Affiliation:
1. Shriner's Hospital for Children, Salt Lake City, Utah
2. Primary Children's Hospital, Salt Lake City, Utah
Abstract
Case:
This is a case of a female patient born with thrombocytopenia-absent radius syndrome, with bilateral upper extremity phocomelia, bilateral hip dislocations, and congenital fusion of the right knee with progressively worsening flexion contracture. At age 3 years and 5 months, the patient was treated with excision of the knee ankylosis and Van Nes rotationplasty. This proved durable at age 20 years (final follow-up) without any need for further surgery and without complication.
Conclusion:
This is the first known report of Van Nes rotationplasty as a durable treatment option in the management of congenital knee ankylosis, which may avoid reoperation and eliminate risk of recurrence.
Publisher
Ovid Technologies (Wolters Kluwer Health)
Subject
Orthopedics and Sports Medicine,Surgery
Reference14 articles.
1. Congenital synostosis of the knee: long-term outcomes of limb reconstruction surgery;Belthur;J Pediatr Orthop.,2023
2. Congenital bony fusion (absence) of the knee: a case report;Madadi;Knee.,2010
3. Congenital absence (ankylosis) of the knee;Yaniv;J Bone Joint Surg Br.,2004
4. Congenital synostosis of the knee;Ryan;Clin Orthop Relat Res.,1978
5. Tetraphocomelia and bilateral femorotibial synostosis. A severe variant of the thrombocytopenia-absent radii (TAR) syndrome?;Delooz;Genet Couns.,1992