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02 February 2016
Prithvi Varghese1, Muhammed Jasim Abdul Jalal2, Suhail Ahmad3, Ziauddin Khan3, Molly Johny4, Pushpa Mahadevan5, Leena Joseph3, Rachel Chandy3, Susy Paul4 1) Department of Neurosurgery, Lakeshore

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

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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