{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T12:32:20Z","timestamp":1770813140326,"version":"3.50.1"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>Introduction: Knee joint dislocation is a rare and limb-threatening injury, which is often missed due to its association with other life-threatening injuries and is particularly challenging to manage in a low-resource setting. Our study is a longitudinal observational study evaluating the functional recovery trends following knee joint dislocation in a tertiary care hospital in the Himalayan Region of India.\n\nMaterials and Methods: This was a longitudinal study conducted from September 2022 to June 2024. It included a total of 28 patients who presented to the hospital with a dislocated knee joint, of which half were managed surgically, while the other half were managed conservatively post-reduction. Functional outcomes were assessed using the Lysholm Knee Scoring Scale, International Knee Documentation Committee (IKDC) subjective score, and EQ-5D-5L at 6 weeks, 3 months, and 6 months. Statistical analyses were performed using the Statistical Package for the Social Sciences version 29.\n\nResults: Of the 28 patients (22 males and 6 females; mean age 39.3 \u00b1 13.4 years), exactly half were managed conservatively, and the other 14 operatively. Kennedy type A (75%), and Schenck KD I (36%) injuries predominated. Functional scores improved gradually across time points. At 6 months, mean Lysholm scores (conservative 61.7 \u00b1 11.3 versus operative 64.3 \u00b1 10.8, P = 0.53, Cohen\u2019s d = \u22120.24) and IKDC scores (61.2 \u00b1 3.3 versus 54.1 \u00b1 9.4, P = 0.63, d = 0.19) were statistically comparable. EQ-5D-5L indices (0.75 \u00b1 0.09 versus 0.78 \u00b1 0.08, P = 0.40) paralleled these findings. Repeated-measures analysis of variance revealed significant within-group improvement (F = 12.4, P &lt; 0.001) but no group-time interaction (P = 0.72). Sensitivity analysis excluding vascular cases confirmed robustness (adjusted P = 0.61).\n\nConclusion: Both management modalities yielded equivalent short-term recovery. Conservative management, when feasible and with preserved vascular integrity, can achieve satisfactory functional outcomes along with reduced cost (approximately 40% lower than operative management) in low- and middle-income resource settings such as the Himalayan region. Enhanced rehabilitation access remains essential for recovery and better functional outcomes. Long-term, multicentric research is needed to provide more robust data on this topic.\n\nKeywords: Knee dislocation, Lysholm score, International Knee Documentation Committee, quality of life, low- and middle-income countries, orthopedic outcomes, rehabilitation, surgical management, conservative treatment, functional outcome assessment.<\/jats:p>","DOI":"10.13107\/jocr.2026.v16.i02.6828","type":"journal-article","created":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T06:18:30Z","timestamp":1770790710000},"page":"274-281","source":"Crossref","is-referenced-by-count":0,"title":["Knee Joint Dislocation in a Difficult, Low-Resource Himalayan Setting: A Longitudinal Functional Outcome Study"],"prefix":"10.13107","volume":"16","author":[{"name":"Department of Orthopaedics, Dr. Baba Saheb Ambedkar Medical College and Hospital, New Delhi, India,","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Himmat Singh","family":"Pannu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ronish","family":"Patidar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Orthopaedics, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India,","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gautam","family":"Prem","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Pulmonary Medicine, Christian Medical College, Vellore, Tamil Nadu, India,","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vivek","family":"Vivek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Orthopaedics, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India,","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sunil","family":"Kumar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Orthopaedics, Dr. Radhakrishnan Government Medical College, Hamirpur, Himachal Pradesh, India.","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Piyush","family":"Gupta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Orthopaedics, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India,","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5271","published-online":{"date-parts":[[2026]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T06:18:32Z","timestamp":1770790712000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2026\/02\/knee-joint-dislocation-in-a-difficult-low-resource-himalayan-setting-a-longitudinal-functional-outcome-study\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2026]]},"published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2026.v16.i02.6828","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]}}}