Anatomical and Surgical Basis for the Treatment of Paralytic Knees
Published: 2022-12-24
Page: 270-279
Issue: 2022 - Volume 5 [Issue 2]
C. Elkassimi
Laboratory of Anatomy, Faculty of Medicine and Pharmacy of Casablanca, Morocco.
S. Rouadi
Laboratory of Anatomy, Faculty of Medicine and Pharmacy of Casablanca, Morocco.
M. Fadili
Laboratory of Anatomy, Faculty of Medicine and Pharmacy of Casablanca, Morocco.
E. Bachkira *
Orthopedic and Traumatology Department, Casablanca Hassan II University, Pavilion 32 of CHU Ibn Rochd, Morocco.
A. M. Abdullah
Orthopedic and Traumatology Department, Casablanca Hassan II University, Pavilion 32 of CHU Ibn Rochd, Morocco.
I. Jadib
Orthopedic and Traumatology Department, Casablanca Hassan II University, Pavilion 32 of CHU Ibn Rochd, Morocco.
O. Hadad
Orthopedic and Traumatology Department, Casablanca Hassan II University, Pavilion 32 of CHU Ibn Rochd, Morocco.
K. Tabbak
Orthopedic and Traumatology Department, Casablanca Hassan II University, Pavilion 32 of CHU Ibn Rochd, Morocco.
M. A. Kharoub
Orthopedic and Traumatology Department, Casablanca Hassan II University, Pavilion 32 of CHU Ibn Rochd, Morocco.
A. Rafaoui
Orthopedic and Traumatology Department, Casablanca Hassan II University, Pavilion 32 of CHU Ibn Rochd, Morocco.
A. Messoudi
Orthopedic and Traumatology Department, Casablanca Hassan II University, Pavilion 32 of CHU Ibn Rochd, Morocco.
M. Rahmi
Orthopedic and Traumatology Department, Casablanca Hassan II University, Pavilion 32 of CHU Ibn Rochd, Morocco.
M. Rafai
Orthopedic and Traumatology Department, Casablanca Hassan II University, Pavilion 32 of CHU Ibn Rochd, Morocco.
*Author to whom correspondence should be addressed.
Abstract
This review is to highlight the anatomical and surgical basis for the treatment of paralytic knees that lead to a grave functional handicap because of its intermediate situation in lower limb.
Paralytic knee disease affects muscular balance and osteoarticular growth to the point of sometimes compromising the possibility of standing and walking.
Combined with a good knowledge of the main etiologies (Poliomyelitis, myelomeningocele and cerebral palsy), it enables the bases of the orthopedic treatment to be defined. Consequences related to paralytic knee desease may lead to neuroorthopaedic deformities in the joints.
Orthopaedic surgical treatment of the consequences of knee paralysis is varied both in terms of the diversity of the surgical techniques that can be carried out (tenotomies, lengthenings, transfers, osteotomies...) and the patient’s profile. It must essentially meet functional and not morphological.
Keywords: Paralytic knees, disorders, joint mobility, cerebral, spinal, muscular nerve, traumatology, orthopedic