title: [Surgical treatment of knee flexion contracture in children with flaccid limb paralysis using surgical procedures in soft tissues under the knee and serial casting].
abstract: Surgical technique and results of surgical correction for substantial flexion contracture of the knee in 15 children with spina bifida or other spinal conditions with lower extremities paresis is presented. Extensive posterior capsulotomy, occasionally supplemented with posterior cruciate sectioning is necessary to correct considerable flexion contracture of the knee. The technique is also effective in congenital flexion contracture with no articular surfaces deformity. Serial redressing and casting are imperative in postoperative management.
authors.affiliation: Katedry i Kliniki Ortopedii Dzieciecej Akademii Medycznej w Lublinie.
authors.forename: S
authors.initials: S
authors.lastname: Snela
mesh_terms: D000293:Adolescent; D002370:Casts, Surgical; D002648:Child; D003286:Contracture / Q000151:congenital / Q000209:etiology / Q000534:rehabilitation / Q000601:surgery*; D005260:Female; D006801:Humans; D007717:Knee / Q000601:surgery*; D009123:Muscle Hypotonia / Q000209:etiology / Q000628:therapy*; D010291:Paresis / Q000209:etiology / Q000628:therapy*; D016119:Posterior Cruciate Ligament / Q000601:surgery*; D011182:Postoperative Care; D016135:Spinal Dysraphism / Q000150:complications
vernacular_title: Operacyjne leczenie przykurczów zgieciowych kolana u dzieci z niedowładami wiotkimi kończyn przez zabiegi operacyjne a tkankach miekkich dołu podkolanowego i etapowe redresje gipsowe.