Anatomical and Surgical Basis for the Treatment of Paralytic Knees
C. Elkassimi, S. Rouadi, M. Fadili, E. Bachkira, A. M. Abdullah, I. Jadib, O. Hadad, K. Tabbak, M. A. Kharoub, A. Rafaoui, A. Messoudi, M. Rahmi, M. Rafai
Asian Journal of Orthopaedic Research · pp. 270–279 · Published 24 Dec 2022
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.
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