Postoperative evaluation of quadriceps contracture in children: comparison of three different procedures

Sixty-five patients (73 legs) with quadriceps contracture involving mainly the rectus femoris muscle were operated on. The average follow-up was 6.3 years. In the postoperative overall results, the rating system score was significantly decreased from a preoperative mean of 7.0 points to a postoperative mean of 1.9 points. Three different operative methods were used: release of the pelvic origin, sartorius plasty and release of the pelvic origin, and sartorius plasty and release of the fibrosis. The most satisfactory results were obtained in the group treated by release of the fibrosis.