Chen Qiusheng,Li Xiongtao,Luo Sheng,et al.Joint release manipulation and repositioning combined with plus sequential orthopedic casts in the treatment of congenital knee dislocation in neonates[J].Journal of Clinical Pediatric Surgery,,():1065-1068.[doi:10.3760/cma.j.cn101785-202411058-014]
Joint release manipulation and repositioning combined with plus sequential orthopedic casts in the treatment of congenital knee dislocation in neonates
- Keywords:
- Knee Joint; Knee Dislocation; Orthopedics; Surgical Procedures; Operative; Child
- Abstract:
- Objective To explore the clinical efficacy of using early joint loosening plus manipulative repositioning and plaster external fixation for congenital knee dislocation in infants. Methods Retrospective review was performed for the relevant clinical data of 18 children (27 knees) of congenital knee dislocation of varying degrees hospitalized from January 2022 to August 2024.There were 3 boys and 15 girls with an initial diagnostic age of 2 hours to 52 days.Manipulation was performed for resetting joints before cast immobilization and dynamic joint loosening manipulation subsequently.The joints were orthopedically immobilized with raditional tubular casts after resetting.Regular follow-ups were conducted.Knee flexion and extension mobility were assessed before and after treatment.Harris score was utilized for assess the recovery of knee function. Results Knee extension angle was (-64.26±12.41)°pre-treatment and (1.81±1.59)°post-treatment; knee flexion angle was (50.74±12.57)°pre-treatment and (139.15±14.41)°.Both differences were statistically significant.Harris score was utilized for assessing the recovery of knee function (P<0.01).According to the Harris score,the outcomes were excellent (n=14),decent (n=1),medium (n=2) and poor (n=1).The excellent and good rate was 83.33%(15/18). Conclusions Congenital knee dislocation children can significantly improve the abnormal deformity of children’s knee joints after the treatment of arthrotomy manipulative reset and orthopedic cast,the treatment effect is good,and it has a certain clinical promotion value.
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Memo
收稿日期:2024-11-27。
基金项目:武汉市卫健委科研项目(WX23A10);武汉儿童医院"腾飞计划"临床研究类项目(2023TFJH01)
通讯作者:沈先涛,Email:xtshenwh@aliyun.com