Introduction:Retractile fibrosis of the quadriceps is a physical
and social handicap in children, and often results from a past history of
quadriceps intramuscular injection. The aim of this study was to evaluate the
therapeutic results of fibrous quadriceps treated by distal quadricepsplasty
using a transferring Iliotibial band (TITB) to prevent kin necrosis by Incision
Z-Plasty. Materials and Methods:This is a descriptive retrospective 21-year study from 1984 to 2005, including 103 children
(113 knees) less than 9 years old. Clinical were: all of patients knee flexion
loss of motion 113 (100%), without associated Genu recurvatum or Dislocation of
the patella. Results:The pre-operative range of flexion varied from 5° to 32° with a mean range
of 22.5°. The post-operative range was 75° to 140°. The improvement in the
range of flexion varied from 5° to 140° with a mean gain of 95°. At the final
follow-up, the mean active flexion was 123.5° (85 to 140). The final mean gain
in movement was 97.6° (25 to 135). The mean pre-operative ROM was 37.9° (0° to
35°). The mean ROM achieved at operation was 115.9° (75° to 140°). Mean flexion
ROM after surgery was 77.7°. Mean flexion increased from 77.7° to 108.5° following postoperative rehabilitation or a mean gain of 30.7°. Author was
performed Incision Z-Plasty for 34 knees, all of them (100%) with good result,
and without incision necrosis. Conclusion:Quadriceps contracture is a condition quadriceps is contracted due
to various causes. Various surgical options are available based on location of
contracture, age, cause and duration of the contracture. Transfering Iliotibial
band to Quadriceps after Quadripsplasty and Incision Z-Plasty with
postoperative good result.
Cite this paper
Hung, N. N. (2016). The Iliotibial Band Transfer Restores Extensor Function after Quadricepsplasty for Knee Stiffness. Open Access Library Journal, 3, e3048. doi: http://dx.doi.org/10.4236/oalib.1103048.
Nguyen, N.H., Do, T. and Nguyen, D.N.H.
(2014) Patellar Dislocation Due to Iatrogenic Quadriceps Fibrosis: Results of Operative
Treatment in 54 Cases. Journal of
Children’s Orthopaedics,8, 49-59. http://dx.doi.org/10.1007/s11832-014-0564-5
Hessels, G., Martens, M., Thibaut, H., Fabry, G. and Mulier, J.C.
(1975) Progressive Contracture of the Quadriceps in Children. Acta Orthopoedica Belgica, 41,
274-284.
Hung, N.N.
(2009) Adduction Contracture of the Shoulder Due to Fibrous Long Head of the Triceps
in Children. Journal of Children’s Orthopaedics, 3, 243-249. http://dx.doi.org/10.1007/s11832-009-0176-7
Chiu, S.S., Fuuya, K., Takakazu, A., Nakagawa, M. and Iida, M. (1974) Congenital
Contracture of the
Quadriceps Muscle. Four Case Reports in Identical Twins. The Journal of Bone & Joint Surgery, 56A, 1054-1058.
Faibrbank, T.J. and
Barrett, A.M. (1961) Vastus Intermedius Contracture in Early
Childhood. Case Report in Identical Twins. The
Journal of Bone & Joint Surgery, 43B, 326-334.
Calandriello, B. and Beltrami, P. (1968) Ginocchio rigido del bambino da retrazione
del quadricipite. La Chirurgia degli
Organi di Movimento, 56, 427-440.
Goodfellow, J.W. and Nade, S. (1969) Flexion Contracture
of the
Shoulder Joint from Fibrosis of the Anterior Part of the Deltoid Muscle. The Journal of Bone & Joint Surgery,
51B, 356-358.
Howard, R.C. (1971) latrogenic
Quadriceps and Gluteal Fibrosis. In Proceedings of The East Anglian Orthopaedic Club. The Journal of Bone & Joint Surgery, 53B,
354.
Hung, N.N. (2011) Analysis of Two Different Techniques in the
Treatment of Knee Stiffness in Swing Phase Due to Fibrous Rectus Femoris
Muscle in Children. Journal of Pediatric Orthopaedics
B, 20, 164-179. http://dx.doi.org/10.1097/BPB.0b013e32834492fb
Nicoll, L.H. and Hesby, A.
(2002) Intramuscular Injection: An Integrative Research Review and Guideline
for Evidence-Based Practice. Applied
Nursing Research, 15, 149-162. http://dx.doi.org/10.1053/apnr.2002.34142
Kundu, Z.S., Sangwan, S.S., Guliani, G., Siwach, R.C., Kamboj, P. and
Singh, R.
(2007) Thompson’s Quadricepsplasty for
Stiff Knee. Indian Journal of
Orthopaedics, 41, 390-394. http://dx.doi.org/10.4103/0019-5413.37004
Bellemans, J., Steenwerckx, A., Brabants, K., et al. (1996) The Judet Quadricepsplasty:
A Retrospective Analysis of 16 Cases. Acta Orthopoedica Belgica, 62, 79-82.
Daoud, H., O’Farrell, T. and Cruess, R.L. (1982) Quadricepsplasty: The Judet
Technique and Results of Six Cases. The
Journal of Bone & Joint Surgery,64B,
194-197.
Moore, T.J., Harwin, C., Green, S.A., Garland,
D.E. and Chandler, R.W. (1978) The Results of
Quadricepsplasty on Knee Motion Following Femoral Fractures. Journal of
Trauma-In- jury
Infection & Critical Care, 27, 49-51. http://dx.doi.org/10.1097/00005373-198701000-00009
Wang, J.H., Zhao, J.Z. and He, Y.H.
