SynthesisInternational orthopaedics2019
Tibiofemoral dislocation after primary total knee arthroplasty: a systematic review.
Synthesis in International orthopaedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed, 29 citations in OpenAlex.
- High Rate of Vascular Injury and Mortality for Acute Total Knee Arthroplasty Dislocations: A Case Series.The Iowa orthopaedic journal · 2026Article
- Recurrent Knee Dislocation With Vascular Injury in a Patient With Prior Total Knee Arthroplasty: A Case Report.Cureus · 2025Article
- Challenges in a neglected case of traumatic anterior dislocation after total knee replacement: A case report.Journal of clinical orthopaedics and trauma · 2025Article
- A Rare Complication of Sequential Bilateral Posterior Knee Dislocation Following Bilateral Robotic Assisted Primary Knee Replacement: Case Report.Journal of orthopaedic case reports · 2025Article
- Knee joint dislocations-Current epidemiology and treatment in Germany.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Traumatic anterior tibiofemoral dislocation of mobile-bearing total knee arthroplasty: Two cases.Trauma case reports · 2025Article
- Traumatic Knee Joint Dislocation in a Total Knee Arthroplasty with Rupture of the Popliteal Artery and a Subsequent Prosthesis Change: A Case Report.Journal of orthopaedic case reports · 2025Article
- Quadriceps tear, infection and dislocation: Three rare complications after total knee arthroplasty. A case report.International journal of surgery case reports · 2025Article
- Noninvasive Management after a Traumatic Anterior Knee Dislocation in a Cruciate Retaining Total Knee Arthroplasty: A Case Report.Revista brasileira de ortopedia · 2024Article
- Article
- Low impact injury resulting in a Schenck type IV classified anterior knee dislocation as well as biceps femoris rupture: A Case Report.Journal of orthopaedic case reports · 2024Article
- Review
- Tibiofemoral dislocation after total knee arthroplasty treated successfully with an external fixation device.Journal of surgical case reports · 2023Article
- Anterior tibiofemoral dislocation after total knee arthroplasty: A case report and literature review.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2022Review
- Anterior prosthetic knee dislocation with acute vascular injury: A case report.Annals of medicine and surgery (2012) · 2022Article
- Stress Radiographs in the Posterior Drawer Position at 90° Flexion Should Be Used for the Evaluation of the PCL in CR TKA with Flexion Instability.Journal of clinical medicine · 2022Article
- Acute Anterior Dislocation in a Total Knee Arthroplasty Patient With a History of Sarcoma Resection.Arthroplasty today · 2022Article
- Neglected Posterior Dislocation Septic Loosening and Prolonged Flexion Contracture of Total Knee Arthroplasty: A Case Report.The American journal of case reports · 2021Article
- Traumatic Lateral Knee Dislocation of a Well-Functioning Total Knee Arthroplasty: A Case of Medial Collateral Ligament Rupture.Arthroplasty today · 2021Article
- Knee-Spanning External Fixation for Recurrent Traumatic Anterior Prosthetic Knee Dislocation With Associated Vascular Injury.Arthroplasty today · 2021Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionTibiofemoral dislocation is the most serious form of instability following total knee arthroplasty (TKA). It is little reported in the literature, despite severity comparable to that in the native knee. The present systematic review and meta-analysis aimed to identify risk factors and treatment strategies.
methodsThe Cochrane, Medline (via PubMed), Google, and PROSPERO data-bases were searched in January 2018 following the PRISMA meta-analysis guidelines. All articles referring to tibiofemoral dislocation following primary TKA were included for analysis and extraction of individual data. Study data comprised age, gender, comorbidities, primary and revision implant design, aetiology, and treatment strategy.
resultsIndividual data for 57 patients (23 studies) were analyzed. A total of 62.0% of primary implants were posterior-stabilized (49 patients) and 30.4% posterior-cruciate-retaining (24 patients). Obesity was the most frequent comorbidity (39.2%; 31 patients), followed by severe pre-operative deformity (31.6%; 25 patients). Aetiologies of dislocation were mainly related to comorbidity (15 studies; 65.2%) or intra-operative iatrogenic destabilization (14 studies; 60.9%). Non-operative treatment (splint) after dislocation was associated with high rates of recurrence (39.1%) but significantly fewer complications (p = 0.033). Implant revision surgery (45 patients; 80.4%) usually involved higher-constraint models (31 patients; 70.8%).
conclusionsImproved implant design has reduced the rate of tibiofemoral dislocation, although this complication remains serious in both the short and the long term. The present review identified patient- and surgeon-related risk factors. Awareness of the former, which are identifiable pre-operatively, and of the most frequent technical errors is critical.
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