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

CONGENITAL KNEE DISLOCATIONcongenital deformities, congenital knee dislocationCongenital knee dislocation is a very rare deformity The incidence of CDK:O.O1T is per 1000 live 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:

8 neonates with ODK underwent early conservative correction a 14 years period from 1986 to 2OOO. The treatment was started between the ages of 3 to 7 years old.
KNEE DISLOCATION The first step included application of von Rosen splint. congenital deformities, congenital knee dislocation, clubfeet, clubfoot

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.

immediate treatment of congenital knee dislocationIMMEDIATE TREATMENT OF CONGENITAL KNEE DISLOCATION IN NEONATES

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 durations of cast fixation was about 10 to 14 days...CONGENITAL KNEE DISLOCATION IN NEONATES

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 duration of cast fixation was about 10 to 14 days. Therefore we obtained the full range of joint motion with in 3 to 5 days.


During the third step knee-flexed splints were applied

congenital clubfoot
The duration of cast fixation was about 10 to 14 days
congenital deformities

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 to excellent and without surgery.

CONCLUSION:

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

congenital knee dislocation
congenital deformities
The treatment of CDK should be started with in a week of the child's birth

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