Dr. P. Pal; Dr. G. Chatterjee
Abstract: Introduction Stiffness of the knee after trauma and/or surgery for femoral fractures is one of the most common complications and is difficult to treat. Stiffness in extension is relatively common than flexion and can be conservatively managed by vigorous physiotherapy at an early stage. If it does not improve then quadricepsplasty is indicated which is done by various surgical techniques such as V-Y plasty, Judet, Thompson and modified Thompson qaudricepsplasty. Methods This study reports the clinical outcomes of 5 patients of post traumatic post-surgical extension contracture of knee with 10 to 30 range of movement. We performed Thompsons quadricepsplasty for all patients followed by rigorous physiotherapy protocol. The final improved knee flexion was classified according to Judets criteria, excellent defined as >100, good when >80 and 50 and
Keywords: Knee stiffness, Thompson's quadricepsplasty, passive flexion and extension exercises.