Volume : 08, Issue : 11, November – 2021



Authors :

Dr. Abdul Wali, Dr. Wali Khan, Dr. Atta-ur-Rehman, Dr. Rizwan Jalanee, Dr. Naqeebullah, Dr. Baryalai Khan

Abstract :

Aim: To evaluate the functional outcome of surgical displacement of a congenital knee dislocation with or without arthrogryposis in the 6-month age group.
Methods: This Descriptive study conducted at Orthopedics Department in the Bolan Medical Complex Quetta. Group A includes patients with type III congenital dislocation of the knee (total dislocation), isolated dislocation of the knee joint for more than 6 months, dislocation of the hip and knee and clubfoot. People with paralysis disorders and unable to sit due to weakened muscle function were excluded from the study. Open reduction of the knee joint with a midline dorsal incision and plasty of the quadriceps V-Y quadriceps. Displaced knees were stabilized with the Plaster of Paris at 70 ° knee flexion for 5-6 weeks using the Ferris and Aichron defined knee function scoring system.
Results: In group B, 6 patients (12 knees) had recurrent stiffness with poor results, 5 patients (10 knees) had moderate and no good or excellent. Results in group A (knee dislocation with or without dislocation of the hip and clubfoot) were good or excellent in 22 patients (36 knees), moderate in 4 patients (7 knees) and severe with relapse of stiffness in 1 patient (7 knees).
Conclusions: The results of the surgery were excellent in isolated congenital knee dislocations and satisfactory in knee dislocations caused by clubfoot and hip dislocations. The outcome was less promising for arthrogryposis (amyoplasia) and older walking age groups.
Key words: arthrogryposis, congenital, dislocation, isolated, knee.

Cite This Article:

Please cite this article in press Abdul Wali et al, Functional Outcome Of Open Relocation Of Congenital Dislocated Knee With And Without Distal Arthrogryposis., Indo Am. J. P. Sci, 2021; 08(11).

Number of Downloads : 10


1. Prakash t. our experience in the management of arthrogryposis multiplex congenita with bilateral congenital dislocation of knee. University Journal of Surgery and Surgical Specialities. 2019 Nov 28;5(10).
2. Griffet J, Dieterich K, Bourg V, Bourgeois E. Amyoplasia and distal arthrogryposis. Orthopaedics & Traumatology: Surgery & Research. 2020 Dec 13:102781.
3. Hamdy RC, van Bosse H, Altiok H, Abu‐Dalu K, Kotlarsky P, Fafara A, Eidelman M. Treatment and outcomes of arthrogryposis in the lower extremity. InAmerican Journal of Medical Genetics Part C: Seminars in Medical Genetics 2019 Sep (Vol. 181, No. 3, pp. 372-384). Hoboken, USA: John Wiley & Sons, Inc..
4. van Bosse H, Zlotolow D. The Orthopaedic Management of Arthrogryposis Multiplex Congenita. JPOSNA. 2021 Apr 25;3(2).
5. Biçer ÖS, Tekin M, Eren ÖF, Mirioğlu A, Deveci MA, Soyupak S. Ultrasonographic measurement of the dimensions of proximal and distal patellar fragments after Niebauer-King Procedure for the management of congenital dislocation of the knee. Acta Orthopaedica et Traumatologica Turcica. 2021 Aug 1;55(4):321-6.
6. Abraham E, Quan Soon CH, Murphy A, Toby D. Talectomy by Medial Surgical Approach for Congenital Vertical Talus in Arthrogryposis Multiplex Congenita. Orthopedics. 2020 Nov 1;43(6):e623-6.
7. Ellsworth B, Dawkins B, Perea SH, Green D. Management of Congenital Dislocation of the Knee. JPOSNA®. 2021 Jul 26;3(3).
8. Miao M, Cai H, Wang Z, Hu L, Bian J, Cai H. Early open reduction of dislocated hips using a modified Smith-Petersen approach in arthrogyposis multiplex congenita. BMC musculoskeletal disorders. 2020 Dec;21(1):1-7.
9. Sanzarello I, Nanni M, Perna F, Traina F, Faldini C. One-stage release by double surgical approach for neglected congenital vertical talus: results in a series of walking children in Tanzania. Journal of Pediatric Orthopaedics B. 2019 Nov 1;28(6):586-90.
10. Gagnon M, Caporuscio K, Veilleux LN, Hamdy R, Dahan‐Oliel N. Muscle and joint function in children living with arthrogryposis multiplex congenita: A scoping review. InAmerican Journal of Medical Genetics Part C: Seminars in Medical Genetics 2019 Sep (Vol. 181, No. 3, pp. 410-426). Hoboken, USA: John Wiley & Sons, Inc..
11. Serpa SC, de Melo AC, Gomes Lins O, van der Linden V, Leite Rolim Filho E, Oliveira dos Santos AC. Orthopedic findings in arthrogryposis and congenital Zika syndrome: a case series. Birth defects research. 2020 Mar;112(5):385-92.
12. Michel C, Collins C. Pediatric neuromuscular disorders. Pediatric Clinics. 2020 Feb 1;67(1):45-57.
13. van Bosse HJ. Orthopaedic care of the child with arthrogryposis: a 2020 overview. Current opinion in pediatrics. 2020 Feb 1;32(1):76-85..
14. Huntley JS. Larsen Syndrome and the Hip. InThe Pediatric and Adolescent Hip 2019 (pp. 651-672). Springer, Cham.
15. Tiwari P, Kaur H, Leonchuk SS. Successful Early Non-Operative Management of Congenital Knee Dislocation: Demonstration via a Case Report. Case Reports in Orthopedic Research. 2021;4(2):138-44.
16. Bornstein B, Konstantin N, Alessandro C, Tresch MC, Zelzer E. More than movement: The proprioceptive system as a new regulator of musculoskeletal biology. Current Opinion in Physiology. 2021 Jan 12.
17. Zargarbashi RH, Shakiba S, Yousefi F, Nabian MH, Panjavi B. Congenital Deformity of the Knee Joint: A Boy With Congenital Patella Alta. Case Reports in Clinical Practice. 2020 Jul 6.
18. Al Kaissi A, Kenis V, Bouchoucha S, Shboul M, Grill F, Al Kaissi H, Ganger R, Kircher SG. Arthrogrypotic Syndrome is the Usual Misnomer in Children with Du Pan Syndrome. Am. J. Biomed. Sci. 2020 Apr 1;12(2):91-8.
19. Poling MI, Dufresne CR, McCormick RJ. Identification and Recent Approaches for Evaluation and Management of Rehabilitation Concerns for Patients with Freeman–Burian Syndrome: Principles for Global Treatment. Journal of Pediatric Genetics. 2020 Sep;9(03):158-63.
20. Haoqi C, Haiqing C, Zhigang W. Assessment of Efficacy and Safety of Z-Shaped Skin Flap, Posterior Release Combined with External Fixation for Severe Arthrogryposis Multiplex Congenita and Flexion Deformity. Journal of Biomaterials and Tissue Engineering. 2019 Sep 1;9(9):1185-91.