Quengel Casting for the Management of Pediatric Knee Flexion Contractures: A 26-Year Single Institution Experience
| Autor: | Kevin Felton, Charles E. Johnston, Marcel R. Wiley, Jennifer A. Rodgers, Robert L. Wimberly, Anthony I. Riccio |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Contracture Adolescent Knee Joint Bone Screws 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Recurrence medicine Deformity Humans Orthopedics and Sports Medicine Longitudinal Studies Child Retrospective Studies Subluxation 030222 orthopedics business.industry Knee flexion contracture Infant Soft tissue General Medicine medicine.disease Surgery Splints Treatment Outcome Casting (metalworking) Child Preschool Pediatrics Perinatology and Child Health Female medicine.symptom business Follow-Up Studies |
| Zdroj: | Journal of Pediatric Orthopaedics. 37:e421-e426 |
| ISSN: | 0271-6798 |
| DOI: | 10.1097/bpo.0000000000001013 |
| Popis: | BACKGROUND Quengel casting was introduced in 1922 for nonsurgical treatment of knee flexion contractures (KFC) associated with hemophilic arthropathy. It consists of an extension-desubluxation hinge fixed to a cast allowing for gradual correction of a flexion deformity while preventing posterior tibial subluxation. The purpose of this study is to report 1 center's experience with this technique for the treatment of pediatric KFC. METHODS A retrospective review was conducted over a 26-year period. All patients with KFC treated with Quengel casting were included. Demographic data, associated medical conditions, adjunctive soft tissue releases, complications, and the need for late surgical intervention were recorded. Tibiofemoral angle measurements in maximal extension were recorded at initiation and termination of casting, 1-year follow-up, and final follow-up. Success was defined as no symptomatic recurrence of KFC or need for subsequent surgery. RESULTS Eighteen patients (26 knees) were treated for KFC with Quengel casting. Average age at initiation of casting was 8.1 years with average follow-up of 59.9 months. Fifteen knees (58%) underwent soft tissue releases before casting. An average of 1.5 casts per knee were applied over an average of 23.9 days. Average KFC before casting was 50.6 degrees (range, 15 to 100 degrees) which improved to 5.96 degrees (0 to 40 degrees) at cast removal (P |
| Databáze: | OpenAIRE |
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