Post-operative hypertension following correction of flexion deformity of the knees in a spastic diplegic child

A case report

Mohan Vipin, D. M. Sujendra, V. K. Imthiaz, Shah Hitesh

Research output: Contribution to journalArticle

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.

Original languageEnglish
Pages (from-to)46-48
Number of pages3
JournalMalaysian Orthopaedic Journal
Volume10
Issue number3
DOIs
Publication statusPublished - 01-11-2016
Externally publishedYes

Fingerprint

Muscle Spasticity
Knee
Hypertension
Thigh
Gait
Blood Pressure
Patella
Osteotomy
Femur
Antihypertensive Agents
Hip
Extremities

All Science Journal Classification (ASJC) codes

  • Surgery
  • Emergency Medicine
  • Orthopedics and Sports Medicine

Cite this

Vipin, Mohan ; Sujendra, D. M. ; Imthiaz, V. K. ; Hitesh, Shah. / Post-operative hypertension following correction of flexion deformity of the knees in a spastic diplegic child : A case report. In: Malaysian Orthopaedic Journal. 2016 ; Vol. 10, No. 3. pp. 46-48.
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Post-operative hypertension following correction of flexion deformity of the knees in a spastic diplegic child : A case report. / Vipin, Mohan; Sujendra, D. M.; Imthiaz, V. K.; Hitesh, Shah.

In: Malaysian Orthopaedic Journal, Vol. 10, No. 3, 01.11.2016, p. 46-48.

Research output: Contribution to journalArticle

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