Qasim OM, Abdulaziz AA, Aljabri NK, Albaqami KS, Suqaty RM. Neglected congenital bilateral knee dislocation treated by quadricepsplasty with semitendinosus and sartorius transfer: A case report. World J Orthop 2024; 15(8): 807-812 [DOI: 10.5312/wjo.v15.i8.807]
Corresponding Author of This Article
Osama M Qasim, MBBS, Doctor, College of Medicine, Umm Al-Qura University, Taif Road, Al-Abidiyyah District, Mecca 21955, Makkah al Mukarramah, Saudi Arabia. s441010623@st.uqu.edu.sa
Research Domain of This Article
Orthopedics
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Orthop. Aug 18, 2024; 15(8): 807-812 Published online Aug 18, 2024. doi: 10.5312/wjo.v15.i8.807
Neglected congenital bilateral knee dislocation treated by quadricepsplasty with semitendinosus and sartorius transfer: A case report
Osama M Qasim, Abdulaziz A Abdulaziz, Nibras K Aljabri, Khalid S Albaqami, Rayan M Suqaty
Osama M Qasim, College of Medicine, Umm Al-Qura University, Mecca 21955, Makkah al Mukarramah, Saudi Arabia
Abdulaziz A Abdulaziz, Department of Orthopedic, King Faisal Medical Complex Taif, Taif 26514, Taif, Saudi Arabia
Nibras K Aljabri, Khalid S Albaqami, Rayan M Suqaty, Department of Orthopedic, Alnoor Specialist Hospital, Mecca 24241, Makkah al Mukarramah, Saudi Arabia
Author contributions: Suqaty RM was responsible for the patient’s surgical treatment; Aljabri NK, Abdulaziz AA, and Albaqami KS were part of the surgical team; Qasim OM and Abdulaziz AA drafted the manuscript; All authors read and approved the final manuscript, helped collect the data and write and revise the manuscript.
Informed consent statement: Informed verbal consent was obtained from the patient to publish this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Osama M Qasim, MBBS, Doctor, College of Medicine, Umm Al-Qura University, Taif Road, Al-Abidiyyah District, Mecca 21955, Makkah al Mukarramah, Saudi Arabia. s441010623@st.uqu.edu.sa
Received: May 5, 2024 Revised: July 6, 2024 Accepted: July 17, 2024 Published online: August 18, 2024 Processing time: 99 Days and 14.8 Hours
Abstract
BACKGROUND
Congenital knee dislocation (CKD) is a rare condition, which accounts for 1% of congenital hip dislocations. It can present as an isolated condition or coexist with other genetic disorders. Treatment options include serial casting, percutaneous quadriceps recession, and V-Y quadricepsplasty (VYQ). The pathogenesis and hereditary patterns of CKD are not fully understood, with most cases being familial. CKD is usually managed immediately after birth. However, in this report, the patient was neglected for 2 years.
CASE SUMMARY
A 2-year-old girl with bilateral CKD after birth presented to our hospital after failed serial casting; the patient had seizures and limited access to healthcare because of her family’s low socioeconomic status. Her birth was noted for a breech presentation accompanied by oligohydramnios. The delivery took a long time, requiring immediate medical interventions. As an infant, she had chronic diseases, including a small patent ductus arteriole, multicystic dysplastic kidney disease, and epilepsy. She was found to have a bilateral knee dislocation of approximately -90° on hyperextension. A multidisciplinary team was involved, and medical care was optimized. She underwent VYQ plus semitendinosus and sartorius transfer. After four postoperative follow-ups, her knees were regaining mobility, and she could walk for 2-3 steps without assistance.
CONCLUSION
This report highlights the importance of early intervention and recommends extensive studies of the management in similar cases.
Core Tip: Congenital knee dislocation is a rare condition, which accounts for 1% of congenital hip dislocations. According to a previous study, patients must be managed after birth immediately or up to 3 months. However, in the present case, the patient’s condition was neglected for 2 years for many reasons. Although in the literature V-Y quadricepsplasty (VYQ) was performed, in our surgical approach, VYQ plus semitendinosus and sartorius transfer were performed to fill the gap and increase muscle power. The outcome was satisfactory at 6 months follow up.
