Bozkurt
author_facet Serdar Yilmaz
Deniz Cankaya
Alper Deveci
Mahmut Ozdemir
Murat Bozkurt
author_sort Serdar Yilmaz
collection DOAJ
description An increasing number of patients with hip fracture have been seen with osteoporosis associated with osteoarthritis. Although knee dislocation is related to high-energy trauma, low-grade injuries can also lead to knee dislocation which is defined as “ultra-low velocity dislocation.” The case reported here is of an 82-year-old patient who presented with a left intertrochanteric hip fracture. Partial arthroplasty was planned because of osteoporosis. In the course of surgery, degenerative arthritic knee was dislocated during the hip reduction maneuver with the application of long traction. The neurovascular examination was intact, but the knee was grossly unstable and was dislocated even in a brace; thus a hinged knee prosthesis was applied nine days after surgery. The patient was mobilized with crutches after the knee prosthesis but exercise tolerance was diminished. In conclusion, it should be emphasized that overtraction must be avoided during the hip reduction maneuver in patients with advanced osteoarthritic knee.
format Article
id doaj-art-3ec0f2a25d764de48ad10fa5d522f66b
institution OA Journals
issn 2090-6749
2090-6757
language English
publishDate 2015-01-01
publisher Wiley
record_format Article
series Case Reports in Orthopedics
spelling doaj-art-3ec0f2a25d764de48ad10fa5d522f66b2025-08-20T02:08:20ZengWileyCase Reports in Orthopedics2090-67492090-67572015-01-01201510.1155/2015/294187294187An Unexpected Complication of Hip Arthroplasty: Knee DislocationSerdar Yilmaz0Deniz Cankaya1Alper Deveci2Mahmut Ozdemir3Murat Bozkurt4Department of Orthopaedics and Traumatology, Ankara Numune Training and Research Hospital, 06100 Ankara, TurkeyDepartment of Orthopaedics and Traumatology, Ankara Numune Training and Research Hospital, 06100 Ankara, TurkeyDepartment of Orthopaedics and Traumatology, Ankara Numune Training and Research Hospital, 06100 Ankara, TurkeyDepartment of Orthopaedics and Traumatology, Ankara Kecioren Training and Research Hospital, 06280 Ankara, TurkeyDepartment of Orthopaedics and Traumatology, Ankara Ataturk Training and Research Hospital, 06800 Ankara, TurkeyAn increasing number of patients with hip fracture have been seen with osteoporosis associated with osteoarthritis. Although knee dislocation is related to high-energy trauma, low-grade injuries can also lead to knee dislocation which is defined as “ultra-low velocity dislocation.” The case reported here is of an 82-year-old patient who presented with a left intertrochanteric hip fracture. Partial arthroplasty was planned because of osteoporosis. In the course of surgery, degenerative arthritic knee was dislocated during the hip reduction maneuver with the application of long traction. The neurovascular examination was intact, but the knee was grossly unstable and was dislocated even in a brace; thus a hinged knee prosthesis was applied nine days after surgery. The patient was mobilized with crutches after the knee prosthesis but exercise tolerance was diminished. In conclusion, it should be emphasized that overtraction must be avoided during the hip reduction maneuver in patients with advanced osteoarthritic knee.http://dx.doi.org/10.1155/2015/294187
spellingShingle Serdar Yilmaz
Deniz Cankaya
Alper Deveci
Mahmut Ozdemir
Murat Bozkurt
An Unexpected Complication of Hip Arthroplasty: Knee Dislocation
Case Reports in Orthopedics
title An Unexpected Complication of Hip Arthroplasty: Knee Dislocation
title_full An Unexpected Complication of Hip Arthroplasty: Knee Dislocation
title_fullStr An Unexpected Complication of Hip Arthroplasty: Knee Dislocation
title_full_unstemmed An Unexpected Complication of Hip Arthroplasty: Knee Dislocation
title_short An Unexpected Complication of Hip Arthroplasty: Knee Dislocation
title_sort unexpected complication of hip arthroplasty knee dislocation
url http://dx.doi.org/10.1155/2015/294187
work_keys_str_mv AT serdaryilmaz anunexpectedcomplicationofhiparthroplastykneedislocation
AT denizcankaya anunexpectedcomplicationofhiparthroplastykneedislocation
AT alperdeveci anunexpectedcomplicationofhiparthroplastykneedislocation
AT mahmutozdemir anunexpectedcomplicationofhiparthroplastykneedislocation
AT muratbozkurt anunexpectedcomplicationofhiparthroplastykneedislocation
AT serdaryilmaz unexpectedcomplicationofhiparthroplastykneedislocation
AT denizcankaya unexpectedcomplicationofhiparthroplastykneedislocation
AT alperdeveci unexpectedcomplicationofhiparthroplastykneedislocation
AT mahmutozdemir unexpectedcomplicationofhiparthroplastykneedislocation
AT muratbozkurt unexpectedcomplicationofhiparthroplastykneedislocation