Document Detail


Extensor supracondylar femoral osteotomy as treatment for flexed haemophilic knee.
MedLine Citation:
PMID:  10365298     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The experience with extensor supracondylar femoral osteotomy as treatment for the flexed haemophilic knee is presented with the description of 19 patients treated during a 30-year period (1968-98). The average age of the patients was 16 (8-35 years), and the average age follow-up was 13 years (3-30 years). Six patients had flexion fixed deformity while the rest presented 40 degrees average range of motion (10-75 degrees). In 13 patients a single osteotomy without internal fixation was performed, in one an osteosynthesis with a condylar plate and in five stabilization was achieved by means of Blount staples. Previous surgery was performed in two patients with patello-femoral ankylosis. The osteotomy site was consolidated in every patient and the deformity was corrected. Two bleeding complications were observed: one haemarthrosis and one psoas haematoma. Flexion relapsed in one patient who underwent another procedure after 12 years. One patient presented with a peroneal nerve paralysis; another one a genu recurvartum; which required flexor osteotomy. The extensor supracondylar femoral osteotomy is a procedure that aligns the limb with scarce modification of articular mobility.
Authors:
H A Caviglia; R Perez-Bianco; G Galatro; C Duhalde; M Tezanos-Pinto
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Haemophilia : the official journal of the World Federation of Hemophilia     Volume:  5 Suppl 1     ISSN:  1351-8216     ISO Abbreviation:  Haemophilia     Publication Date:  1999 Mar 
Date Detail:
Created Date:  1999-07-21     Completed Date:  1999-07-21     Revised Date:  2009-10-21    
Medline Journal Info:
Nlm Unique ID:  9442916     Medline TA:  Haemophilia     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  28-32     Citation Subset:  IM    
Affiliation:
Instituto de Investigaciones Hematologicaes Mariano R. Castex de la Academia Nacional de Medicina, Buenos Aires, Argentina.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Algorithms
Child
Child, Preschool
Contracture / etiology,  physiopathology,  surgery*
Hemophilia A / complications*
Humans
Knee / physiopathology,  surgery
Orthopedics* / methods

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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