Evidence map›Paper›PMID 41727786›Full record

ArticleOrthopaedic journal of sports medicine2026

One-Stage Arthroscopic Reduction Combined With Reconstruction of Knee Stability for Irreducible Knee Dislocation: A 2-Year Follow-up Study.

Yang Sun, Wei Zhao, Shengshan Ma, He Li, Dongze Wu, Xiaofei Li

Abstract read
In one paragraph

Article in Orthopaedic journal of sports medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Yang SunDepartment of Sports Medicine, The First People's Hospital of Lianyungang, Affiliated Hospital of Xuzhou Medical University, Affiliated Hospital of Kangda College of Nanjing Medical University, Lianyungang, China.
Wei ZhaoDepartment of Bone Infections, Shandong Public Health Clinical Center, Public Health Clinical Center of Shandong University, Jinan, China.
Shengshan MaDepartment of Sports Medicine, The First People's Hospital of Lianyungang, Affiliated Hospital of Xuzhou Medical University, Affiliated Hospital of Kangda College of Nanjing Medical University, Lianyungang, China.
He LiDepartment of Sports Medicine, The First People's Hospital of Lianyungang, Affiliated Hospital of Xuzhou Medical University, Affiliated Hospital of Kangda College of Nanjing Medical University, Lianyungang, China.
Dongze WuDepartment of Sports Medicine, The First People's Hospital of Lianyungang, Affiliated Hospital of Xuzhou Medical University, Affiliated Hospital of Kangda College of Nanjing Medical University, Lianyungang, China.
Xiaofei LiDepartment of Sports Medicine, The First People's Hospital of Lianyungang, Affiliated Hospital of Xuzhou Medical University, Affiliated Hospital of Kangda College of Nanjing Medical University, Lianyungang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Irreducible knee dislocation (IKD) is a rare but severe injury, accounting for approximately 4% of all knee dislocations and characterized by soft tissue incarceration that precludes closed reduction. Current management remains debated, particularly regarding the optimal timing of ligament reconstruction (single- vs. two-stage) and the choice of surgical approach. Purpose: To investigate the short-term efficacy and outcomes of 1-stage arthroscopic reduction combined with reconstruction of knee stability for irreducible knee dislocation (IKD). Study Design: Cohort study; Level of evidence, 3. Methods: A total of 16 patients with IKD, treated with 1-stage arthroscopic surgery between June 2015 and July 2022, were included in this study. The surgery involved arthroscopic knee reduction and simultaneous multiligament reconstruction or repair. Side-to-side differences determined with a KT-1000 arthrometer and physical examinations-including the Lachman test, the pivot shift test, the drawer test, and the varus and valgus stress test-were performed for the evaluation of knee joint stability. Other assessments included the International Knee Documentation Committee (IKDC) score, the Lysholm score, pain scores, and satisfaction scores. A paired Results: One patient experienced traumatic redislocation at 1 month due to noncompliance with bracing and was excluded from functional outcome analysis. The remaining 15 patients completed a 2-year follow-up. For all patients included in this study, the mean time from injury to surgery was 5.5 ± 1.4 days, and the mean follow-up time was 27.4 ± 2.6 months. At the last follow-up, all patients had normal or nearly normal Lachman, pivot shift, drawer, and varus and valgus stress tests. The IKDC score was 76.07 ± 2.84 (range, 70-82), the Lysholm score was 81.87 ± 4.22 (range, 74-87), and the pain score was 1±1 (range, 0-3). The satisfaction score was 8.53 ± 0.74 (range, 7-10), which significantly improved compared with the preoperative score ( Conclusion: One-stage arthroscopic reduction, combined with reconstruction of knee stability, can effectively restore knee stability and improve clinical outcomes in the treatment of IKD.

Indexed as

arthroscopyirreducible knee dislocationknee stabilityligamentreconstruction

Identifiers

PMID41727786
PMCPMC12921192

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.