Management of severe congenital flexion deformity of the knee using Ilizarov method.

Journal of Pediatric Orthopedics. Part B
Sergey S LeonchukAbhishek V Mundargi

Abstract

The aim of this study was to examine the effectiveness of Ilizarov method in severe congenital flexion deformity of the knee. This was a retrospective study of eight consecutive bilateral cases (five girls and three boys, with mean age of 4 years, involving 16 knees) with minimum 2-year follow-up. Four patients had multiple congenital contractures and two patients each had popliteal pterygium syndrome and complete tibial hemimelia. All patients were treated with Ilizarov fixator and gradual correction (additional soft tissue releases in three knees). Six patients had bilateral foot and ankle deformity treated with the same fixator, and cases with tibial hemimelia had centralization of fibula and quadriceps reconstruction. Flexion deformity could be corrected in all cases. Mean duration of dynamic phase was 78.5 (55-108) days, that of static phase was 42.4 (7-100) days, and total duration of external fixation was 120.9 (87-186) days. At mean follow-up of 34.5 (23-60) months, flexion deformity improved from the preoperative value of 74.9° (50°-130°) to 13.7° (10°-16°), and passive arc of motion of knee improved from the preoperative value of 38.8° (20°-55°) to 83.6° (55°-110°). Both were statistically significant (P < 0.0001). Al...Continue Reading

References

Jan 1, 1982·The Journal of Bone and Joint Surgery. British Volume·J C LeongD Fang
Jul 1, 1996·Journal of Pediatric Orthopedics·J A GillenD B Stevens
May 22, 2007·Journal of Pediatric Orthopedics·Kailash L DevaliaMichael J Bell
Oct 8, 2008·Clinical Orthopaedics and Related Research·Gamal Ahmed Hosny, Mohamed Fadel
Dec 4, 2009·Clinics in Orthopedic Surgery·Hyoung-Min KimChanghoon Jeong
Aug 10, 2012·Musculoskeletal Surgery·Manuele LampasiOnofrio Donzelli
Dec 3, 2016·Journal of Children's Orthopaedics·Dror Paley

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Citations

Jul 30, 2020·Congenital Anomalies·Gloria PelizzoValeria Calcaterra
Jan 9, 2021·BMC Musculoskeletal Disorders·Yanshi LiuAihemaitijiang Yusufu

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