Correction of a major flexion deformity developed after knee arthrodesis in child age: a case report.
Septic arthritis in child age results in sequelae when treated late or inappropriately. Arthrodesis is a salvage option which is rarely performed in children because of its complications and resultant disabilities. We report the case of a 16-year-old boy who had been treated with arthrodesis of his right knee at the age of seven and subsequently developed a progressive osseous deformity, eventually resulting in a 130 degrees flexion deformity of the knee. The deformity and the resulting limb length discrepancy were corrected using the Ilizarov method. In a single stage operation, a wedge resection osteotomy at the distal femur was performed and a ring fixator was applied. The mechanical axis was corrected first by gradual closing of the wedge thus avoiding damage to the posterior neurovascular structures, followed by lengthening.
Demir
Bilal
B
Baltalimani Metin Sabanci Bone and Joint Diseases Education and Research Hospital, Istanbul, Turkey. bilalbirkandemir@yahoo.com
Oke
Ramadan
R
Ozturk
Kahraman
K
Aydin
Kerem
K
Gursu
Sarper
S
Sahin
Vedat
V
D000293:Adolescent; D001170:Arthritis, Infectious / Q000601:surgery; D001174:Arthrodesis; D002648:Child; D006801:Humans; D018889:Ilizarov Technique; D007719:Knee Joint / Q000473:pathology* / Q000601:surgery*; D007870:Leg Length Inequality / Q000209:etiology; D008297:Male; D010027:Osteotomy; D011183:Postoperative Complications