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2002•Zhonghua xiaoerwaike zazhiRequires access

Surgical correction of knee and foot deformities in arthrogryposis multiplex congenita

Yan Guise

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Abstract

Objective To study the treatment in arthrogryposis multiplex congenita(AMC).Methods Thirty five patients with AMC (knee 42, feet 66), treated from 1980 to 1997 were studied and evaluated according to the Sodergard grading.Results The overall prognosis for extension contracture of the knees appeared to be better than that of flexion contracture. Recurrence of the deformity occurred in 44 feet ( 73.3% ). Some of these patients required three operations.Conclusions Treatment of flexion contractures of the knees is discouraging. The patients with foot deformity can be treated primarily with soft tissue release before 1 year of age.

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What this paper is about

Objective To study the treatment in arthrogryposis multiplex congenita(AMC).Methods Thirty five patients with AMC (knee 42, feet 66), treated from 1980 to 1997 were studied and evaluated according to the Sodergard grading.Results The overall prognosis for extension contracture of the knees appeared to be better than that of flexion contracture. Recurrence of the deformity occurred in 44 feet ( 73.3% ). Some of these patients required three operations.Conclusions Treatment of flexion contractures of the knees is discouraging. The patients with foot deformity can be treated primarily with soft tissue release before 1 year of age.

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Available abstract

Objective To study the treatment in arthrogryposis multiplex congenita(AMC).Methods Thirty five patients with AMC (knee 42, feet 66), treated from 1980 to 1997 were studied and evaluated according to the Sodergard grading.Results The overall prognosis for extension contracture of the knees appeared to be better than that of flexion contracture. Recurrence of the deformity occurred in 44 feet ( 73.3% ). Some of these patients required three operations.Conclusions Treatment of flexion contractures of the knees is discouraging. The patients with foot deformity can be treated primarily with soft tissue release before 1 year of age.

Key concepts: Arthrogryposis multiplex congenita, Medicine, Arthrogryposis, Muscle contracture, Contracture, Surgery, Deformity, Soft tissue

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