Travmaya Bağlı Ortopedik Cerrahi Sonrası Dizde Dirençli Hareket Kısıtlılığı Gelişen Hastada Judet Quadrisepsplastisi: Olgu Sunumu

Yıl 2017, Cilt: 9 Sayı: 3, 180 - 188, 01.09.2017

Orhan Balta Harun Altınayak Bora Bostan Murat Aşçı

Öz

Travma
sonrasındaki diz sertliği ve hareket aralığı kaybı, diz bölgesindeki
yaralanmaların sık görülen bir komplikasyonudurTravma sonrasındaki diz
sertliğine bağlı olarak dizde fleksion kontraktürleri, ekstansiyon
kontraktürleri veya her ikisi birden görülebilir. Judet prosedürü 1956'da
Robert ve Jean Judet tarafından tanımlanmıştır. Posttravmatik ekstansiyon
kontraktürüne bağlı fleksiyon kısıtlıllğının giderilmesinde Judet
kuadrisepsplastisinin etkin ve güvenilir bir yöntem olduğu kanısındayız.

Anahtar Kelimeler

Travma, diz, Judet Quadrisepsplastisi

Judet Quadricepsplasty in a Patient with Restricted Range of Motion Of Knee After Orthopedic Surgery for Femur Fracture: Case Report

Öz

Post-traumatic
knee stiffness and loss of range of motion is a common complication of injuries
to the knee area. The causes of post-traumatic knee stiffness can be
divided into flexion contractures, extension contractures, and combined
contracturesThis procedure was first described in 1956 by Robert and Jean
Judet.We are in the opinion that the judet quadricepsplasty is aneffective and
confidental technique in the treatment of limited knee flexion due to
posttravmatic extensioncontractures.

Anahtar Kelimeler

Trauma, Knee, Judet quadricepsplasty

Kaynakça

• 1. Daoud H, O’Farrell T, Cruess RL. Quadricepsplasty: the Judet technique and results of 6 cases. J Bone Joint Surg. 1982;64:194 – 197.
• 2. Nicoll EA. Quadricepsplasty. J Bone Joint Surg. 1963;45:482– 490.
• 3. Thompson TC. Quadricepsplasty to improve knee function. J Bone Joint Surg. 1944;26:366 –379.
• 4. Bellemans J, Steenwerckx A, Brabants K, Victor J, Lammens J, Fabry G. The Judet Quadricepsplasty: a retrospective analysis of 16 cases. Acta Orthop Belgica. 1996;62:79 – 82.
• 5. Hesketh KT. Experience with the Thompson Quadricepsplasty. J Bone Joint Surg. 1963;45-B:491– 495.
• 6. Moore TJ, Harwin C, Green SA, Garland DE, Chandler RW. The results of quadricepsplasty on knee motion after femoral fractures. J Trauma. 1987;27:49 –51.
• 7. Pick RY. Quadricepsplasty: a review, case presentations, and discussion. Clin Orthop. 1976;120:138 –150.
• 8. Warner J. The Judet Quadricepsplasty for management of severe posttraumatic extension contracture of the knee. Clin Orthop. 1990; 256:169 –173.
• 9. Hahn SB, Lee WS, Han DY. A modified Thompson quadricepsplasty for the stiff knee. J Bone Joint Surg (Br). 2000; 82-B:992–995. Fig. 2. Tukey box-whiskers plot of the knee flexion in the study cohort at the set observation times: each mark represents, from the bottom upward, the 1st, 25th, 50th, 75th, and 100th percentiles. The whiskers of the plot represent the bottom and the top fourths of the data, and the box represents the middle 50%. The 50th percentile (median) is indicated inside the box. The Judet Quadricepsplasty Volume 61 • Number 2 361
• 10. Judet R, Judet J, Lagrange J. Les raideurs du genou: une technique de liberation de l’appareil extenseur. Mem Acad Chirur. 1956; 82:944.
• 11. Judet R, Judet J, Lord J. Resultats du traitement des raideurs du genoupar arthrolise et disinsertion du quadriceps femoral. Mem Acad Chir. 1959:645– 654.
• 12. Judet J, Judet R. Radieur du genou. 2ans ankylose osseuse. Encyclopedie Medico-Chirurgicale. 1972;44:840.
• 13. Judet J, Judet R, Aouak D. Las raideurs du genou d’origine articulaire. Chirurgie. 1989;115:457– 460.
• 14. Merchan EC, Myong C. Quadricepsplasty: the Judet technique and results of 21 post-traumatic cases. Orthopedics. 1992; 15:1081–1085.
• 15. Ali AM, Villafuerte J, Hashmi M, Saleh M. Judet’s quadricepsplasty, surgical technique and results in limb reconstruction. Clin Orthop Rel Res. 2003;415:214 –20.
• 16. N. Pujol, P. Boisrenoult, P. Beaufils.Post-traumatic knee stiffness: Surgical techniques. Orthopaedics & Traumatology: Surgery & Research, Volume 101, Issue 1, Supplement, 2015;179–86.