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LEVEL OF EVIDENCE: 5 SUMMARY Introduction. Traumatic knee dislocation is a serious lesion which represents an orthopaedic emergency. It is a rare condition that requires appropriate diagnosis therapeutic iter. Case report. A 63 year old male was admitted to the emergency department after an agricultural vehicle accident in which his lower limbs were caught in a tractor. Clinical examination showed bilateral exposed knee dislocation. In addition there emerged right hip dislocation and composed acetabular fracture. There were no vascular arteries injuries, whilst there emerged an external popliteal sciatic nerve palsy to the left site. We performed the reduction manoeuvre revealing bilateral joint instability. For this reason the stabilization was made by external fixators. Due to right knee severe valgus instability, we performed medial collateral ligament reconstruction by intraosseous suture anchor using Leeds-Keio artificial implant after 1 month. Conclusions. In our case, due to the involvement of three major joints and nerve palsy, we had to perform the reduction manoeuvre, exploration and suture of peroneal nerve and stabilization by the external fixator. The opportuneness of ligament reconstruction may be evaluated at a second step in relation to functional expectancy and skin condition of the donor site.

Traumatic Dislocation of Three Major Joints in the Lower Limb: Management and Outcome