Post-operative hypertension following correction of flexion deformity of the knees in a spastic diplegic child: A case report

Mohan, Vipin and Sujendra, DM and Imthiaz, VK and Shah, Hitesh (2016) Post-operative hypertension following correction of flexion deformity of the knees in a spastic diplegic child: A case report. Malaysian Orthopaedic Journal, 10 (3). pp. 46-48. ISSN 1985 2533

[img] PDF
RMS - 00004626.pdf - Published Version
Restricted to Registered users only

Download (1MB) | Request a copy

Abstract

An adolescent boy with spastic diplegic cerebral palsy presented with crouch gait. He had bilateral severe flexion deformities of knees and hips. He was treated with single event multilevel surgery for the correction of deformities. Surgical procedures included bilateral adductor release, iliopsoas lengthening, bilateral femoral shortening and patella plication. Persistent hypertension was noted in the post-operative period. All causes of secondary hypertension were ruled out. Having persistent hypertension following the femoral shortening procedure is unusual. Antihypertensive medication controlled his blood pressure 15 months after surgery. Hypertension following correction of knee flexion deformity and limb lengthening is well known. Hypertension has not been described with the shortening osteotomy of the femur. Hypertension is a rare complication following the corrective surgery for the treatment of crouch gait. Blood pressure should be monitored during the post-operative period to detect such a rare complication.

Item Type: Article
Uncontrolled Keywords: Hypertension; post operation; cerebral palsy; flexion deformity of the knee; femoral shortening.
Subjects: Medicine > KMC Manipal > Orthopaedics
Depositing User: KMC Library
Date Deposited: 03 Jul 2018 03:59
Last Modified: 03 Jul 2018 03:59
URI: http://eprints.manipal.edu/id/eprint/151441

Actions (login required)

View Item View Item