LAUSR

Knee dislocations are uncommon and occur with a reported incidence of less than 0.02% of all orthopaedic injuries. These injuries are defined by complete disruption of the integrity of the tibiofemoral articulation. They are challenging injuries to manage and are associated with the risk of potentially devastating immediate and short-term complications, including popliteal artery injuries, common peroneal nerve injuries, acute compartment syndrome, and deep venous thrombosis, and controversy still exists regarding their optimal treatment. Despite the severity of these injuries, a recent systematic review has demonstrated that some level of sport participation is possible after multiligament knee injuries (MLKIs) for more than half of patients, but returning to preinjury levels of sport after surgical treatment is low, at just 22% to 33%. Bilateral knee dislocations occur even less frequently than unilateral injuries, and the literature contains sporadic case reports only. In view of the guarded prognosis of unilateral knee dislocations with respect to returning to preinjury levels of sport, it could be assumed that the results after bilateral knee dislocations would be considerably less favorable. To our knowledge, successful return to preinjury levels of sport in an elite athlete after bilateral knee dislocations has not previously been reported.