Persico Federico, Vargas Oscar, Fletscher Gabriel, Zuluaga Mauricio
Reconstructive Surgery Group, Osteoarticular Diseases Institute, Imbanaco Medical Center, Cali, Colombia.
Strategies Trauma Limb Reconstr. 2018 Apr;13(1):19-24. doi: 10.1007/s11751-017-0302-x. Epub 2017 Dec 16.
The goal of this study is to evaluate the functional results of the modified Judet quadricepsplasty for a knee extension contracture secondary to prolonged external fixation. This is a retrospective study of 31 patients with the diagnosis of an extraarticular knee extension contracture who had prolonged external fixation of the femur. Functional assessment was conducted after a minimum follow-up of 1 year. After performing the functional assessment, according to the Judet scale, 51% of the 31 patients had good results and 19.35% (6 cases) showed excellent results. The improvement in mobility from pre-operative to post-operative range of motion was significant. The performance of the technique, following the authors' described steps and making the subsequent modifications, allowed for partial knee mobility restoration, which significantly improved the patients' functional status.
IV. Series of cases.
本研究的目的是评估改良Judet股四头肌成形术治疗因长期外固定导致的膝关节伸直挛缩的功能效果。这是一项对31例诊断为关节外膝关节伸直挛缩且股骨长期外固定患者的回顾性研究。在至少随访1年后进行功能评估。根据Judet量表进行功能评估后,31例患者中有51%效果良好,19.35%(6例)显示效果极佳。术前至术后活动范围的改善显著。按照作者描述的步骤并进行后续改良实施该技术,可部分恢复膝关节活动度,显著改善患者的功能状态。
IV. 病例系列。