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A modified Thompson quadricepsplasty for the stiff knee.
1Department of Orthopaedic Surgery, Yonsei University College of Medicine, Severance Hospital, Seoul, Korea.
The Journal of Bone and Joint Surgery. British Volume
|October 21, 2000
Summary
A modified Thompson quadricepsplasty effectively improved knee stiffness, significantly increasing range of motion. This surgical technique, combined with proper post-operative care, offers positive outcomes for patients with stiff knees.
Area of Science:
- Orthopedic Surgery
- Reconstructive Surgery
Background:
- Stiff knees significantly impair mobility and quality of life.
- Limited treatment options exist for severe knee stiffness.
Purpose of the Study:
- To evaluate the efficacy of a modified Thompson quadricepsplasty for treating stiff knees.
- To assess the functional outcomes and complications associated with this procedure.
Main Methods:
- A modified Thompson quadricepsplasty was performed on 20 patients with stiff knees.
- Patients were followed for a mean of 35 months post-operation.
- Postoperative management involved knee immobilization in flexion with periodic extension.
Main Results:
- Mean active knee flexion improved to 113.5 degrees.
- The average gain in range of motion was 67.6 degrees.
- One patient experienced a deep infection, which resolved with treatment.
Conclusions:
- The modified Thompson quadricepsplasty is a viable surgical option for improving knee mobility in stiff knees.
- Appropriate postoperative care is crucial for achieving good functional results.
- The procedure demonstrates a favorable safety profile with manageable complications.