[Treatment of knee dislocation after callus distraction of the femur--a case report].
We report on the therapy of a complete ventrocranial luxation of the knee joint with leg shortening of 20 cm, which had appeared after diaphyseal distraction osteogenesis in the left thigh at the age of 7 years. The patient presented herself in our clinic at the age of 14 years. After application of an llizarov external fixator,first the luxation was gradually repositioned and afterwards arthrodesis of the knee joint was carried out. After consolidation of the arthrodesis, we removed the external fixator and carried out a unilateral, diaphyseal callus distraction in the left femur. The consolidation of the distraction callus of 12 cm was completed after 9 months and the fixator was removed. At the age of 18 years, 2 years after the treatment was completed, the patient was free of pain and able to walk safely. The remaining shortening of the left leg amounted to 2.5 cm and was balanced in the shoe proportionately.
Muschik
M
M
Seehospital Sahlenburg der Nordheim-Stiftung, Krankenhaus für Orthopädie, Wirbelsäulenchirurgie und Rheumatologie, Cuxhaven.
Labs
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K
D000293:Adolescent; D001174:Arthrodesis; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D018889:Ilizarov Technique; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000601:surgery*; D007718:Knee Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D007870:Leg Length Inequality / Q000000981:diagnostic imaging / Q000601:surgery*; D019857:Osteogenesis, Distraction; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D012086:Reoperation
Die Behandlung einer Knieluxation nach Kallusdistraktion des Oberschenkels--ein Fallbericht.