(2006) A New Treatment Strategy for Severe Arthrofibrosis of the Knee. A Review
of Twenty-Two Case. The Journal of Bone
& Joint Surgery,88, 1245-1250.
Bose, K.
and Chong, K.C.
(1976) The Clinical Manifestations and Pathomechanics of Contracture of the
Extensor Mechanism
of the Knee. The Journal of Bone &
Joint Surgery, 58B, 478-484.
Pirola, E., Hébert-Blouin, M.N., Amador, N., et al (2009) Palmaris
Profundus: One Name, Several Subtypes, and a Shared Potential for Nerve
Compression. Clinical Anatomy, 22, 643-648. http://dx.doi.org/10.1002/ca.20848
Romanus, B., Lindahl, S. and Stener, B. (1986) Accessory Soleus Muscle: A
Clinical and Radiographic Presentation of Eleven Cases. The Journal of Bone & Joint Surgery, 68A, 731- 734.
Kouvalchouk, J.F., Lecocq, J., Parier, J. and Fischer, M. (2005) The Accessory Soleus Muscle:
A Report of 21 Cases and a Review of the Literature. Revue de Chirurgie Orthopédique
et Réparatrice de l'Appareil Moteur, 91, 232-238. (In French) http://dx.doi.org/10.1016/S0035-1040(05)84309-0
Labbé, J.L., Peres, O., Leclair, O., Scemama, P., Jourdel, F. and Duparc, B. (2011) Progressive Limitation of Knee Flexion
Secondary to an Accessory Quinticeps Femoris Muscle in a Child: A
Case Report and Literature Review. The
Journal of Bone & Joint Surgery, 93B, 1568-1570. http://dx.doi.org/10.1302/0301-620X.93B11.27396
Warner, J.J. (1990) The
Judet Quadricepsplasty for Management of Severe Posttraumatic Extension
Contracture of the Knee: A Report of a Bilateral Case and Review of the
Literature. Clinical Orthopaedics and Related Research,256, 169-173.
Fiogbe, M.A., Gbenou, A.S., Magnidet, E.R. and Biaou, O. (2013) Distal Quadricepsplasty in Children: 88
Cases of Retractile Fibrosis Following Intramuscular Injections Treated in Benin. Orthopaedics &
Traumatology: Surgery & Research, 99, 817-822. http://dx.doi.org/10.1016/j.otsr.2013.04.014
Alvares,
E.V., Munters, M., Lavine, L.S., Manes, H. and Waxman, J. (1980) Quadriceps Myofibrosis.
A
Complication of Intramuscular Injection. The
Journal of
Bone & Joint Surgery, 62A, 58-60.
Jackson, A.M. and Hutfon, P.A. (1985) Injection-Induced Contractures of the Quadriceps
in Childhood. A Comparison of Proximal Releasae and Distal Quadricepsplasty. The Journal of Bone & Joint
Surgery, 67B, 97-102.
Wang, J.H., Zhao, J.Z. and Yao, H.H.
(2006) A New Treatment Strategy for Severe Arthrofibrosis of the Knee: A
Review of Twenty-Two Cases. The Journal of Bone & Joint Surgery, 88A, 1245-1250. http://dx.doi.org/10.2106/JBJS.E.00646
Goldthwait, J.E. (1897) The Direct Transplantation
of Muscles in the Treatment of Paralytic Deformities. The Journal
of Bone & Joint Surgery, 110,
246-252.
Pritsch, T., Malawer, M.M., Wu, C.C., Squires,
M.H.
and Bickels, J. (2007) Functional Reconstruction
of the Extensor Mechanism Following Massive Tumor Resections from the Anterior
Compartment of the Thigh. Plastic & Reconstructive Surgery, 120,
960-969. http://dx.doi.org/10.1097/01.prs.0000256477.01388.de
Kuhlmann, R.F.
and Bell, J.F. (1952) A
Clinical Evaluation of Tendon Transplantation for Poliomyelitis Affecting
the Lower Extremities. The Journal of Bone & Joint Surgery, 34A, 915-926.
Yount, C.C. (1926) The Role of the Tensor Fasciae Femoris
in Certain Deformities of the Lower Extremities. The Journal
of Bone & Joint Surgery,8, 171-178.
Broderick, T.F., Reidy, J.A. and Burr, J.S.
(1952) Tendon Transplantations in the Lower Extremity. A Review of End Results
in Poliomyelitis. II.
Tendon Transplantations at the Knee. The
Journal of Bone & Joint Surgery, 34A, 909-914.
Storen, H.
(1957) Some Experiences of Transposition of the Hamstrings in Paralysis after
Anterior Poliomyelitis. Acta Orthopaedica
Scandinavica,26, 282-287.
Shivaprasad, M., Yashavantha, K., Ravikumar, T. and Shreel, K. (2015) Surgical Management of
Quadriceps Contracture. International Journal of Science and Research (IJSR), 4, 1919-1922.
Ali, A.M., Villafurete, J., Hashmi, M. and Saleh, M.
(2003) Judet’s Quadricepsplasty, Surgical Technique and Results in Limb
Reconstruction. Clinical Orthopaedics and
Related Research, 415, 214-220.
Muteti, E.N., Theuri, J.T., Mead, T.C. and Gokcen, E.C. (2009) Results of
Surgical Treatment of Quadriceps Femoris/Contracture in Children. East African Orthopaedic Journal, 3,
69-72.
