Educational video describing the condition and treatment of a stiff knee
Extension contracture of the knee resulting from different causes, but usually occurring from trauma.
The patient is unable to bend the knee to a functional level.
Trauma will cause adhesions inside the knee, fibrosis, and shortening of the knee ligaments.
There will also be adhesions and shortening of the quadriceps muscles.
Treatment
• Usually, start with therapy
• First surgical option will include arthroscopy and release of adhesions
• Second surgical options are quadricepsplasty (Thomspon or Judet) o combination of treatments.
This is an example of modified Judet quadricepsplasty with the release of the quadriceps muscle from the femur and release of the adhesions inside the knee. Usually, can achieve 90 degrees plus flexion.
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