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MINERVA ORTOPEDICA E TRAUMATOLOGICA
A Journal on Orthopedics and Traumatology
Minerva Ortopedica e Traumatologica 2003 August;54(4):321-30
language: English, Italian
The Judet quadricepsplasty for the management of post-traumatic stiffness of the knee. A retrospective analysis of 21 cases
Pazzano S. 1, Massè A. 1, Biasibetti A. 2, Dutto E. 3, Zoccola K. 1, Ciclamini D. 1
1 1st Orthopedic Clinic Department of Traumatology Orthopedics and Occupational Medicine University of Turin, CTO Hospital, Turin, Italy
2 1st Orthopedic Clinic Operative Unit of Traumatology and External Fixation University of Turin, CTO Hospital, Turin, Italy
3 School of Specialization in Orthopedics and Traumatology, University of Turin CTO Hospital, Turin, Italy
Aim. After 50 years, the Judet quadricepsplasty is still the main therapy for stiffness of the knee. This surgery consists of cutting the proximal insertion of the vastum lateralis muscle, releasing all the connections that the quadriceps has with the femour and releasing the intra-articular adhesions. A retrospective analysis of the stiffness of the knee treated since 1985 with the Judet quadricepsplasty was performed at the 1st Department of Orthopedics, University of Turin. The aim was to determine if the operative risks, the long scar, the hard physiotherapy and the possible complications were justified by the quality of the results.
Methods. Twenty-one Judet quadricepsplasties with a 2-year minimum follow-up were reviewed. Surgery has been performed for severe extension contractures due to femur fractures.
Results. Preoperatively, all cases showed a severe extension stiffness with an average of 25° flexion. The average improvement in knee flexion at follow-up was 70° with 17 (81%) patients achieving a final flexion of 80° or more. The results of 2 schedules, WOMAC and SF 36, have shown how their quality of life is very close to the general population.
Conclusion. These results show how Judet quadricepsplasty can still be considered an up-to-date method due to its versatility and low rate of complications.