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ARTHROGRYPOSIS MULTIPLEX CONGENITA

G. C. Lloyd-Roberts 1; and A. W. F. Lettin 1

1 Ortliopaedic Department, the Hospital for Sick Children, Great Ormnond Street, London; London, England

1. We have reported our experience in fifty-two patients with arthrogryposis multiplex congenita.

2. The nature of the disorder, its possible cause, the clinical features and differential diagnosis are discussed.

3. Early management is described with special reference to the infant, his parents, and general principles of selection and timing. The treatment of the individual deformities which commonly occur is outlined.

4. We have emphasised that lower limb deformities should be treated vigorously in the first year, whereas in the upper limb treatment is better delayed until an accurate assessment can be made.

5. Correction in the young child should be by soft-tissue release rather than by osteotomy.

6. Prolonged splinting after operation is necessary.

7. Severe weakness may dominate the problem and make operation unrewarding.

8. The intelligence, determination and adaptability of these children flatters even modest surgical success.
(c) British Editorial Society of Bone and Joint Surgery All Rights Reserved
Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General