Consideration sin the Management of Knee Dislocations in the Limited Resource Setting (KD-LRS)

Dustin L. Richter, Michael MFG Held, Maritz Laubscher, Richard B von Bormann, David North, Sachin Tapasvi, Anshu Shekhar, Daniel C. Wascher, Robert C Schenck

Volume 5 | Issue 1 | Jan – Apr 2020 | Page 66-72

Author: Dustin L. Richter [1], Michael MFG Held [2], Maritz Laubscher [2], Richard B von Bormann [2], David North [2], Sachin Tapasvi [3], Anshu Shekhar [3], Daniel C. Wascher [1], Robert C Schenck [1]

[1] Department of Orthopaedics, University of New Mexico, Albuquerque, USA.
[2] Department of Orthopaedics, University of Cape Town, Cape Town, Sauth Africa.
[3] The Orthopaedic Speciality Clinic in Pune, India

Address of Correspondence
Dr. Dustin L. Richter,
University of New Mexico, MSC10 5600, Albuquerque, NM 87131-0001, United States


Knee dislocations (KD’s) are an increasingly recognized and potentially devastating injury that crosses between sports medicine and trauma. This intersection of orthopaedic specialities involves differing patient populations with individual challenges. While much of the literature on managing knee dislocations comes from academic centers in economically advantaged countries, the majority of knee dislocations worldwide are treated in limited resource settings (LRS). Even in high income countries, such as the United States, there are significant rural and underserved populations whose available treatment can often mimic LRS in developing nations. Additionally, there are patients with these injuries who refuse allograft reconstructions based on personal or religious beliefs. We have recruited authors with extensive experience in the management of KD’s who also have a special interest in managing the KD patient in the limited resource setting (KD-LRS). Additionally, the LRS environment should not be confused with the quality of professional care provided as the LRS has no limits on human capital.
Our topics will include acute evaluation and management of the KD, management with or without delayed ligament reconstruction, staged management, use of external fixation, reliance on autografts for ligament reconstruction, and management of the neglected KD or delayed presentation. Our goal is to provide a road map, in an area which has very limited references or direction, for the clinician practicing where “less, often has to be more” or utilizing what is available to its greatest capacity.
Keywords/phrases: Limited resource setting (LRS), Knee Dislocation, Neglected KD, Treatment Gap, Autograft KD reconstructions.


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How to Cite this article: Richter DL, Held M, Laubscher M, Benno R, North D, Tapasvi S, Shekhar A, Wascher DC, Schenck RC | Considerations in the Management of Knee Dislocations in the Limited Resource Setting (KD-LRS) | Asian Journal of Arthroscopy | January- April 2020; 5(1):66-72.

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