Neglected congenital bilateral knee dislocation treated by quadricepsplasty with semitendinosus and sartorius transfer:A case report  

作　　者：Osama M Qasim Abdulaziz A Abdulaziz Nibras K Aljabri Khalid S Albaqami Rayan M Suqaty 

机构地区：[1]College of Medicine,Umm Al-Qura University,Mecca 21955,Makkah al Mukarramah,Saudi Arabia [2]Department of Orthopedic,King Faisal Medical Complex Taif,Taif 26514,Taif,Saudi Arabia [3]Department of Orthopedic,Alnoor Specialist Hospital,Mecca 24241,Makkah al Mukarramah,Saudi Arabia

出　　处：《World Journal of Orthopedics》2024年第8期807-812,共6页世界骨科杂志（英文版）

摘　　要：BACKGROUND Congenital knee dislocation(CKD)is a rare condition,which accounts for 1%of congenital hip dislocations.It can present as an isolated condition or coexist with other genetic disorders.Treatment options include serial casting,percutaneous quadriceps recession,and V-Y quadricepsplasty(VYQ).The pathogenesis and hereditary patterns of CKD are not fully understood,with most cases being familial.CKD is usually managed immediately after birth.However,in this report,the patient was neglected for 2 years.CASE SUMMARY A 2-year-old girl with bilateral CKD after birth presented to our hospital after failed serial casting;the patient had seizures and limited access to healthcare because of her family’s low socioeconomic status.Her birth was noted for a breech presentation accompanied by oligohydramnios.The delivery took a long time,requiring immediate medical interventions.As an infant,she had chronic diseases,including a small patent ductus arteriole,multicystic dysplastic kidney disease,and epilepsy.She was found to have a bilateral knee dislocation of approximately-90°on hyperextension.A multidisciplinary team was involved,and medical care was optimized.She underwent VYQ plus semitendinosus and sartorius transfer.After four postoperative follow-ups,her knees were regaining mobility,and she could walk for 2-3 steps without assistance.CONCLUSION This report highlights the importance of early intervention and recommends extensive studies of the management in similar cases.

关 键 词：Knee dislocation Congenital knee dislocation V-Y quadricepsplasty NEGLECT Neglected knee dislocation Pediatric orthopedics Case report 

分 类 号：R687.2[医药卫生—骨科学]