Treatment of patients with congenital joints dislocation (Larsen’s syndrome)

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Abstract

Treatment results of 10 patients with Larsen’s syndrome is presented. Step-by-step treatment regimen including closed reduction of hip joint in functional devices for preparation of tendinous-muscular system of the knee joint, closed reduction of ankle joint with transarticular pin fixation and subsequent plaster immobilization is proposed. If cicatrical degeneration of ankle extensors is confirmed and closed reduction of the ankle dislocation failed the open bilateral reduction with lengthening of anterior femur muscles is indicated. Proposed regimen of operative treatment allowed to achieve early and long-term satisfactory functional and cosmetic results in all patients.

About the authors

O. A. Batalov

Nizhny Novgorod Institute of Traumatology and Orthopedics

Author for correspondence.
Email: info@eco-vector.com
Russian Federation, Nizhny Novgorod

A. B. Bogosyan

Nizhny Novgorod Institute of Traumatology and Orthopedics

Email: info@eco-vector.com
Russian Federation, Nizhny Novgorod

I. V. Musikhina

Nizhny Novgorod Institute of Traumatology and Orthopedics

Email: info@eco-vector.com
Russian Federation, Nizhny Novgorod

N. A. Tenilin

Nizhny Novgorod Institute of Traumatology and Orthopedics

Email: info@eco-vector.com
Russian Federation, Nizhny Novgorod

References

  1. Бергман Р.Е. Педиатрия. — М., 1989. — Т. 7. — С. 491-492.
  2. Волков М.В. Болезни костей у детей. — М., 1974. — С. 254.
  3. Лазовские И.Р. Справочник клинических симптомов и синдромов. — М., 1981. — С. 251.
  4. Юкина Г.П., Михайлова Л.К. //Ортопед. травматол.— 1990. — N 9. — С. 56-60.

Supplementary files

Supplementary Files
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2. Fig. 1. Characteristic face in patients with Larsen syndrome (mother 28 years old and daughter 2.5 years old).

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3. Fig. 2. Functional device for reduction of hip dislocation (front and back view).

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4. Fig. 3. Radiographs of a patient with Larsen's syndrome. a - anterior dislocations of both legs; b — normal ratios in the knee joints 16 months after the open reduction of dislocations of the legs.

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