Congenital dislocation of the knee: a non-invasive method of treatment

The study of congenital dislocation of the knee (CDK) is of significant interest in the context of the possible application of new reduction techniques immediately after birth. The main goal of this initiative is to minimize the consequences of dislocation, ensuring the possibility of normal formation and functioning of joints from the very first stages of life. Materials and methodsA total of 120 patients (194 knees) with congenital dislocation of the knee were examined. The studied patients were divided into a main group - 55 patients (90 knee joints) and a control group - 65 patients (104 knee joints). Children in the main group received treatment according to the method developed by the authors; in the control group, the traditional method of orthopedic correction of CDK was used using a Von Rosen splint and circular plaster casts. The age of the patients in the main group at the start of treatment was Me-28 (Q1-28; Q3-30) hours, the control group – Me-30 (Q1-28; Q3-34.5) hours. ResultsA comparative analysis of the results of treatment in the main and control groups showed that the developed method in contrast to classical technology, allows in 95% of cases to carry out the most accurate correction, ensure restoration of the axial profile of the knee joint and its stability, as well as create conditions for the formation of a harmonious type of growth and development of the lower extremities in adulthood. In the main group, after treatment using improved technology, after 5 years of observation, prevailing excellent indicators for assessing the function of the knee joint (66.7%), pain relief (98.2%), were noted, which was confirmed by data from a clinical study and specialized questionnaire scales. ConclusionsThe developed innovative method increased the effect of treatment as a whole, as well as its long-term outcomes.