Placement of a Compass Knee Hinge: Surgical Technique.

Nuelle, Clayton W; Stannard, James P · JBJS Essent Surg Tech · 2014

case_series · Level IV

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Abstract

The Compass Knee Hinge can be a useful part of the treatment regimen for highly unstable knee dislocations. Make sure to place the centering wire at the isometric point of the knee. Take the necessary steps to place the Compass Knee Hinge over the wire. If repair or reconstruction of either the posteromedial or the posterolateral corner is part of the planned surgical procedure, place the centering wire prior to the repair or reconstruction of the injured corner. Postoperatively, use progressive protocols to enable the patient to regain knee motion following the application of the hinge. The above technique was used to treat fifty-five patients with a total of fifty-six knee dislocations who had various concurrent ligamentous reconstructions<sup>14</sup>.IndicationsContraindicationsPitfalls & Challenges.

Anatomy