LONG-TERM RESULTS OF CLOSED MANAGEMENT OF CONGENITAL DISLOCATION OF THE BONES OF THE RIGHT TIBI
DOI:
https://doi.org/10.11603/1811-2471.2024.v.i1.14538Keywords:
dislocation, knee, tibia, reduction, consequences, pregnancyAbstract
SUMMARY. A rare clinical case of congenital dislocation of the bones of the right tibia in a newborn is presented.
Material and Methods. Immediately after delivery, the child was found to have a severe deformity in the right knee joint. The leg was strongly bent in the opposite direction on extension. After X-ray examination of the joint, displacement of the bones of the right lower leg to the front was found – dislocation.
Results. Under general anesthesia, a closed reduction of the dislocation was carried out, which was confirmed radiologically. The knee joint was fixed with a plaster cast in the correction position. After three weeks, the splint was removed, the axis of the leg was completely restored, the movements in the knee joint were painless and in full range. During the next 18 years of observation, there were no deviations in the child's development. The girl is active, does sports, walks in high heels, the shape and axis of the legs are normal.
Perhaps one of the main factors of this congenital pathology was disorders of pregnancy, namely ischemia of the uterine-placental complex. Mom was receiving inpatient treatment for preeclampsia, a threat of abortion.
References
(2023). Center for Disease Control and Prevention (gov). What are birth defects? Retrieved from: https://www. cdc.gov>fact.
(2023). World Health Organization. Congenital disorders. Retrieved from: https://www.who.int>detail.
Boyd, S.A.B. (2023). Congenital Knee Dislocation. MSD Manuals. Retrieved from: https://www.msdmanuals.com> Congenital Limb Abnormalities-Pediatrics.
Bolotnaya, L.A., Serbina, I.M., & Sarian, E.I. (2011). Sosudistyy endotelialnnyy factor rosta I ego patogeneticheskoe znacheniye pti zabolevaniyakh kozhi [Vascular endothelial growth factor and its pathogenetic significance in skin diseases]. Dermatovenerologiya. Cosmetologiya. Sexopathologiya – Dermatovenerology. Cosmetology. Sexopathology, 1-4, 88-94 [in Ukrainian].
Gavrylenko, T.I., Ilyash, M.G., & Mitchenko, O.I. (2012). Rol vaskulyarnoho tndotelialnoho faktora n rozvytky zaalennya ta imunnoho reahuvannya u patsientiv iz rannim revmatoidnym artritom [The role of vascular endothelial growth factor in the development of inflammation and immune response in patients with early rheumatoid arthritis]. Ukrainskyy revmatolohichnyy zhurnal – Ukrainian rheumatology journal, 49(3), 2-12 [in Ukrainian].
Zelinka-Hobzei, M.M. (2020). Endotelialnyy factor roshe sudyn yak marker tndotelialnoyi dysfunktsiyi u vahitnykh zhinok z ozhyrinneam [Endothelial vascular growth factor as a marker of endothelial dysfunction in obese pregnant women]. Visnyk Ukrayinska medychna stomatolohichna akademiea – Visnyk. Ukrainian Medical Stomatological Academy, 2(70), 20, 50-54. DOI: 10.317118/2077-1096.20.50 [in Ukrainian].
Yaremenko, L.M., Shepelev, S.E., & Hrabovy, O.M. (2018). Ekspresiya endotelialnoho faktora rostu sudyn u kori velykoho mozku pry porushennyakh krovoobihy za umov poperednoyi sensybilizatsiyi mozkovym antyhenom ta imunokorektsiyi [Expression of endothelial vascular growth factor in the cortex of the cerebrum in the case of blood circulation disorders under the conditions of previous brain antigen sensitization and immunocorrection]. Zdobutky klinichnoyi i eksperymentalnoyi medytsyny – Achievements of clinical and experimental medicine, 2, 228-233. DOI: 10.11603/1811-2471.2018.vD.i2.8513 [in Ukrainian].
Rozhkovska, N.M., Nadvrna, O.M., & Zhelezov, D.M. (2023).Dysfunktiya platcenty u vahitnykh iz posttravmatychnym stresovym rozladom [Dysfunction of the placenta in pregnant women with post-traumatic stress disorder]. Aktualni pytannya pediatriyi, akusherstva ta hinecolohiyi – Current issues of pediatrics, obstetrics and gynecology, 1, 44-47. DOI: 10.11603/24116-4944.2023.1. 13939 [in Ukrainian].
Guseva, A.E., Kyrylchuk, M.E., & Medved, V.I. (2023). Profilaktyka preeklampsiyi: suchanyy stan problemy [Prevention of preeclampsia: current state of the problem]. Aktualni pytannya pediatriyi, akusherstva ta hinecolohiyi – Current issues of pediatrics, obstetrics and gynecology, 1, 53-64. DOI: 10.11603/24116-4944.2023.1.13941 [in Ukrainian].
Babiy, N.V. (2023). Faktory ryzyku vynyknennya preeklampsiyi u vahitnykh hrup ryzyku [Risk factors for the occurrence of preeclampsia in pregnant women at risk]. Bukovynskyy medychnyy visnyk – Bukovyna Medical Herald, 4(108), 27, 3-5. DOI: 10.24061/2413-0737.27.4.108.2023.1 [in Ukrainian].
