Document Detail


Judet quadricepsplasty in the treatment of posttraumatic knee rigidity: long-term outcomes of 45 cases.
MedLine Citation:
PMID:  22439238     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Posttraumatic knee stiffness is a very debilitating condition. Judet's quadricepsplasty technique has been used for more than 50 years. However, few reports of quadricepsplasty results exist in the literature.
METHODS: We report the results of 45 cases of posttraumatic arthrofibrosis of the knee treated with Judet's quadricepsplasty. The results of the procedure were analyzed by measuring the degrees of flexion of the operated knees at different time points (before, immediately after, and late postoperatively).
RESULTS: The degree of flexion increased from 33.6 degrees (range, 5–80 degrees) preoperatively to 105 degrees (range, 45–160 degrees)immediately after surgery, followed by a slight fall in the range of motion (ROM) in the late postoperative period, which reached an average of 84.8 degrees. There was no significant correlation between knee strength and the patient's gender, but there was a slight trend of lower strength with age. Although Judet's quadricepsplasty technique dates from more than 50 years ago, it still provides good outcomes in the treatment of rigid knees of various etiologies. In general, all cases showed the same pattern of a small decrease in the ROM in the late postoperative period.
CONCLUSION: Judet's quadricepsplasty can increase the ROM of rigid knees. The ROM obtained with the surgery persists long term.
Authors:
Vitor G Oliveira; Luis Fernando D'Elia; Luis Eduardo Passarelli Tirico; Riccardo Gomes Gobbi; Jose Ricardo Pecora; Gilberto L Camanho; Fabio Janson Angelini; Marco K Demange
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The journal of trauma and acute care surgery     Volume:  72     ISSN:  2163-0763     ISO Abbreviation:  J Trauma Acute Care Surg     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-03-22     Completed Date:  2012-05-04     Revised Date:  2013-09-25    
Medline Journal Info:
Nlm Unique ID:  101570622     Medline TA:  J Trauma Acute Care Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E77-80     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2012 by Lippincott Williams & Wilkins
Affiliation:
Hospital das Clínicas, University of São Paulo, São Paulo, Brazil.
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Femoral Fractures / physiopathology,  surgery*
Humans
Knee Injuries / physiopathology*,  surgery*
Male
Muscle Rigidity / physiopathology,  surgery*
Muscle, Skeletal / physiopathology,  surgery*
Orthopedic Procedures / methods*
Range of Motion, Articular / physiology*
Retrospective Studies
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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