1987
DOI: 10.1302/0301-620x.69b3.3584194
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Irreducible congenital dislocation of the knee. Aetiology and management

Abstract: We report nine cases of irreducible congenital dislocation of the knee which were treated by early operation with good results. All were resistant to conservative measures and operation was performed at an average age of nine months. The essential abnormality was a short quadriceps muscle together with subluxation of the hamstring muscles to lie anterior to the axis of knee flexion. The quadriceps tendon was lengthened by VY-plasty and in six cases additional length was gained by proximal mobilisation of the m… Show more

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Cited by 43 publications
(33 citation statements)
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“…The underlying cause is a shortened and fibrotic quadriceps femoris muscle which does not allow any flexion at the knee joint rendering a highly unstable and useless knee joint [4, 6, 7]. Lengthening of the quadriceps tendon with anterior capsulotomy has been used successfully to produce a satisfactory result [1, 3, 8]. Most series do not elaborate upon the incidence of flexion deformity or extensor lag [1, 8, 9].…”
Section: Introductionmentioning
confidence: 99%
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“…The underlying cause is a shortened and fibrotic quadriceps femoris muscle which does not allow any flexion at the knee joint rendering a highly unstable and useless knee joint [4, 6, 7]. Lengthening of the quadriceps tendon with anterior capsulotomy has been used successfully to produce a satisfactory result [1, 3, 8]. Most series do not elaborate upon the incidence of flexion deformity or extensor lag [1, 8, 9].…”
Section: Introductionmentioning
confidence: 99%
“…Lengthening of the quadriceps tendon with anterior capsulotomy has been used successfully to produce a satisfactory result [1, 3, 8]. Most series do not elaborate upon the incidence of flexion deformity or extensor lag [1, 8, 9]. We report our results with V-lengthening of quadriceps muscle tendon [3] in 15 Grade III and two Grade II knees with special reference to the functional outcome of the knee joint.…”
Section: Introductionmentioning
confidence: 99%
“…В 92 % случаев мы получили отличные и хоро-шие результаты, плохих результатов не было. В доступной литературе большинство авторов предлагают применять этапные гипсовые кор-рекции [3,11,26] и лишь немногие рекомендуют манипуляции в сочетании с отводящими при-способлениями, такими как стремена Павлика [21,28]. Предложенный нами метод позволил увеличить количество хороших и отличных ре-зультатов на 12 % по сравнению с лечением при помощи гипсовых коррекций и шины Розена.…”
Section: Discussionunclassified
“…Следует отметить, что авторская методика обес-печивала вправление вывиха голени в среднем за 3 дня, в то время как средний срок коррекции с шиной Розена составил 8 дней, а при этапных гипсовых повязках -25 дней. Таким образом, разработанный нами метод позволил значитель-но сократить сроки лечения [3,5,11,13,21,25,26,28].…”
Section: Discussionunclassified
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