Case Report

Volume 2 | Issue 3 | JOCR July-Sep 2012 | Page 25-27 |Patwardhan S, Shyam AK

Use of Percutaneous Needle Tenotomy for Treatment of Congenital Knee dislocation

Sandeep Patwardhan , Ashok Shyam

Sancheti Institute for Orthopaedics and Rehabiltiation 16, Shivaji nagar, Pune, India
Indian Orthopaedic Research Group, Thane, India.

Address of Correspondence 

Dr. Ashok Shyam Sancheti Institute for Orthopaedics and Rehabiltiation, 16, Shivaji nagar, Pune, India.
Email: drashokshyam@yahoo.co.uk | Mobile – +91 9833110366


  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.

Case Report:We present a 14 year old girl who came with a history of acute pain, swelling, inability to bear  weight on the right knee following a dance practice. MRI showed stage IV osteochondral fragment measuring 20x  8mm lying free. This was primarily fixed with bioabsorbable implants. 10 months follow up showed excellent clinical and functional results.

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

How to Cite This Article: 

Patwardhan S, Shyam AK. Use of Percutaneous Needle Tenotomy for Treatment of Congenital Knee dislocation – Technical note. J Orthopaedic Case Reports 2012 July Sep;2(3):25-27. Available from:http://www.jocr.co.in/wp/wp-content/uploads/2012/11/jocr-july-sep-2012-article-7.pdf

 

http://www.jocr.co.in/wp/wp-content/uploads/2012/11/jocr-july-sep-2012-article-7.pdf