| Autor: |
Vreme, Camelia, Popa, Laura, Carp, Ștefana, Liciu, Eduard, Gavriliu, Stefan-Traian, Vlad, Costel |
| Předmět: |
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| Zdroj: |
Jurnalul Pediatrului; Jul-Dec2020, Vol. 23 Issue 91/92, p3-8, 6p |
| Abstrakt: |
Congenital dislocation of the knee (CDK) is a relatively rare disorder. The deformity may be isolated or part of a syndromic condition. The purpose of this paper is to present the experience with two cases of CDK, one of them being complicated by a simultaneous unilateral hip dislocation. We present two cases of CDK treated surgically by our team. The first case is an 11 months old girl with bilateral CDK associated with bilateral congenital clubfoot and congenital dislocation of the right hip. The second case is a 6 months old boy having multiple conditions: CDK, atrial septal defect, ventricular septal defect, left ventricular hypertrophy, hypoacusis, postaxial hexadactyly of the right foot. For CDK, we performed in both cases V-Y quadricepsplasty, anterior capsule release and spica cast immobilisation with 45 degrees of flexion of the knees for 4 weeks. We performed also surgical procedures for the associated deformities. The results are very good in both cases. The patients are independent walkers having a normal range of physical activities. The knees are stable; the flexion is about 120 degrees in the first case and at 110 degrees in the second case. The treatment of CDK is challenging and should be adapted to the particular conditions of the patient: age, state of the soft parts, associated deformities. Establishing the optimum equilibrium between flexion and extension should prevail over the ambition to obtain full flexion of the knee. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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