Knee extension contracture with fixed anterior tibia subluxation treated with PCL release and quadricepsplasty: a case report
Abstract 58‐year‐old male presented with knee extension contracture (25°) with iatrogenic fixed anterior tibial subluxation. Consecutive arthroscopic arthrolysis, manipulation under anesthesia, and quadriceps‐Z‐plasty during one surgery failed to restore flexion. Therefore, shortened posterior cruci...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | Journal of Experimental Orthopaedics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40634-023-00703-y |
| _version_ | 1797270808231411712 |
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| author | Dong Woon Kim Marcin Mostowy Przemyslaw A. Pękala Michalina Bawor Nicholas I. Kennedy Robert F. LaPrade Konrad Malinowski |
| author_facet | Dong Woon Kim Marcin Mostowy Przemyslaw A. Pękala Michalina Bawor Nicholas I. Kennedy Robert F. LaPrade Konrad Malinowski |
| author_sort | Dong Woon Kim |
| collection | DOAJ |
| description | Abstract 58‐year‐old male presented with knee extension contracture (25°) with iatrogenic fixed anterior tibial subluxation. Consecutive arthroscopic arthrolysis, manipulation under anesthesia, and quadriceps‐Z‐plasty during one surgery failed to restore flexion. Therefore, shortened posterior cruciate ligament was released, which eliminated subluxation and allowed 115° flexion. Despite physiotherapy, flexion progressively decreased to 70° postoperatively. Revision quadricepsplasty by transverse incisions restored 120° of flexion maintained at 31‐months follow‐up. International Knee Documentation Committee increased 4/87‐ > 50/87, Knee injury and Osteoarthritis Outcome 7/100‐ > 68/100 at follow‐up. Posterior cruciate ligament release and repeated quadricepsplasty could be a viable salvage option in severe extension contracture with fixed anterior tibial subluxation. |
| first_indexed | 2024-04-25T02:10:09Z |
| format | Article |
| id | doaj.art-ead0c43753f34e008e0a6deda9a21ead |
| institution | Directory Open Access Journal |
| issn | 2197-1153 |
| language | English |
| last_indexed | 2024-04-25T02:10:09Z |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Experimental Orthopaedics |
| spelling | doaj.art-ead0c43753f34e008e0a6deda9a21ead2024-03-07T12:46:42ZengWileyJournal of Experimental Orthopaedics2197-11532023-01-01101n/an/a10.1186/s40634-023-00703-yKnee extension contracture with fixed anterior tibia subluxation treated with PCL release and quadricepsplasty: a case reportDong Woon Kim0Marcin Mostowy1Przemyslaw A. Pękala2Michalina Bawor3Nicholas I. Kennedy4Robert F. LaPrade5Konrad Malinowski6Department of AnatomyJagiellonian University Medical CollegeKrakówPolandArtromedical Orthopaedic ClinicAntracytowa 197‐400BełchatówPolandDepartment of AnatomyJagiellonian University Medical CollegeKrakówPolandMedical University of LodzLodzPolandTwin Cities Orthopedics4010 W 65Th St Edina55435MinnesotaUSATwin Cities Orthopedics4010 W 65Th St Edina55435MinnesotaUSADepartment of AnatomyJagiellonian University Medical CollegeKrakówPolandAbstract 58‐year‐old male presented with knee extension contracture (25°) with iatrogenic fixed anterior tibial subluxation. Consecutive arthroscopic arthrolysis, manipulation under anesthesia, and quadriceps‐Z‐plasty during one surgery failed to restore flexion. Therefore, shortened posterior cruciate ligament was released, which eliminated subluxation and allowed 115° flexion. Despite physiotherapy, flexion progressively decreased to 70° postoperatively. Revision quadricepsplasty by transverse incisions restored 120° of flexion maintained at 31‐months follow‐up. International Knee Documentation Committee increased 4/87‐ > 50/87, Knee injury and Osteoarthritis Outcome 7/100‐ > 68/100 at follow‐up. Posterior cruciate ligament release and repeated quadricepsplasty could be a viable salvage option in severe extension contracture with fixed anterior tibial subluxation.https://doi.org/10.1186/s40634-023-00703-yPosterior cruciate ligamentReleaseSevereExtension contractureFlexion deficit, fixed anterior tibial subluxationQuadricepsplasty |
| spellingShingle | Dong Woon Kim Marcin Mostowy Przemyslaw A. Pękala Michalina Bawor Nicholas I. Kennedy Robert F. LaPrade Konrad Malinowski Knee extension contracture with fixed anterior tibia subluxation treated with PCL release and quadricepsplasty: a case report Journal of Experimental Orthopaedics Posterior cruciate ligament Release Severe Extension contracture Flexion deficit, fixed anterior tibial subluxation Quadricepsplasty |
| title | Knee extension contracture with fixed anterior tibia subluxation treated with PCL release and quadricepsplasty: a case report |
| title_full | Knee extension contracture with fixed anterior tibia subluxation treated with PCL release and quadricepsplasty: a case report |
| title_fullStr | Knee extension contracture with fixed anterior tibia subluxation treated with PCL release and quadricepsplasty: a case report |
| title_full_unstemmed | Knee extension contracture with fixed anterior tibia subluxation treated with PCL release and quadricepsplasty: a case report |
| title_short | Knee extension contracture with fixed anterior tibia subluxation treated with PCL release and quadricepsplasty: a case report |
| title_sort | knee extension contracture with fixed anterior tibia subluxation treated with pcl release and quadricepsplasty a case report |
| topic | Posterior cruciate ligament Release Severe Extension contracture Flexion deficit, fixed anterior tibial subluxation Quadricepsplasty |
| url | https://doi.org/10.1186/s40634-023-00703-y |
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