The knee in congenital femoral deficiency and its implication in limb lengthening: a systematic review

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art_LEITE_The_knee_in_congenital_femoral_deficiency_and_its_2021.PDF (654.48 KB)
Citações na Scopus
2
Tipo de produção
article
Data de publicação
2021
DOI
Scopus
Web of Science
Título da Revista
ISSN da Revista
Título do Volume
Editora
BRITISH EDITORIAL SOC BONE & JOINT SURGERY
Autores
Citação
EFORT OPEN REVIEWS, v.6, n.7, p.565-571, 2021
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Congenital femoral deficiency (CFD) is a rare disorder with several limb anomalies including limb shortening and knee cruciate ligament dysplasia. Limb lengthening is usually performed to correct lower limb discrepancy. However, complications, such as knee subluxation/dislocation, can occur during this treatment. Here, we explore CFD knee abnormalities and knee dislocation during limb elongation, discussing when and whether knee ligament reconstruction prior to the lengthening would be necessary to reduce the risk of knee dislocation. There is not enough support in the literature for the routine reconstruction of cruciate ligaments in CFD patients. Of note, in cases of severe anteroposterior or posterolateral rotatory instability, cruciate ligament reconstruction might be considered to decrease the risk of knee subluxation/dislocation during the lengthening treatment.
Palavras-chave
articular ligaments abnormalities, bone length-ening, joint instability
URI
https://observatorio.fm.usp.br/handle/OPI/41505
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Coleções
Artigos e Materiais de Revistas Científicas - FM/MOT
Artigos e Materiais de Revistas Científicas - HC/IOT
Artigos e Materiais de Revistas Científicas - LIM/05
Artigos e Materiais de Revistas Científicas - LIM/41