Neurovascular injuries

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QUESTION 1 OF 1

A 25 year old has sustained an isolated knee dislocation. On examination his foot is pale and pulses are not palpable. Reduction of the knee is performed and maintained in a back slab and the pulses have returned with an ankle brachial pressure index (ABPI) of 0.7. 
What is the best sequence of management for this patient?

QUESTION ID: 1261

1. Angiogram of the limb in theatre, Repair/reconstruction of vessels, maintain reduction with a back slab, delayed knee ligament reconstruction following MRI of the knee.
2. Angiogram of the limb in theatre, Shunting to bypass, External fixator to hold reduction, Reconstruction/repair of vessels +/- fasciotomies and delayed knee ligament reconstruction following MRI of the knee.
3. External fixation to maintain reduction, Angiogram of the limb in theatre, Repair/reconstruction of vessels+/- fasciotomies, delayed knee ligament reconstruction following MRI of the knee.
4. External fixation to maintain reduction, delayed knee ligament reconstruction following MRI of the knee.
5. MRI to plan reconstruction, immediate reconstruction of ligaments and sequential neurovascular status monitoring
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