{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:50:08Z","timestamp":1787755808207,"version":"build-2784847793"},"reference-count":27,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case report:<\/jats:title>\n                    <jats:p>A 10-year-old boy with arthrogryposis multiplex congenita (AMC) presented in a \u201cBuddha position\u201d with severely limited mobility, including bilateral hip, severe knee flexion, and clubfoot deformities. Surgical correction involved (1) bilateral femoral derotation and shortening osteotomies, knee capsulotomies, and soft-tissue releases; (2) gradual left knee extension using an external fixator; and (3) distal femoral extension osteotomies and Verebelyi-Ogston procedures for clubfoot correction. Postoperative recovery involved intensive rehabilitation and orthotic support. Improved lower limb alignment enabled the patient to transition from non-ambulatory to assisted walking with knee-ankle-foot orthosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>This proximal-to-distal approach significantly enhances autonomy in AMC patients with severe deformities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.24.00516","type":"journal-article","created":{"date-parts":[[2025,2,27]],"date-time":"2025-02-27T14:00:46Z","timestamp":1740664846000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Staged Correction of Hip Contractures, Severe Knee Flexion, and Clubfoot in Arthrogryposis: Enabling Assisted Ambulation"],"prefix":"10.2106","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9074-9215","authenticated-orcid":false,"given":"Mar\u00eda","family":"Gal\u00e1n-Olleros","sequence":"first","affiliation":[{"name":"Orthopaedic Surgery and Traumatology Department, Pediatric Orthopaedics, Hospital Infantil Universitario Ni\u00f1o Jes\u00fas, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3096-6725","authenticated-orcid":false,"given":"Jaime","family":"Garc\u00eda-Fern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Orthopaedic Surgery and Traumatology Department, Pediatric Orthopaedics, Hospital Infantil Universitario Ni\u00f1o Jes\u00fas, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5675-7764","authenticated-orcid":false,"given":"Mar\u00eda Jes\u00fas","family":"Figueroa-Gatica","sequence":"additional","affiliation":[{"name":"Pontificia Universidad Cat\u00f3lica de Chile, Santiago, Chile"},{"name":"Instituto Telet\u00f3n Santiago, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-2204-9732","authenticated-orcid":false,"given":"Carmen","family":"Mart\u00ednez-Gonz\u00e1lez","sequence":"additional","affiliation":[{"name":"Orthopaedic Surgery and Traumatology Department, Pediatric Orthopaedics, Hospital Infantil Universitario Ni\u00f1o Jes\u00fas, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-7870-6481","authenticated-orcid":false,"given":"Sara","family":"Garc\u00eda-Garc\u00eda","sequence":"additional","affiliation":[{"name":"Physiotherapy Departament, Hospital Infantil Universitario Ni\u00f1o Jes\u00fas, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4520-0957","authenticated-orcid":false,"given":"Carlos","family":"Alfonso-Bravo","sequence":"additional","affiliation":[{"name":"Pediatric Orthopaedic Unit, Orthopaedic Surgery and Traumatology Department, Hospital Universitario Virgen del Roc\u00edo, Sevilla, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9010-3756","authenticated-orcid":false,"given":"Ignacio","family":"Mart\u00ednez-Caballero","sequence":"additional","affiliation":[{"name":"Orthopaedic Surgery and Traumatology Department, Pediatric Orthopaedics, Hospital Infantil Universitario Ni\u00f1o Jes\u00fas, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,1]]},"reference":[{"issue":"7","key":"bib1-20250227","doi-asserted-by":"crossref","first-page":"e299","DOI":"10.3928\/19382359-20200624-01","article-title":"Arthrogryposis multiplex congenita","volume":"49","author":"Langston","year":"2020","journal-title":"Pediatr Ann."},{"issue":"5","key":"bib2-20250227","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1007\/s11832-009-0187-4","article-title":"Arthrogryposis multiplex congenita. 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