Secondary nerve lengthening to obtain full knee extension in popliteal pterygium syndrome
| Autor: | Willy Boeckx, Albert Demey, Liesbeth Vandermeeren, D. Franck, Marta Misani, C. Zirak |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
musculoskeletal diseases
Male Reoperation medicine.medical_specialty Microsurgery Contracture Time Factors Knee Joint medicine.medical_treatment Cleft Lip Fingers Postoperative Complications medicine Humans Abnormalities Multiple Knee Eye Abnormalities Range of Motion Articular Child Gait Neurolysis business.industry Siblings Knee flexion contracture Nerve Block Plastic Surgery Procedures musculoskeletal system medicine.disease Surgery body regions Cleft Palate Splints Nerve Expansion medicine.anatomical_structure Treatment Outcome Popliteal pterygium syndrome Urogenital Abnormalities Nerve block Syndactyly Ankle medicine.symptom business Lower Extremity Deformities Congenital |
| Zdroj: | Journal of reconstructive microsurgery. 30(4) |
| ISSN: | 1098-8947 |
| Popis: | Microsurgical nerve lengthening was performed in two siblings presenting a popliteal pterigium syndrome with a knee flexion contracture of 80 degrees. After the first attempt for nerve lengthening and knee extension elsewhere, a repeated lengthening was required due to continuing tip-toe walking and recurrent knee contracture at the age of 3 years. An extensive external and internal interfascicular microsurgical neurolysis resulted in a lengthening of the nerves. A full length of leg procedure had to be performed, inclusive of Achilles tendon lengthening to obtain a complete extension of the knee and a 90-degree ankle flexion. Maintaining the leg in a fully extended position was obtained with a dynamic splinting in the first month after the operation. When timing the operation we have to consider the importance of adequate precision of the microsurgical neurolysis, down to the identification of the Fontana bands, and the adequate postoperative splinting. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|