{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:50:34Z","timestamp":1787755834537,"version":"build-2784847793"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 44-year-old morbidly obese man suffered an ultra-low velocity knee dislocation with anterior and posterior cruciate and medial collateral ligament tears after falling from a stationary bike. He underwent open reduction, external fixator application, and multiligamentous reconstruction. Postoperatively, he developed septic arthritis requiring debridement, graft removal, and antibiotic therapy, with eventual conversion to total knee arthroplasty (TKA). We present nearly 20-year follow-up on this complex case.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Morbid obesity amplifies the risks of knee dislocation management, including ligament reconstruction failure and septic arthritis. Long-term follow-up allows for analysis of treatment strategies of severe complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.24.00374","type":"journal-article","created":{"date-parts":[[2024,12,5]],"date-time":"2024-12-05T14:00:21Z","timestamp":1733407221000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Long-term Follow-up for Successful Salvage of Knee Dislocation Complicated by Infection"],"prefix":"10.2106","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7999-4559","authenticated-orcid":false,"given":"Devin A.","family":"Maez","sequence":"first","affiliation":[{"name":"University of New Mexico School of Medicine, Albuquerque, New Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9935-6493","authenticated-orcid":false,"given":"Dustin L.","family":"Richter","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Rehabilitation, University of New Mexico, Albuquerque, New Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert C.","family":"Schenck","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Rehabilitation, University of New Mexico, Albuquerque, New Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,10]]},"reference":[{"issue":"9","key":"bib1-20241205","doi-asserted-by":"crossref","first-page":"2712","DOI":"10.1007\/s11999-014-3707-6","article-title":"Long-term followup of surgically treated knee dislocations: stability restored, but arthritis is common","volume":"472","author":"Fanelli","year":"2014","journal-title":"Clin Orthop Relat Res."},{"issue":"2","key":"bib3-20241205","doi-asserted-by":"crossref","first-page":"358","DOI":"10.1177\/0363546513508375","article-title":"Ultra-low velocity knee dislocations: patient characteristics, complications, and outcomes","volume":"42","author":"Werner","year":"2014","journal-title":"Am J Sports Med."},{"issue":"10","key":"bib4-20241205","doi-asserted-by":"crossref","first-page":"2170","DOI":"10.1177\/0363546511414855","article-title":"Ultra-low-velocity knee dislocations","volume":"39","author":"Azar","year":"2011","journal-title":"Am J Sports Med."},{"issue":"10","key":"bib5-20241205","doi-asserted-by":"crossref","first-page":"921","DOI":"10.2106\/JBJS.20.01151","article-title":"Increased neurovascular morbidity is seen in documented knee dislocation versus multiligamentous knee injury","volume":"103","author":"Kahan","year":"2021","journal-title":"J Bone Joint Surg Am."},{"issue":"2","key":"bib6-20241205","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1055\/s-0037-1603901","article-title":"Knee septic arthritis after arthroscopy: incidence, risk factors, functional outcome, and infection eradication rate","volume":"5","author":"Balato","year":"2017","journal-title":"Joints."},{"issue":"7","key":"bib7-20241205","doi-asserted-by":"crossref","first-page":"464","DOI":"10.21037\/atm.2020.03.112","article-title":"Relationship between body mass index and the risk of periprosthetic joint infection after primary total hip arthroplasty and total knee arthroplasty","volume":"8","author":"Zhong","year":"2020","journal-title":"Ann Transl Med."},{"issue":"4","key":"bib8-20241205","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1055\/s-0036-1571432","article-title":"Knee dislocation in the morbidly obese patient","volume":"29","author":"Carr","year":"2016","journal-title":"J Knee Surg."},{"issue":"4","key":"bib9-20241205","doi-asserted-by":"crossref","first-page":"2325967115575719","DOI":"10.1177\/2325967115575719","article-title":"Low-velocity knee dislocations in obese and morbidly obese patients","volume":"3","author":"Vaidya","year":"2015","journal-title":"Orthop J Sports Med."},{"key":"bib10-20241205","first-page":"127","article-title":"The dislocated knee","volume":"43","author":"Schenck","year":"1994","journal-title":"Instr Course Lect."},{"issue":"5","key":"bib11-20241205","doi-asserted-by":"crossref","first-page":"2325967117706521","DOI":"10.1177\/2325967117706521","article-title":"Demographics and injuries associated with knee dislocation: a prospective review of 303 patients","volume":"5","author":"Moatshe","year":"2017","journal-title":"Orthop J Sports Med."},{"issue":"9","key":"bib12-20241205","doi-asserted-by":"crossref","first-page":"2325967118794367","DOI":"10.1177\/2325967118794367","article-title":"Comparison of KD3-M and KD3-L multiligamentous knee injuries and analysis of predictive factors that influence the outcomes of single-stage reconstruction in KD3 injuries","volume":"6","author":"Sundararajan","year":"2018","journal-title":"Orthop J Sports Med."},{"issue":"4","key":"bib13-20241205","doi-asserted-by":"crossref","first-page":"961","DOI":"10.1177\/03635465241231032","article-title":"Clinical and functional outcomes of documented knee dislocation versus multiligamentous knee injury: a comparison of KD3 injuries at mean 6.5 Years follow-up","volume":"52","author":"Hughes","year":"2024","journal-title":"Am J Sports Med."},{"issue":"20","key":"bib14-20241205","doi-asserted-by":"crossref","first-page":"1839","DOI":"10.2106\/JBJS.K.00820","article-title":"The influence of obesity on the complication rate and outcome of total knee arthroplasty: a meta-analysis and systematic literature review","volume":"94","author":"Kerkhoffs","year":"2012","journal-title":"J Bone Joint Surg Am."},{"issue":"4","key":"bib15-20241205","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1097\/JSM.0000000000000521","article-title":"Outcomes of anterior cruciate ligament reconstruction in obese and overweight patients: a systematic review","volume":"29","author":"DiSilvestro","year":"2019","journal-title":"Clin J Sport Med."},{"issue":"10","key":"bib16-20241205","doi-asserted-by":"crossref","first-page":"3149","DOI":"10.1007\/s00167-021-06525-8","article-title":"Post-operative septic arthritis after arthroscopy: modern diagnostic and therapeutic concepts","volume":"29","author":"Voss","year":"2021","journal-title":"Knee Surg Sports Traumatol Arthrosc."},{"issue":"3","key":"bib17-20241205","doi-asserted-by":"crossref","first-page":"594","DOI":"10.1016\/j.knee.2017.02.002","article-title":"Patient-related risk factors for infection following knee arthroscopy: an analysis of over 700,000 patients from two large databases","volume":"24","author":"Cancienne","year":"2017","journal-title":"Knee."},{"issue":"3","key":"bib18-20241205","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1016\/S0883-5403(00)90854-4","article-title":"Total knee arthroplasty for chronic posterior knee dislocation: report of 2 cases with technical considerations","volume":"15","author":"Petrie","year":"2000","journal-title":"J Arthroplasty."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.24.00374","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:53:52Z","timestamp":1787752432000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.24.00374"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2024,10]]},"references-count":17,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.24.00374","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10]]}}}