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Prognostic factors and long-term outcomes following a modified Thompson's quadricepsplasty for severely stiff knees

Authors
 S. B. Hahn  ;  Y. R. Choi  ;  H. J. Kang  ;  S. H. Lee 
Citation
 Journal of Bone and Joint Surgery - British Volume, Vol.92B(2) : 217-221, 2010 
Journal Title
 Journal of Bone and Joint Surgery - British Volume 
ISSN
 0301-620X 
Issue Date
2010
Abstract
Between 1987 and 2006 we performed a modified Thompson's quadricepsplasty on 40 fracture-related stiff knees and followed the patients for a mean of 7.9 years (2 to 11.1). The factors affecting the final gain of movement were investigated. A total of 15 knees required lengthening of the rectus femoris. The mean flexion gain was 70.2 degrees (42.3 degrees to 112.5 degrees ). According to Judet's criteria, the results were excellent in 30 knees, good in seven, and fair in three. The range of movement which was achieved intra-operatively was related to the gain of knee flexion on univariate analysis. Five patients had complications: deep infection in one, recurrent patellar dislocation in one, and rupture of the extensor mechanism in three. This modified technique gives satisfactory results. Achieving maximum knee flexion intra-operatively seems to be the most important factor in enhancing the outcome in patients with stiffness of the knee following fracture
Full Text
http://www.bjj.boneandjoint.org.uk/content/92-B/2/217.long
DOI
10.1302/0301-620X.92B2.22936
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Ho Jung(강호정) ORCID logo https://orcid.org/0000-0003-0273-1264
Lee, Soo Hyun(이수현)
Choi, Yun Rak(최윤락)
Hahn, Soo Bong(한수봉)
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/100669
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