Defining patho-anatomy of the knee in congenital longitudinal lower limb deficiencies

Context: The osseous and soft tissue anatomy of the knee in congenital longitudinal lower limb deficiencies is important to consider, both in limb lengthening procedures and in soft tissue reconstruction. Aims: Our study aims to further define the patho-anatomy of the knee in this group of patients...

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Bibliographic Details
Main Authors: Kiran A.N. Saldanha, Caroline M Blakey, Penny Broadley, James A Fernandes
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-01-01
Series:Journal of Limb Lengthening & Reconstruction
Subjects:
Online Access:http://www.jlimblengthrecon.org/article.asp?issn=2455-3719;year=2016;volume=2;issue=1;spage=48;epage=54;aulast=Saldanha
Description
Summary:Context: The osseous and soft tissue anatomy of the knee in congenital longitudinal lower limb deficiencies is important to consider, both in limb lengthening procedures and in soft tissue reconstruction. Aims: Our study aims to further define the patho-anatomy of the knee in this group of patients. Methods and Material: 24 children were reviewed clinically and radiologically. Osseous and soft tissue anatomy is described including MR imaging of 27 affected knees. Results: Our results echoed those of previous authors, with dysplasia of the menisci and cruciate ligaments a frequent finding. However, the study demonstrated that a clear correlation between the osseous anatomy and soft tissue findings was not always seen. Conclusions: MRI allows assessment of the cartilaginous epiphysis in younger children with longitudinal dysplasia and we would recommend systematic assessment of the knee prior to any surgical intervention.
ISSN:2455-3719
2455-3719