Open quadricepsplasty in hyperextension deformity of knee in children with arthrogryposis

Authors

  • Panji Sananta Department of Orthopaedic and Traumatology, Faculty of Medicine, University of Brawijaya, Saiful Anwar General Hospital Malang, East Java, Indonesia
  • Respati Suryanto Dradjad Department of Orthopaedic and Traumatology, Faculty of Medicine, University of Brawijaya, Saiful Anwar General Hospital Malang, East Java, Indonesia
  • Fiki Nurandani Department of Orthopaedic and Traumatology, Faculty of Medicine, University of Brawijaya, Saiful Anwar General Hospital Malang, East Java, Indonesia

DOI:

https://doi.org/10.18203/2320-6012.ijrms20191357

Keywords:

Arthrogryposis, Congenital subluxation of knee, Curtis and fisher technique, Contracted quadriceps muscle, Hyperextension deformity of knee

Abstract

Arthrogryposis includes heterogeneous disorders, characterized by congenital contractures of multiple joints. Knee involvement is very common (38–90 % of patients with amyoplasia) ranging from soft-tissue contractures (in flexion or hyperextension) to subluxation and dislocation. Children who present late will require surgery involving quadricepsplasty or lengthening of the contracted quadriceps muscle. Curtis and Fisher describe an open V-Y lengthening of the quadriceps femoris with post-operative immobilization in 30-45 ° of flexion. The main issue of this technique was limited degree of flexion that can be achieved, and the fibrous replacement of the quadriceps muscle. This is a neglected case of hyperextension deformity and congenital dislocation of knee in children with arthrogryposis resistant to conservative management and successfully treated by open quadricepsplasty.

References

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Published

2019-03-27

How to Cite

Sananta, P., Dradjad, R. S., & Nurandani, F. (2019). Open quadricepsplasty in hyperextension deformity of knee in children with arthrogryposis. International Journal of Research in Medical Sciences, 7(4), 1378–1380. https://doi.org/10.18203/2320-6012.ijrms20191357

Issue

Section

Case Reports