Minimally Invasive Quadricepsplasty

Cerqueira, Flavio dos Santos; Motta, Guilherme Augusto T. Araújo; Faria, José Leonardo Rocha de; Motta, Diego Perez da; Cerqueira, Fernando; Adolphson, Fernando

doi:10.1016/j.eats.2018.11.005

Cited by 3 publications

(1 citation statement)

References 11 publications

(15 reference statements)

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“…Some limited invasive quadricepsplasty can also be performed to reduce the injury of the surgery and accelerate the rehabilitation process [11]. However, most procedures for extension of the quadriceps need to completely cut off the tendon or muscle and then reconnect it.…”

Section: Introductionmentioning

confidence: 99%

Quadriceps strength and knee joint function in patients with severe knee extension contracture following arthroscopic-assisted mini-incision quadricepsplasty

Yang

Xiong

et al. 2021

International Orthopaedics (SICOT)

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Purpose To evaluate reserve quadriceps function and improve knee activity in patients with severe knee extension contracture following arthroscopic-assisted mini-incision quadricepsplasty as well as post-operative complications. Methods From 2012 to 2019, 32 patients with severe knee extension contractures (less than 45°range of flexion) were treated with an all-arthroscopic release technique. The clinical results, including range of motion (ROM), quadriceps function (quadriceps index, QI), and knee function, were evaluated, and MRI of the healed tendon after partial quadricepsplasty was performed. The patellar track and length during knee flexion were measured on three normal knees under fluoroscopy. Three formalin-fixed lower limbs were used to mimic severely contracted quadriceps to evaluate the extension of the patellar track. Results The median follow-up time was 2.1 years (1-5 years). The average QI was 92.0 ± 6.2, and the quadriceps muscle strength was increased from 3.28 to 4.72. At the final follow-up, 90% of the patients had no difficulty going upstairs, going downstairs, or rising from a chair. The ROM improved by 25.69 ± 3.6 preoperatively to 105.88 ± 6.6 at the final follow-up (P < 0.001). The open surgery showed that a 2-cm extension could be achieved by partly cutting the quadriceps tendon, and two cuts achieved a total extension of 5.2 ± 0.52 cm. The patellar tracking distance was 7.7 ± 0.43 cm, and the gap between the patella and femur was also reduced. Conclusion Partial quadricepsplasty of the rectus femoris extended the contracted quadriceps and maintained quadriceps strength, allowing for full knee flexion and satisfactory clinical outcomes of knee function with few complications.

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Section: Introductionmentioning

confidence: 99%

Quadriceps strength and knee joint function in patients with severe knee extension contracture following arthroscopic-assisted mini-incision quadricepsplasty

Yang

Xiong

et al. 2021

International Orthopaedics (SICOT)

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Extreme stiff knee recurvatum following manipulation under anesthesia and botulinum neurotoxin injection

et al. 2021

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Minimally Invasive Quadricepsplasty Using the Adolphson–Cerqueira Technique: A Retrospective Study after 1-Year of Follow-up

Motta,

Kropf,

Motta

et al. 2024

Strategies in Trauma and Limb Reconstruction

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A bstract Aim Knee stiffness limits activities of daily living with treatment having no gold standard technique currently. We present follow-up data 1-year after quadricepsplasty using the Adolphson–Cerqueira technique for the treatment of knee stiffness in a Brazilian population sample. Materials and methods This retrospective study included patients who underwent a quadricepsplasty using the Adolphson–Cerqueira technique between January 2006 and March 2023 at our institution. The inclusion criteria were: (1) Knee stiffness with a range of motion <70°; (2) Patellar excursion ≥2 mm on physical examination; (3) Available knee radiography in the anteroposterior and lateral views; and (4) A follow-up at 1 year postoperatively. The Judet Classification was used to assess the outcome of the quadricepsplasty. Results Sixty-seven patients were included. The results were 6% poor, 31.3% fair, 44.8% good, and 17.9% excellent according to the Judet Classification. A correlation was observed between age and the gain in range of motion at the 1-year postoperative follow-up, and between the gain in range of motion intraoperatively and that at the 1-year follow-up. There were five cases of complications (7.46%): one of patellar fracture, three of quadriceps tendon rupture, and one of avulsion fracture in the superior pole of the patella. Conclusion Quadricepsplasty using the Adolphson–Cerqueira technique produced satisfactory results overall for improving knee joint stiffness and had a complication rate comparable with other currently used techniques. Clinical significance Loss of knee range of motion remains a difficult problem without there being a clear gold standard in treatment. Many different options are described in the literature. We provide a further option with follow-up results. How to cite this article Cerqueira FS, Silva L, Kropf LL, et al. Minimally Invasive Quadricepsplasty Using the Adolphson–Cerqueira Technique: A Retrospective Study after 1-Year of Follow-up. Strategies Trauma Limb Reconstr 2024;19(2):87–93.

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Minimally Invasive Quadricepsplasty

Cited by 3 publications

References 11 publications

Quadriceps strength and knee joint function in patients with severe knee extension contracture following arthroscopic-assisted mini-incision quadricepsplasty

Quadriceps strength and knee joint function in patients with severe knee extension contracture following arthroscopic-assisted mini-incision quadricepsplasty

Extreme stiff knee recurvatum following manipulation under anesthesia and botulinum neurotoxin injection

Minimally Invasive Quadricepsplasty Using the Adolphson–Cerqueira Technique: A Retrospective Study after 1-Year of Follow-up

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