Knee arthrodesis for a congenital luxation with Larsen syndrome

BMJ Case Rep. 2020 Jun 1;13(6):e232109. doi: 10.1136/bcr-2019-232109.

Abstract

A 31-year-old woman with known Larsen syndrome presented with congenital chronic luxation of her right knee with increasing instability symptoms, which limited her daily activities. We refrained from a constrained knee arthroplasty due to her relatively young age and decided to perform a knee arthrodesis. Knee arthrodesis is a viable lifelong-lasting operative treatment alternative for specific instability-related knee disease. The knee arthrodesis was performed by double plating with an additional fixation of the patella. At 1-yearfollow-up, she was able to walk without limitations and did not experience any pain with complete consolidation of the arthrodesis. At 2-year follow-up, she performed all her daily activities without limitations. Both the Knee injury and Osteoarthritis Outcome Score (KOOS) and the International Knee Documentation Committee subjective knee form (IKDC) improved at 2-year follow-up (KOOS: 61.3; IKDC: 56.3) compared with 1-year follow-up (KOOS: 52; IKDC: 40.2).

Keywords: genetics; orthopaedics.

Publication types

  • Case Reports

MeSH terms

  • Activities of Daily Living
  • Adult
  • Arthrodesis* / instrumentation
  • Arthrodesis* / methods
  • Bone Plates
  • Female
  • Humans
  • Joint Instability* / congenital
  • Joint Instability* / physiopathology
  • Joint Instability* / psychology
  • Joint Instability* / surgery
  • Knee Joint* / pathology
  • Knee Joint* / physiopathology
  • Knee Joint* / surgery
  • Osteochondrodysplasias* / complications
  • Osteochondrodysplasias* / physiopathology
  • Quality of Life*
  • Recovery of Function
  • Treatment Outcome

Supplementary concepts

  • Larsen Syndrome