Successful Early Non-Operative Management of Congenital Knee Dislocation: Demonstration via a Case Report

Abstract

Congenital knee dislocation (CKD) is a deformity in which unnatural hyperextension is possible at the knee much beyond the normal 0° full extension while the flexion is severely restricted. Incidence of this rare congenital malformation is 1/100,000 live births. We present a clinical case of unilateral CKD in a 2-week-old female child and our approach of treatment using serial casting. We have been able to demonstrate that if initiated early, within first few weeks of life, the congenital deformity of knee can be managed conservatively without any surgical intervention even in higher grades.

Recalcitrant congenital knee dislocation: a case report of successful serial casting in a dysmorphic infant

“…Clinicians should be aware of the possibility of injury to the physeal plate caused by vigorous reduction maneuvers 1. Extended duration of serial castings may expose the child to the risk of blisters or pressure ulcers as well as limb-threatening compartment syndrome 10. Inadequate cast length and poor technique in cast application may result in loss of reduction or cast displacement.…”

“…1 Extended duration of serial castings may expose the child to the risk of blisters or pressure ulcers as well as limb-threatening compartment syndrome. 10 Inadequate cast length and poor technique in cast application may result in loss of reduction or cast displacement. Extra steps be taken to educate the parents on how to care for the cast while maintaining perineal hygiene.…”