Alici Tuğrul, Buluç Levent, Tosun Bilgehan, Sarlak Ahmet Yilmaz
Kocaeli University School of Medicine, Department of Orthopaedics and Traumatology, Umuttepe Merkez Kampüsü, 41380 Umuttepe, Kocaeli, Turkey.
Knee. 2006 Aug;13(4):280-3. doi: 10.1016/j.knee.2006.02.013. Epub 2006 May 2.
We reviewed the results of a modified Judet's quadricepsplasty in eleven patients with inability to fully flex the knee. The patients were examined at an average follow-up of 49 months (4 to 108 months). Their mean pre-operative knee flexion was 30 degrees (range 10 degrees -50 degrees ). At the final follow-up the mean active flexion was improved to 100 degrees (range 70 degrees -130 degrees ) with an average flexion gain of 70 degrees (range 45 degrees -100 degrees ). None of the patients developed an extension lag. According to Judet's criteria, the results were three excellent, seven good and one fair. Staged quadricepsplasty is a useful procedure to correct the disabling flexion loss in the knee.
我们回顾了11例膝关节无法完全屈曲患者接受改良朱代股四头肌成形术的结果。患者平均随访49个月(4至108个月)。术前膝关节平均屈曲度为30度(范围10度至50度)。末次随访时,平均主动屈曲度改善至100度(范围70度至130度),平均屈曲增加70度(范围45度至100度)。所有患者均未出现伸直滞后。根据朱代标准,结果为3例优秀,7例良好,1例一般。分期股四头肌成形术是纠正膝关节致残性屈曲丧失的有效方法。