Post-operative Hypertension following Correction of Flexion Deformity of the Knees in a Spastic Diplegic Child: A Case Report
- Author:
Vipin Mohan
;
, Sujendra DM
;
Imthiaz VK
;
Hitesh-Shah
- Publication Type:Case Reports
- Keywords:
Hypertension;
Post operation;
Cerebral palsy;
flexion deformity of the knee;
Femoral shortening
- MeSH:
Hypertension;
Cerebral Palsy
- From:Malaysian Orthopaedic Journal
2016;10(3):46-48
- CountryMalaysia
- Language:English
-
Abstract:
An adolescent boy with spastic diplegic cerebral palsy
presented with crouch gait. He had bilateral severe flexion
deformities of knees and hips. He was treated with single
event multilevel surgery for the correction of deformities.
Surgical procedures included bilateral adductor release,
iliopsoas lengthening, bilateral femoral shortening and
patella plication. Persistent hypertension was noted in the
post-operative period. All causes of secondary hypertension
were ruled out. Having persistent hypertension following the
femoral shortening procedure is unusual. Antihypertensive
medication controlled his blood pressure 15 months after
surgery. Hypertension following correction of knee flexion
deformity and limb lengthening is well known. Hypertension
has not been described with the shortening osteotomy of the
femur. Hypertension is a rare complication following the
corrective surgery for the treatment of crouch gait. Blood
pressure should be monitored during the post-operative
period to detect such a rare complication.
- Full text:P020170109351997422664.pdf
