ISOLATED CONGENITAL GENU RECURVATUM A CASE SERIES

Abstract

Congenital Genu Recurvatum (CGR) is a rare anomaly which can be diagnosed prenatally via imaging or following birth by a physical examination. With an incidence of 1 in 100,000 live births, CGR is defined as a pathological degree of hyperextension of the knee joint accompanied by limited flexion. CGR may occur in isolation or in association with other birth defects such as talipes equinovarus and a congenital dislocation of the hip joint. In severe cases of CGR, contracture of the quadriceps tendon does not permit reduction. At the other end of the severity spectrum, where the dislocated knee yields to reduction through manual manipulation, conservative treatment with serial Plaster of Paris (POP) casting of the joint in the reduced position has demonstrated excellent outcome. Newborn babies born in our institution during the period 2019-2022 with isolated unilateral congenital dislocation of knee joint managed conservatively is followed up till 3 months. Based on our experience, we conclude that serial casting is has shown excellent functional outcomes in patients with grade 3 isolated congenital genu recurvatum managed by manipulation and serial casting