Knee flexion deformity from poliomyelitis treated by supracondylar femoral extension osteotomy.

Abstract:

:Between April 1979 and August 1993, we treated 39 patients (49 knees) with knee flexion deformity after Poliomyelitis. All were subjected to fractional hamstring lengthening and supracondylar femoral extension osteotomy in the same surgical procedure. The goal was to correct the deformity and fit the lower extremities in long braces to improve or promote gait. Patients' mean age was 19.5 (6.5-39) years and the mean knee flexion deformity was 65 degrees (24-158 degrees). The mean follow-up was 15.5 (11.5-25) years. Postoperatively, 22 knees had full extension, in 26 there was an extension lag between -1 and -10 degrees and in one a lag greater than 10 degrees. There were no neurovascular complications and all patients were fitted with long leg braces. Surgical planning is important, especially in severe deformities, where shortening of the femur is necessary to facilitate the osteotomy and relax the neurovascular structures.

journal_name

Int Orthop

authors

de Moraes Barros Fucs PM,Svartman C,de Assumpção RM

doi

10.1007/s00264-005-0007-5

keywords:

subject

Has Abstract

pub_date

2005-12-01 00:00:00

pages

380-4

issue

6

eissn

0341-2695

issn

1432-5195

journal_volume

29

pub_type

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