Haga N, Nakamura S, Sakaguchi R, Yanagisako Y, Taniguchi K, Iwaya T
Shizuoka Children's Hospital, Japan.
J Pediatr Orthop. 1997 Jan-Feb;17(1):59-62.
Six cases of congenital dislocation of the knee (CDK) reduced spontaneously or with minimal treatment were investigated. Reduction was achieved from 4 days to 3 months after birth. Clinical results were good, although in four cases, hyperextension < or = 20 degrees persisted. In view of the perinatal complications and associated anomalies, CDK reduced with no or minimal treatment is supposed to be a category of congenital postural deformity. We believe that it is advisable to wait 1 month for spontaneous reduction of CDK in cases not associated with clubfoot, arthrogryposis multiplex congenita, and Larsen's syndrome.
对6例先天性膝关节脱位(CDK)经自发复位或经最少治疗后复位的病例进行了研究。出生后4天至3个月实现了复位。临床结果良好,尽管有4例存在≤20度的膝关节过伸。鉴于围产期并发症及相关畸形,未治疗或经最少治疗复位的CDK应被视为先天性姿势性畸形的一种类型。我们认为,对于不伴有马蹄内翻足、先天性多发性关节挛缩症和拉森综合征的CDK病例,等待1个月让其自发复位是可取的。