JBJS Case Connect. 2025 Feb 27;15(1). doi: 10.2106/JBJS.CC.24.00516. eCollection 2025 Jan 1.
ABSTRACT
CASE REPORT: A 10-year-old boy with arthrogryposis multiplex congenita (AMC) presented in a “Buddha position” with severely limited mobility, including bilateral hip, severe knee flexion, and clubfoot deformities. Surgical correction involved (1) bilateral femoral derotation and shortening osteotomies, knee capsulotomies, and soft-tissue releases; (2) gradual left knee extension using an external fixator; and (3) distal femoral extension osteotomies and Verebelyi-Ogston procedures for clubfoot correction. Postoperative recovery involved intensive rehabilitation and orthotic support. Improved lower limb alignment enabled the patient to transition from non-ambulatory to assisted walking with knee-ankle-foot orthosis.
CONCLUSIONS: This proximal-to-distal approach significantly enhances autonomy in AMC patients with severe deformities.
PMID:40014687 | DOI:10.2106/JBJS.CC.24.00516
