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  3. 3. Clinical Outcomes of Managing Congenital Knee Dislocation: An Observational Study
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3. Clinical Outcomes of Managing Congenital Knee Dislocation: An Observational Study

Original Article

Managing Congenital Knee Dislocation

Clinical Outcomes of Managing Congenital Knee Dislocation: An Observational Study

Mohammad Aslam Mengal1, Saddam Mazar2, Khawand Bakhsh Umrani2, Eamaan Abid3,  Nargis Taj2 and Fahmida Rehman2

ABSTRACT

Objective: This study aims to assess the effectiveness, complications, and recurrence rates of various treatment approaches for congenital knee dislocation (CDK) in paediatric patients in our experience.

Study Design: An observational study

Place and Duration of Study: This study was conducted at the Sheikh Khalifa Bin Zayyad Al Nahyan Medical Complex Quetta from January 2022 to January 2024.

Methods: These cases were graded using Tarek CDK Grading System from grade I – III. Treatment modalities included conservative management, minimally invasive techniques, and surgical interventions, depending on CDK severity. The clinical findings included assessment of range of motion (ROM), knee flexion and the occurrence of complications.

Results: Conservative management turned out to be most practical and effective approach with a success rate approaching nearly 95% in paediatric patients of grade I and 85% grade II. The minimally invasive techniques in grade III CDK showed a success rate of 70% in less than three months of age. Meanwhile, older age and patients unresponsive to conservative management had to complete surgical interventions including V-Y Quadricepsplasty with 63% success rate towards CDK grade III. ROM and knee flexion both significantly improved with averages of 76% and 80% respectively adding to the improvement in functional outcomes.

Conclusion: Early diagnosis and severity-based treatment improve CDK outcomes. Non-invasive methods work for early cases, while surgery is crucial for severe cases. Further research is needed to refine surgical techniques and develop innovative treatments.

Key Words: Joint, Tibiofemoral, Congenital Abnormality, Orthopedic Surgical Procedure, Congenital dislocation of knee

Citation of article: Mengal MA, Mazar S, Umrani KB, Abid E, Taj N, Rehman F. Clinical Outcomes of Managing Congenital Knee Dislocation: An Observational Study. Med Forum 2024;35(12):13-17. doi:10.60110/medforum.351203.