Evaluation of Thompson's quadricepsplasty results in patients with knee stiffness resulted from femoral fracture

Mousavi, Hamid; Mir, Behrouz; Safaei, Ali

doi:10.4103/1735-1995.205237

Cited by 8 publications

(2 citation statements)

References 10 publications

(13 reference statements)

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“…In severe extension contractures, conservative treatment is often inadequate to restore functional knee ROM and thus requires surgical intervention with the quadricepsplasty procedure 1,2 . Thompson (1944) and Judet (1959) quadricepsplasty techniques and their modifications have remained the most common surgeries to treat these contractures [7][8][9][10] . Although both techniques are effective in increasing knee ROM, they are associated with a high rate of complications such as significant extension lag and wound infection/necrosis 4,[10][11][12][13][14][15][16] .…”

Section: Introductionmentioning

confidence: 99%

“…Thompson (1944) and Judet (1959) quadricepsplasty techniques and their modifications have remained the most common surgeries to treat these contractures 7-10 . Although both techniques are effective in increasing knee ROM, they are associated with a high rate of complications such as significant extension lag and wound infection/necrosis 4,10-16 .…”

Section: Introductionmentioning

confidence: 99%

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Thompson Versus Judet Techniques for Quadricepsplasty: A Systematic Review and Meta-analysis of Outcomes and Complications

Gutowski,

Hedden,

Johnsen

et al. 2024

JBJS Open Access

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Background: Quadricepsplasty has been used for over half a century to improve range of motion (ROM) in knees with severe arthrofibrosis. Various surgical techniques for quadricepsplasty exist, including Judet and Thompson, as well as novel minimally invasive approaches. The goal of this review was to compare outcomes between quadricepsplasty techniques for knee contractures. Methods: A systematic review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Available databases were queried for all articles on quadricepsplasty. Outcomes included postoperative ROM, outcome scores, and complication rates. Secondarily, we summarized rehabilitation protocols and descriptions of all modified and novel techniques. Results: Thirty-three articles comprising 797 patients were included in final analysis. Thirty-five percent of patients underwent Thompson quadricepsplasty, 36% underwent Judet, and 29% underwent other techniques. After Judet and Thompson quadricepsplasty, patients achieved a mean postoperative active flexion of 92.7° and 106.4°, respectively (p < 0.01). Complication rates after Judet and Thompson were 17% and 24%, respectively. Wound infection was the most frequently recorded complication after Judet, whereas extension lag predominated for Thompson. Conclusion: Both the Thompson and Judet quadricepsplasty techniques offer successful treatment options to restore functional knee ROM. Although the Thompson technique resulted in greater postoperative knee flexion compared with the Judet, the difference may be attributable to differences in preoperative flexion and time from injury to quadricepsplasty. Overall, the difference in flexion gained between the 2 techniques is comparable and clinically negligible. Level of Evidence: Level IV. See Instructions for Authors for a complete description of levels of evidence.

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