Role of Judet Quadricepsplasty in the Management of Extension Contracture of Knee
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 5
Abstract
Introduction: Extension contracture of the knee is a well-known complication of supracondylar femoral fractures. Quadricepsplasty is a technique devised to release extra-articular adhesions or contractures which prevent flexion of knee. Judet quadricepsplasty is a proximally based quadriceps muscle slide that addresses all elements of knee contracture. The main objective of this study to study role of judet quadricepsplasty in the management of extension contracture of knee. Materials and Methods: Five patients with extension contracture of underwent judet quadricepsplasty. In judet quadricepsplasty, each of the contributing factors is addressed in staged procedure, with a passive manipulation after each stage to assess the flexion achieved. Follow up done at 3 weeks, 6 weeks, 3 months and 6 months and range of movement noted. Results: At 6 month followup, Case 1 had 110ยบ of flexion with no extension lag ,case 2 had 1000 of flexion with no extension lag, case 3 had 1100 of flexion with 100 of extension lag and case 4 had 950 degree of flexion with 100 of extension lag. Case 5 developed deep infection 2 weeks postoperatively. He was treated with debridement and i.v antibiotic for 6 weeks. Conclusion: The advantage of the judet technique is that it permits a controlled, sequential release of the intrinsic and then the extrinsic components limiting knee flexion.
Authors and Affiliations
Shakti Kishore, Priya Ranjan, Vijay Kumar
Keywords
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- EP ID EP536859
- DOI 10.21276/ijmrp.2018.4.5.024
- Views 77
- Downloads 0
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