{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T11:11:36Z","timestamp":1781867496000,"version":"3.54.5"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nDislocation and fracture-dislocation of the knee are serious injuries, often related to high-energy trauma. Irreducibility with closed techniques is an extremely rare and challenging problem that has been described in posterolateral, posterior and lateral knee dislocations. Irreducibility in fracture-dislocations around the knee has only been described twice in the literature and never in association with a tibial plateau fracture. We report a unique case of an irreducible tibial plateau fracture-dislocation in which closed reduction was prevented by incarceration of the medial meniscus within the fracture site. The patient required transfer to our institution due to a concomitant traumatic brain injury. This contributed to a delay of 10 hours from injury to arrival in our resuscitation room. Progressive swelling and absent foot pulses resulted in immediate transfer to the operating theater where open reduction and internal fixation was performed with four-compartmental fasciotomies. The patient made a rapid and full recovery. Where closed techniques have failed, open reduction must then be undertaken in order to prevent the devastating complications of compartment syndrome and neurovascular compromise.\n\n \n\n\u00d6zet\n\n \n\nDizde meydana gelen \u00e7\u0131k\u0131k ve k\u0131r\u0131kl\u0131 \u00e7\u0131k\u0131klar, s\u0131kl\u0131kla y\u00fcksek enerjili travmalar sonras\u0131 olu\u015fan ciddi yaralanmalard\u0131r. Bu yaralanmalar\u0131n kapal\u0131 tekniklerle red\u00fckte edilemiyor olmas\u0131 son derece nadir g\u00f6r\u00fclen ve sorunlu bir durum olup, dizin posterolateral, posterior ve lateralinde meydana geldi\u011fi bilinmektedir. Dizin etraf\u0131ndaki k\u0131r\u0131kl\u0131 \u00e7\u0131k\u0131klar\u0131n red\u00fckte edilememesi literat\u00fcrde iki \u00e7al\u0131\u015fmada yay\u0131mlanm\u0131\u015f ve tibia platosu ile ili\u015fkisi belirlenememi\u015ftir. Bu \u00e7al\u0131\u015fmada tibia platosunda g\u00f6r\u00fclen e\u015fsiz bir k\u0131r\u0131kl\u0131 \u00e7\u0131k\u0131k olgusu sunuyoruz. Medial menisk\u00fcs\u00fcn k\u0131r\u0131k b\u00f6lgesinde hapsolmas\u0131 nedeniyle olguda kapal\u0131 red\u00fcksiyon uygulanamam\u0131\u015ft\u0131r. Hasta, e\u015flik eden travmatik beyin hasar\u0131 sonras\u0131 kurumumuza sevk edilmi\u015fti. Bu da res\u00fcsitasyon odas\u0131na geli\u015fini ilk yaralanma sonras\u0131 10 saat kadar geciktirmi\u015fti. \u0130lerleyici \u015fi\u015flik ve ayakta nabz\u0131n al\u0131namamas\u0131yla birlikte hastan\u0131n acilen ameliyata al\u0131nmas\u0131 gerekti. Hastaya d\u00f6rt kompart\u0131manl\u0131 fasyotomi ile a\u00e7\u0131k red\u00fcksiyon ve internal tespit uyguland\u0131. Cerrahi sonras\u0131 hasta h\u0131zl\u0131 bir \u015fekilde tam olarak iyile\u015fti. Kapal\u0131 tekniklerin ba\u015far\u0131s\u0131z oldu\u011fu durumlarda kompart\u0131man sendromunun y\u0131k\u0131c\u0131 komplikasyonlar\u0131n\u0131n ve n\u00f6rovask\u00fcler yaralanma riskinin \u00f6n\u00fcn\u00fc almak i\u00e7in a\u00e7\u0131k red\u00fcksiyon uygulamas\u0131 \u015fartt\u0131r.<\/jats:p>","DOI":"10.3944\/aott.2014.3112","type":"journal-article","created":{"date-parts":[[2014,6,11]],"date-time":"2014-06-11T17:33:16Z","timestamp":1402507996000},"page":"363-366","source":"Crossref","is-referenced-by-count":4,"title":["Irreducible fracturedislocation of the knee"],"prefix":"10.5152","volume":"48","author":[{"given":"Robert","family":"Nicholas Green","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohan","family":"Krishna Pullagura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Patrick Holland","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,7]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2841\/2795","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:20:03Z","timestamp":1763464803000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2841"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,7]]},"references-count":0,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2014,1,3]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2014.3112","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,7]]}}}