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10 May 2017
Naoual Benhmidou1, Fadoua Rais1, Fadila Kouhen2, Abdelhak Maghous1, Hasna Loughlimi1, Khadija Bellahammou3, Hanan Elkacemi1, Tayeb Kebdani1, Sanaa Elmajjaoui1, Noureddine Benjaafar1 1)
10 May 2017
Khadija Bellahammou1, Asmaa Lakhdissi1,
10 May 2017
Khaled Moursy Salama1, Monira T.
02 April 2017
Bardia Bidarmaghz, Ryo Mizumoto, Rasika

MANAGEMENT OF SEVERE KNEE FLEXION CONTRACTURES IN A CHILD WITH ARTHROGRYPOSIS MULTIPLEX CONGENITA

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Bashir M Ibrahim1, Abdulrahman A. A. Mamuda2, Magaji G Taura3, Lawan H Adamu3

1) Plastic and Reconstructive Unit, Department of Surgery, Aminu Kano Teaching Hospital, Kano, Nigeria;

2) Orthopaedic Unit, Department of Surgery, Aminu Kano Teaching Hospital, Kano, Nigeria;

3) Department of Anatomy, Faculty of Basic Medical Sciences, Bayero University, Kano, Nigeria.

Disclosure: The author has declared no conflicts of interest.

Received: 09.06.15 Accepted: 15.09.15

1486385429 Quote  doi: 10.5455/ijsm.20150915055935

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Abstract:

Arthrogryposis multiplex congenita is a syndrome characterized by the presence of congenital contractures involving multiple joints usually with flexion deformities, with or without pterygia or webbing at the joints. The aim of this case report was to highlight the challenges of management of severe knee contractures in AMC and possible solutions in a resource limited setting like ours. We presented a one-year-old child with bilateral severe knee contractures secondary to arthrogryposes. The involvement of knee is present in about 70% of cases with arthrogryposis, with flexion deformity more common than extension deformity. Knee flexion contractures, as seen in our patient, is one of the most disabling deformities. The surgical option adopted in the case presentedwere met with various challenges including abnormal muscles insertions, shortening and fibosis of the muscles, abnormal position and shortening of the neurovascular structures in the popliteal fossa.

Keywords:Arthrogyroposis, knee contractures, osteotomies


How to Cite this Article

Bibliography

Ibrahim, B., Mamuda, A., Taura, M. and Adamu, L. (2015) ‘Management of severe knee Flexion Contractures in a child with Arthrogryposis Multiplex Congenita’, International Journal of Surgery and Medicine, 1(2), pp. 76–79. doi: 10.5455/ijsm.20150915055935.

Citations, Quotes & Annotations

Ibrahim, B., Mamuda, A., Taura, M. and Adamu, L. (2015) ‘Management of severe knee Flexion Contractures in a child with Arthrogryposis Multiplex Congenita’, International Journal of Surgery and Medicine, 1(2), pp. 76–79. doi: 10.5455/ijsm.20150915055935.
(Ibrahim et al., 2015)
 

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Last modified onThursday, 25 May 2017 13:46

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