Judet quadricepsplasty in the treatment of posttraumatic knee rigidity: Long-term outcomes of 45 cases


Autoria(s): Oliveira, Vitor G.; D'Elia, Luis Fernando; Passarelli Tirico, Luis Eduardo; Gobbi, Riccardo Gomes; Pecora, Jose Ricardo; Camanho, Gilberto L.; Angelini, Fabio Janson; Demange, Marco K.
Contribuinte(s)

UNIVERSIDADE DE SÃO PAULO

Data(s)

05/11/2013

05/11/2013

2012

Resumo

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. (J Trauma. 2012; 72: E77-E80. Copyright (C) 2012 by Lippincott Williams & Wilkins)

Identificador

JOURNAL OF TRAUMA AND ACUTE CARE SURGERY, PHILADELPHIA, v. 72, n. 2, supl. 1, Part 2, pp. E77-E80, FEB, 2012

2163-0755

http://www.producao.usp.br/handle/BDPI/41770

10.1097/TA.0b013e3182159e0a

http://dx.doi.org/10.1097/TA.0b013e3182159e0a

Idioma(s)

eng

Publicador

LIPPINCOTT WILLIAMS & WILKINS

PHILADELPHIA

Relação

JOURNAL OF TRAUMA AND ACUTE CARE SURGERY

Direitos

closedAccess

Copyright LIPPINCOTT WILLIAMS & WILKINS

Palavras-Chave #FRACTURE #RIGID KNEE #QUADRICEPSPLASTY #KNEE TRAUMA #FRACTURES #CRITICAL CARE MEDICINE #SURGERY
Tipo

article

original article

publishedVersion