Functional Results After Surgical Treatment for Congenital Knee Dislocation

Oetgen, Matthew E.; Walick, Kristina S.; Tulchin, Kirsten; Karol, Lori A.; Johnston, Charles E.

doi:10.1097/bpo.0b013e3181d48375

Cited by 36 publications

(27 citation statements)

References 17 publications

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“…However, for open-knee joint and femoral distal-end fracture complicated by seawater immersion, transarticular external fixation is necessary to achieve a stable, reliable fixation effect, due to the specificity of the fractured site. Under such a condition, functional training cannot be performed during the external fixation period because of the fixed angle of the knee joint (Oetgen et al, 2010). This limitation may lead to joint functional deterioration and influence joint functional rehabilitation.…”

Section: Discussionmentioning

confidence: 99%

“…Delayed internal fixation means strict, thorough debridement and external fixation first for animals with fracture; this handling is then followed by internal fixation and joint function rehabilitation as soon as possible after infection is controlled (Checa et al, 2009;Smith et al, 2009). This treatment method benefits infection control (Oetgen et al, 2010), as well as early joint function training and rehabilitation.…”

Section: Discussionmentioning

confidence: 99%

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Treatment of seawater immersion-complicated open-knee joint fracture

Ai¹,

Zhao²,

Gao³

et al. 2014

Genet. Mol. Res.

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ABSTRACT. The current study aimed to select suitable remedies for seawater immersion-complicated open-knee joint fracture by exploring the effects of different treatment methods. Forty adult rabbits weighing 2.20 ± 0.25 kg were divided equally into internal fracture fixation group (A), seawater-immersed group with primary internal fixation (B), seawater-immersed group with secondary internal fixation (C), and seawater-immersed group with external fixation (D), using the randomdigit table method. Open-femoral internal condylar fracture models were established. Group A was left untreated for 2 h, whereas the other three groups were subjected to seawater immersion for 2 h. Afterwards, groups A and B underwent debridement and steel plate and screw internal fixation. Group C underwent debridement and external fixation, which was followed by secondary steel plate and screw internal fixation after the wound healed. Group D underwent transarticular arthrodesis. Wound infection, joint functional rehabilitation, and radiological and histopathological changes in fracture healing in each group were assessed. The results showed that delayed internal fixation effectively

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Treatment of seawater immersion-complicated open-knee joint fracture

Ai¹,

Zhao²,

Gao³

et al. 2014

Genet. Mol. Res.

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“…However, these children do need to be followed up till skeletal maturity to ensure that the results are maintained, as it is possible that the ROM may deteriorate with time in arthrogryposis. Recently, there has been a trend to include functional outcome measures while evaluating the results of the treatment of several orthopaedic disorders in children, and this has been advocated for CDK also [12]. We administered the Lysholm questionnaire to a subset of children included in the study.…”

Section: Discussionmentioning

confidence: 99%

“…The ambulatory status of the child at follow-up was classified as community walker, household walker or non-walker. In 13 of the 20 patients, the Lysholm knee questionnaire [11,12] was administered in order to assess the function of the knee. Grade 2…”

Section: Follow-up Evaluationmentioning

confidence: 99%

Quadricepsplasty for congenital dislocation of the knee and congenital quadriceps contracture

Tercier

Shah

Joseph

2012

Journal of Children's Orthopaedics

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Purpose We encountered problems with the Curtis and Fisher technique of quadricepsplasty for congenital quadriceps contracture, including wound dehiscence, insufficient lengthening of the quadriceps and instability of the knee. We modified the operative technique to address these three problems. We undertook this study to evaluate the results of the modified technique of quadricepsplasty to determine if we succeeded in overcoming these limitations of the original technique. Methods Twenty children (33 knees) underwent the modified Curtis and Fisher quadricepsplasty through a lateral incision; a long tongue of the rectus femoris was raised and the vasti mobilised without dividing the lateral retinaculae till the collateral ligaments. The children were followed up for a mean period of 63 months and evaluated. The healing of the wound, active and passive range of motion (ROM) of the knee, the stability of the knee, quadriceps power and knee function were assessed. Results Primary wound healing occurred in 32 of 33 knees. Adequate lengthening of the quadriceps sufficient to facilitate knee flexion to 90°was possible. Considerable improvement in the ROM was noted. In non-syndromic congenital dislocation of the knee (CDK), the quadriceps power was Grade 5, but minor degrees of extensor lag was noted. In a proportion of patients, minor degrees of joint instability was present. The majority of children were community walkers. The overall results were better in nonsyndromic CDK than in children with arthrogryposis, but differences of some variables were not significant. Conclusion The modifications to the original Curtis and Fisher technique overcame the specific problems they were expected to avoid.

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“…Treatment modalities described for CDK are manipulation and serial casting, minimally invasive percutaneous recession of quadriceps, open quadriceplasty and femoral shortening [6]. Manipulation has high incidence of fracture rate [3] and has chances of damaging physes and articular surface [3].…”

Section: Introductionmentioning

confidence: 99%