[Diagnosis and therapy of XXXX in posterior knee dislocation].

@entity1317 @entity1 @entity63
AIM: We demonstrate the management and treatment of dislocation of the knee associated with @entity1317 . The goal of the treatment is to avoid complications due to @entity63 . The injured vessel can be repaired either by direct suture or by interposition of a saphenous vein graft. Capsule and ligaments should be reconstructed secondarily. @entity1 AND METHODS: The charts of ten @entity1 treated in the Division of Traumatology of the University of Zurich between 1979 and 1996 have been retrospectively checked. RESULTS: In eight of ten @entity1 the injured vessel has been reconstructed with a saphenous vein graft, in one @entity1 the artery has been repaired by direct suture. In one @entity1 a flap of the intima has been refixed by endarterectomy. In five @entity1 the knee has been stabilised with a transfixation (external fixation). In two @entity1 the ligaments and the capsule were reconstructed at the time of vascular repair, in seven @entity1 the reconstruction has been performed secondary. CONCLUSIONS: In case of a dislocation of the knee the examination of the vessels is mandatory. In case of a critical perfusion the "on table"--angiography is the procedure of choice. As an alternative method duplex sonography has been established. The vascular reconstruction is performed by saphenous vein graft interposition. We recommend to reconstruct ligamentous and capsular structures secondary.
