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. 2012 Jul-Sep;2(3):25-7.

Use of Percutaneous Needle Tenotomy for Treatment of Congenital Knee dislocation

Sandeep Patwardhan  1 , Ashok Shyam  2
Affiliations

Use of Percutaneous Needle Tenotomy for Treatment of Congenital Knee dislocation

Sandeep Patwardhan et al. J Orthop Case Rep. 2012 Jul-Sep.

Abstract

Quadriceps muscle contracture is the main pathology in cases of congenital dislocation of Knee. This can be easily accessed and released through percutaneous approach using a wide bore needle. This technical note describes the technique in details. It is a simple technique with minimum complications and gives good results in selected cases.

Keywords: congenital dislocation of knee; percutaneous needle tenotomy; quadriceps tenotomy.

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Conflict of interest statement

Conflict of Interest: Nil

Figures

Figure 1
Figure 1
a- Clinical picture of the child showing bilateral congenital knee dislocation. b-Viewed form the posterior aspect the femoral condyles can be seen bulging into the popliteal fossa. c-Flexible deformity that could be corrected till near neutral. d-radiograph confirming dislocation at both knee joints.
Figure 2
Figure 2
a- Needle inserted above :he skin crease, b- Correction achieved till 90° of flexion. c-Hip spica applied
Figure 3
Figure 3
a-Radiograph showing good reduction of the knee joints at 9 months follow up. b- Clinical picture of child standing independently at 11 months of age
See this image and copyright information in PMC

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