We reviewed our clinical and radiographic results in the operative treatment of five unilateral and six bilateral hip dislocations in 11 patients with amyoplasia-type arthrogryposis. The mean age at surgery was 1.8 (range, 1.1-3.2) years. Femoral and/or pelvic osteotomies were combined with an open reduction. The mean follow-up period was 12.7 (range, 5.2-23.2) years. Nine patients were community walkers and two were household walkers. The range of motion and the St Clair hip score of the bilateral hips were not significantly different from those of the unilateral hips. Successful reduction increases the ambulation potential in both unilateral and bilateral hip dislocations.
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http://dx.doi.org/10.1097/BPB.0b013e328355d040 | DOI Listing |
J Hand Surg Am
June 2017
Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, MO; Shriners Hospital for Children, St. Louis, MO.
Purpose: In the amyoplasia type of arthrogryposis, a reverse pronated grasp pattern is often seen. We hypothesized that repositioning the hands, through distal humerus external rotation osteotomies (DHO), would allow for palm-to-palm grasp without arm cross-over and would improve function and parent/patient satisfaction.
Methods: The medical records of all patients treated surgically for arthrogryposis were reviewed at the Shriners Hospital for Children, St.
Evid Based Spine Care J
April 2014
Weill Cornell Medical College, New York, New York, United States ; Department of Spine and Scoliosis Surgery, Hospital for Special Surgery, New York, New York, United States.
Study Design Case report. Objective Amyoplasia-type arthrogryposis is a rare congenital disease that presents as multiple contractures involving various areas of the body. To the authors' knowledge, there have been no reports of adults with amyoplasia in the current literature.
View Article and Find Full Text PDFJ Pediatr Orthop B
September 2012
Department of Orthopaedic Surgery, Saga Handicapped Children's Hospital, Saga, Japan.
We reviewed our clinical and radiographic results in the operative treatment of five unilateral and six bilateral hip dislocations in 11 patients with amyoplasia-type arthrogryposis. The mean age at surgery was 1.8 (range, 1.
View Article and Find Full Text PDFJ Pediatr Orthop
June 2008
Department of Orthopaedics, Alfred I. duPont Hospital for Children, Nemours Children's Clinic, Wilmington, DE 19803, USA.
Purpose: Amyoplasia (type 1), characterized by quadrimelic limb involvement, is one of the most common types of arthrogryposis. In children with hyperextension or extension contracture of the knee, subluxation or dislocation of the knee joint with an associated subluxation or dislocation of the patella is frequently seen. Patellar malpositioning may be secondary to congenital hypoplasia of the patellar groove of the femur and/or dysplasia of the patellofemoral joint.
View Article and Find Full Text PDFJ Pediatr Orthop B
May 2005
Orthopaedic Department, Santa Casa Medical School and Hospitals, Pavilhão 'Fernandinho Simonsen', São Paulo, Brazil.
Eight patients with arthrogryposis multiplex congenita (amyoplasia type) (11 knees) with knee hyperextension deformity underwent quadricepsplasty and were analyzed during an average follow-up period of 11 years and 2 months. The results were clinically analyzed based on gait pattern, range of movement, and orthotic requirements. Joint congruency was evaluated by radiography according to the Leveuf Pais classification.
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