%0 Journal Article
%T The Iliotibial Band Transfer Restores Extensor Function after Quadricepsplasty for Knee Stiffness
%A Nguyen Ngoc Hung
%J Open Access Library Journal
%V 3
%N 9
%P 1-20
%@ 2333-9721
%D 2016
%I Open Access Library
%R 10.4236/oalib.1103048
%X
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 5กใ to 32กใ with a mean range
of 22.5กใ. The post-operative range was 75กใ to 140กใ. The improvement in the
range of flexion varied from 5กใ to 140กใ with a mean gain of 95กใ. At the final
follow-up, the mean active flexion was 123.5กใ (85 to 140). The final mean gain
in movement was 97.6กใ (25 to 135). The mean pre-operative ROM was 37.9กใ (0กใ to
35กใ). The mean ROM achieved at operation was 115.9กใ (75กใ to 140กใ). Mean flexion
ROM after surgery was 77.7กใ. Mean flexion increased from 77.7กใ to 108.5กใ following postoperative rehabilitation or a mean gain of 30.7กใ. 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.
%K Retractile Fibrosis of the Quadriceps
%K Plasty
%K Child
%K Quadriceps Contracture
%K Transferring Iliotibial Band
%U http://www.oalib.com/paper/5273573