Original Articles
Effective rehabilitation for a successful outcome in post-traumatic and post-surgical knee stiffness due to quadriceps contracture | |
Dr. Kandasamy Natesan, Dr. Makesh Ram Sriraghavan, Dr. Prabhu Aloy, Dr. Poornima Kumararaja | |
Background: Kneestiffness due to post-traumatic and post-surgical aetiology caneither cause decrease or absence of knee range of movement due to injuries or surgery around/ adjacent to the knee areas. Before soft tissue release is performed,any bony impingements if present should be removed. Open quadriceps release alone or combined with anterior arthroscopic arthrolysis is usually performed to release the knee stiffness. Postoperative care like analgesia and effective rehabilitation isvery essential to maintain the knee range of motion which is obtained peroperatively. Quadricepsplasty has complications like extension lag, persistence of stiffness and wound dehiscence. Methodology: This is a prospective study of 40 patients with knee stiffness operated for fractures around the thigh and knee region, admitted in the Department of Orthopaedics, Thoothukudi Medical College Hospital from August1st 2015 to March31st 2023. All the patients included in this study had no improvement in knee range of motion even after vigorous rehabilitation, when they were taken up for quadriceps release. Results: All cases were analyzed based on Judet criteria to assess the knee range of motion. Out of 40 patients,30 had excellent, 7 hadgood, 2 had a fair and 1 had a poor functional outcome. Conclusion: Incidence of knee stiffness is on the rise due to increased surgical interventions of trauma around knee joint. Those cases with knee stiffness should be diagnosed at the earliest and they should be subjected to rehabilitation to improve the range of motion. In few patients with resistant knee stiffness which failed mobilization, require surgical release after fracture union to have a favorable outcome. |
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