Surgical management of the congenital dislocation of the knee and hip in children presented after six months of age

Amrath Raj, BK and Singh, Kumar Amerendra and Shah, Hitesh (2020) Surgical management of the congenital dislocation of the knee and hip in children presented after six months of age. International Orthopaedics, 44. pp. 2635-2644. ISSN 0341-2695

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Abstract

Purpose Congenital dislocation of the knee and hip is a rare congenital disorder. The specific aim of the study was to evaluate the clinical and radiological outcomes of the children with congenital dislocation of the knee and hip who presented after six months of age.Methods All the consecutive children with congenital dislocation of the knee and hip joints were retrospectively reviewed. We included cases that were treated after six months of age and followed up for a minimum of two years. Twenty-four children with congenital dislocation of the knee and hip (thirteen with ligamentous laxity, eleven children with stiff joints) were included. The knee was dislocated in 45 limbs; the hip was dislocated in 40 instances. The knee joint dislocation was treated with quadricepsplasty in all twenty-four children (45 knees). The hip dislocation (n = 32) was addressed with either closed reduction (n = 8) or open reduction of the hip (n = 24). Eight hip dislocations were not addressed. The outcome of the hip and knee was evaluated.Results The clinical and radiological outcomes were better in children with ligamentous laxity than without laxity. Twenty-two children were community walkers. An orthosis was needed in eight children. The frequency of spontaneous reduction of unreduced dislocation of the hip was noted in three children (5/8 hips).Conclusion Outcome in combined dislocation of knee and hip is good in most cases with surgical interventions. The outcome is better in children with ligamentous laxity. Spontaneous reduction of the dislocated hips might be achieved after gaining knee flexion following knee surgery for congenital the knee in a few cases

Item Type: Article
Uncontrolled Keywords: Reduction; Spontaneous; Congenital dislocation of the hip; Congenital dislocation of the knee
Subjects: Medicine > KMC Manipal > Orthopaedics
Depositing User: KMC Library
Date Deposited: 10 Feb 2021 11:01
Last Modified: 10 Feb 2021 11:01
URI: http://eprints.manipal.edu/id/eprint/156419

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