The Judet quadricepsplasty for management of severe posttraumatic extension contracture of the knee. A report of a bilateral case and review of the literature.
Extension contracture of the knee is an increasingly recognized complication of severe femur fracture. Traditional management by Thompson quadricepsplasty may result in a variable return of knee flexion and the possibility of significant extension lag. The Judet technique of quadricepsplasty offers the advantages of a controlled, sequential release of the components limiting knee flexion and a reduced potential for iatrogenic quadriceps rupture or extension lag. Judet quadricepsplasty corrected severe bilateral extension contractures with excellent results at 17 months postoperatively in a 29-year-old man.
Brigham and Women's Hospital, Department of Orthopaedic Surgery, Harvard Medical School, Boston, Massachusetts.
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Warner
D000063:Accidents, Traffic; D000328:Adult; D003286:Contracture / Q000209:etiology / Q000601:surgery*; D004630:Emergencies; D005264:Femoral Fractures / Q000150:complications / Q000601:surgery; D006801:Humans; D007718:Knee Injuries / Q000150:complications / Q000601:surgery*; D008297:Male; D008722:Methods; D009049:Motorcycles; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D013997:Time Factors