The stand "IMMEDIATE TREATMENT OF CONGENITAL KNEE DISLOCATION IN NEONATES"   for increase press a picture

IMMEDIATE TREATMENT OF CONGENITAL KNEE DISLOCATION IN NEONATES
N.Rumyantsev, A.Baindurashvili. G.Omarov

Congenital knee dislocation is a very rare deformity The incidence of CDK:O.O1T per 1000 life births (Jacobsen and Vopalecky,1985)

Purpose of the study: to determine the optimal treatment program for correction of ODK and restoring normal knee motion
MATERIAL AND METHOD:

The first step included application of von Rosen splint. Hyper extended knees were moved Into correct position twice a day for 5-10 degrees each time.
Knee flexion up to the right angle was achieved in all patients during the period The second step consisted of piaster cast applications. The knees were flexed to the right angle. At this point we used only circular casts. The reserve space was created at the side of correction by special pads.

The reserve space allowed for an additional knee flexion of about 10 degrees (active motion, passive motion and growth of the segment Into the side of flexion). The durations of cast fixation was about 10 to 14 days. Therefore we obtained the full range of joint motion of 3 to 5 days.

During the third step knee-flexed splints were applied

RESULTS:

The mean follow-up was 8 years. We used five clinical and radiological criteria to evaluate the results (range of knee movement, stability, power of extension, functional ability). All results were good of excellent and no surgical

CONCLUSION:

The treatment of CDK should be started In the first week after birth. We believe that CDK Is a primarily reversible condition, but the possibility of correction diminishes drastically with every day of patient's life. Application of von Rosen splint followed by circular casts with reserve space provides good final results in all patients procedures were necessary.

Russia