The authors report a case of congenital genu recurvatum: a rare malformation characterized for abnormal hyperextension of knee and wide limitation of flexion. Pathogenesis, clinical pictures and therapy are described.
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Total knee arthroplasty in patient with poliomyelitis sequelae: maintaining a recurvatum is associated with better mid-term functional results.
Arch Orthop Trauma Surg
December 2024
Department of Orthopaedic and Trauma Surgery, Raymond-Poincaré Hospital, APHP, Garches, France.
Purpose: Total knee arthroplasty (TKA) in patients with sequelae of poliomyelitis is a surgical challenge due to muscle weakness, bone deformities or post-polio syndrome (PPS). Few data exist to determine the factors contributing to poor functional results. This study aimed: (1) to describe a cohort of patients with poliomyelitis sequelae who underwent TKA; (2) to examine risk factors for poor functional outcome.
View Article and Find Full Text PDFShort-term selective dorsal rhizotomy responders among children with bilateral cerebral palsy.
Dev Med Child Neurol
November 2024
Department of Development and Regeneration, KU Leuven, Leuven, Belgium.
Aim: To identify the short-term effects of selective dorsal rhizotomy (SDR) on gait and clinical impairments in children with bilateral spastic cerebral palsy (CP) and subgroups based on baseline gait patterns.
Method: Eighty-nine children with bilateral spastic CP (55 males, mean age [SD] before SDR: 9 years 5 months [2 years 3 months]; Gross Motor Function Classification System level I: 18; II: 54; III: 17) received three-dimensional gait analyses at two time points (baseline and 1 year after SDR); their baseline gait patterns were classified. The analysis included the comparisons of (1) sagittal plane kinematic waveforms, the Gait Profile Score, and non-dimensional spatiotemporal parameters between the two time points, (2) the kinematic waveforms of both time points to those of typically developing children, and (3) composite impairment scores of spasticity, weakness, and selectivity between the two time points.
Relief of benign paroxysmal positional vertigo and temporomandibular disorder using a myofascial induction in genu recurvatum patients: Case reports.
J Bodyw Mov Ther
October 2024
Community Memorial Health System, 147 N. Brent St, Ventura, CA, USA.
Background: In the realm of research, the single case study has been recognized as a valuable tool for sharing insights, demonstrating new concepts, discovering novel phenomena, consolidating hypotheses, and sparking original ideas. In this physician-guided narrative, phenomena previously unreported in the clinical context are explored. These case studies aim to offer insights that may inform an existing theoretical model that encapsulates a distinct therapeutic intervention.
View Article and Find Full Text PDFSurvivorship and Functional Outcomes After Complex Primary Total Knee Arthroplasty With Contemporary Rotating-Hinge Implants.
HSS J
September 2024
Department of Orthopedic Surgery, Hospital for Special Surgery, New York, NY, USA.
Article Synopsis
- Initial hinge designs for total knee arthroplasty had issues with loosening, but this study focuses on contemporary rotating-hinge implants.
- A retrospective review of 54 surgeries from 2014 to 2018 showed promising outcomes, with a patient demographic mostly of older women dealing with severe knee instability.
- Results indicated a 95% reoperation-free survival rate at 2 and 5 years, significant improvements in patient-reported quality of life, and no signs of aseptic loosening on follow-up imaging.
Anatomic Risk Factors for Initial and Secondary Noncontact Anterior Cruciate Ligament Injury: A Prospective Cohort Study in 880 Female Elite Handball and Soccer Players.
Am J Sports Med
January 2025
Oslo Sports Trauma Research Center, Department of Sports Medicine, Norwegian School of Sport Sciences, Oslo, Norway.
Background: Anterior cruciate ligament (ACL) injury is one of the most severe injuries for athletes. It is important to identify risk factors because a better understanding of injury causation can help inform athletes about risk and increase their understanding of and motivation for injury prevention.
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