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 

作者机构：College of MedicineUmm Al-Qura UniversityMecca 21955Makkah al MukarramahSaudi Arabia Department of OrthopedicKing Faisal Medical Complex TaifTaif 26514TaifSaudi Arabia Department of OrthopedicAlnoor Specialist HospitalMecca 24241Makkah al MukarramahSaudi Arabia 

出 版 物：《World Journal of Orthopedics》 (世界骨科杂志（英文版）)

年 卷 期：2024年第15卷第8期

页      面：807-812页

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Knee dislocation Congenital knee dislocation V-Y quadricepsplasty Neglect Neglected knee dislocation Pediatric orthopedics Case report 

摘      要：BACKGROUND Congenital knee dislocation(CKD)is a rare condition,which accounts for 1%of congenital hip *** can present as an isolated condition or coexist with other genetic *** 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 *** is usually managed immediately after ***,in this report,the patient was neglected for 2 *** 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 *** birth was noted for a breech presentation accompanied by *** delivery took a long time,requiring immediate medical *** an infant,she had chronic diseases,including a small patent ductus arteriole,multicystic dysplastic kidney disease,and *** was found to have a bilateral knee dislocation of approximately-90°on hyperextension.A multidisciplinary team was involved,and medical care was *** underwent VYQ plus semitendinosus and sartorius *** four postoperative follow-ups,her knees were regaining mobility,and she could walk for 2-3 steps without *** This report highlights the importance of early intervention and recommends extensive studies of the management in similar cases.