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Congenital knee dislocation. Therapeutic protocol and long-term functional results.

J Salvador Marín1, C Miranda Gorozarri2, R M Egea-Gámez2

  • 1Servicio de Cirugía Ortopédica y Traumatología, Hospital Universitario Sant Joan d'Alacant, Sant Joan d'Alacant, Alicante, España.

Revista Espanola De Cirugia Ortopedica Y Traumatologia (English Ed.)
|January 8, 2021
PubMed
Summary

A protocol for congenital knee dislocation (CKD) management in children shows excellent long-term outcomes. This rare condition, treated conservatively initially, resulted in good function and few complications.

Keywords:
Congenital knee dislocationsKnee jointLuxación congénita de rodillaProtocolos terapéuticos/clínicosRodillaTreatment/clinical protocols

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Area of Science:

  • Pediatric Orthopedics
  • Congenital Abnormalities
  • Knee Biomechanics

Background:

  • Congenital knee dislocation (CKD) is a rare birth defect characterized by knee recurvatum.
  • Optimal treatment strategies for CKD remain undefined, lacking established consensus.
  • This study evaluates a specific therapeutic protocol for managing CKD in a pediatric orthopaedic center.

Purpose of the Study:

  • To analyze the functional results and long-term complications of a defined management protocol for congenital knee dislocation.
  • To assess the efficacy of a standardized treatment approach in a rare pediatric orthopaedic condition.
  • To provide insights into the long-term outcomes of congenital knee dislocation management.

Main Methods:

  • Retrospective descriptive study of 9 patients (11 knees) with CKD from 1997-2010.
  • Patients followed a specific protocol (CRPL) involving serial casting, with surgery reserved for specific indications.
  • Demographic data, treatment type, functional outcomes (Lysholm, WOMAC), complications, and recurrences were analyzed.

Main Results:

  • Conservative treatment was initiated in all cases; 36% ultimately required surgery.
  • High average Lysholm score (90.3) and low WOMAC scores for pain (0.4), stiffness (1.8), and function (3.8) were reported.
  • Average follow-up was 15 years, with no recurrences observed.

Conclusions:

  • The implemented protocol for congenital knee dislocation (CKD) demonstrates favorable long-term functional results.
  • This management approach appears to minimize complications and prevent recurrences in pediatric patients.
  • The findings support the use of this specific protocol for rare cases of congenital knee dislocation.