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Miraculous Recovery: A Story of Congenital Knee Dislocation in a Little Girl

▲ The little girl’s right foot was bent at an odd 90-degree angle and she was diagnosed with a congenital knee dislocation. After a month of treatment, she miraculously recovered.

[Lussazione congenita del ginocchio/Lussazione/Salute del bambino]I was pregnant in October and finally gave birth to my baby. However, after birth, I saw something strange in my baby, which really shocked mothers! A Taiwanese mother posted on the Internet that her son’s knees were bent abnormally after she was born, and a doctor eventually diagnosed her with “congenital knee dislocation.” Is this a serious birth defect? Will there be problems with the child’s future development?

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A Taiwanese mother posted on the online discussion forum “Dcard” and revealed that her daughter was suffering from a congenital knee dislocation. She recalled that after the natural birth, while she was still lying on the birthing bed, she heard the nurse say that there was something abnormal in her BB’s knees. Later, when she returned to the ward and saw the video and photos of the baby’s birth, she began to cry.

Since it was already midnight after the birth of the baby and the disease was not immediately life-threatening, only the next morning did the clinic contact National Taiwan University Hospital for follow-up treatment. Subsequently, BB was sent to the National Taiwan University Children’s Hospital by ambulance.

The author mentions in the article that BB remained in the hospital for observation for 3 days, during which his feet were fixed with a board. After being released from the hospital, he was fixed in an aluminum splint to give BB’s feet more room to move and to prevent the knee from moving when he applied force.

The poster highlighted that during this period BB required regular check-ups, x-rays and adjustments of the fixed aluminum clamps. After about a month, the splint could finally be removed, but regular checks were still needed to confirm whether there were any abnormalities in the hip joint. Fortunately, only the knee joint was hyperextended, the hip joint was normal, and there was no inversion of the foot. The child returned to normal after a month.

She said: “It’s only now that I saw the baby walking normally that I let go of the big stone in my heart. She also said that there are few articles about congenital knee dislocation on the Internet, so she hopes to share her daughter’s one.” . she experience to help those who meet her. Parents of similar patients can also refer to it.

The chance of it occurring is only one in 100,000

Taiwanese pediatrician Lei Zhenhao once pointed out that congenital knee dislocation is a very rare congenital anomaly, with an incidence rate of one in 100,000. The cause could be Larsen syndrome, congenital arthrogryposis multiplex, etc., or abnormal pressure in the uterus, poor position. of the fetus in the womb, genetic anomalies, neuromuscular anomalies, etc. they can vary from subluxation to complete dislocation.

He mentioned that treatment methods for congenital knee dislocation include reduction, fixation and surgery. Patients younger than 1 month can be immobilized with a cast. If the bending angle of the knee joint is less than 90 degrees, surgery will be considered. Patients older than 1 month will need to receive surgical treatment directly to avoid affecting their ability to walk in the future.

What should be done in case of fractures and dislocations in children?

Children of all ages sustain injuries frequently, and fractures or dislocations are common. According to information from the Department of Health, parents should pay attention to the following aspects before sending their children to hospital:

  • Parents must first remain calm, comfort the injured person and avoid being excessively nervous.
  • Unless there is danger at the scene, avoid moving the injured person to prevent the injury from worsening.
  • Carefully remove the belts from the injured area to expose the joint. For example, if you have a sprained ankle without a fracture, you should take off your shoes immediately. If your foot is swollen and you can’t take your shoes off, use scissors to open your shoes and take them off.

If parents have received first aid training, they may consider the following first aid care before sending the injured person to hospital if they suspect he or she may have fractures:

1. Use your hands first to stabilize and support the injured part and avoid unnecessary movement of the injured part.
2. Gently hold the injured part with your hands, put the injured person in the most comfortable position, and place soft pillows or similar objects in the space to provide support.
3. Use soft pads and bandages to tie the injured part to the uninjured part of the body to prevent movement.
4. When dealing with open fractures, bandage the injured area only after applying a dressing.
5. If the forearm is injured, after fixing it with a wooden board and bandaging it, use a large triangular crutch as a sling to increase support.
6. If the upper arm is injured, use a bandage to secure the injured limb to the torso.
7. If the lower limb is injured, fix the injured limb near the leg.
8. Keep your body warm and watch out for shock.
9. After treating the fracture, send it to the hospital for treatment as soon as possible.

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