Open femorotibial dislocation with fracture of the patella and tibia

Authors

Keywords:

femorotibial dislocation, patella fracture, tibial fracture.

Abstract

Introduction: Knee dislocations are infrequent, which makes the combination with open fractures of the patella and the upper third of the tibia, rare and serious. It is an entity caused by high-energy trauma and is associated with other injuries.
Objective: To present a rare and complex case of open posterior femorotibial dislocation with fracture of the lower pole of the patella and the upper third of the tibia.
Clinical case: A 37-year-old male patient, who was admitted to the orthopedic and trauma service, who, as a consequence of a traffic accident, presented posterior femorotibial dislocation with an open fracture of the lower pole of the patella and upper third of the tibia. grades III-B, in the lower right. He underwent emergency surgery; extensive surgical debridement, dislocation reduction, primary repair of ligamentous injuries, partial patellectomy, patellar tendon repair, and external fixation were performed for the fracture of the upper third of the tibia. The patient evolved well, without infection of the surgical wound and full recovery at 4 months.
Conclusions: The combination of open posterior femorotibial dislocation, with fracture of the lower pole of the patella and upper third of the tibia is rare and is due to high traumatic energies, such as motor vehicle accidents. Emergency surgery and antimicrobial prophylaxis is the effective method for the definitive treatment of this lesion.

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Author Biography

José Luis Nápoles Mengana, HME Joaquín Castillo Duany

Especialista de 1er grado en ortopedia y traumatogía. Porfesor Instructor.

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Published

2021-10-01

How to Cite

1.
Nápoles Mengana JL, Lagar Ávila AA, Ramos Hechavarría L. Open femorotibial dislocation with fracture of the patella and tibia. Rev Cubana Med Milit [Internet]. 2021 Oct. 1 [cited 2025 Feb. 20];50(4):e02101372. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/1372

Issue

Vol. 50 No. 4 (2021): October - December

Section

Case Presentation

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