Yıl 2021, Cilt 5 , Sayı 1, Sayfalar 103 - 105 2021-01-01

Judet's quadricepsplasty after total hip arthroplasty and Thompson's quadricepsplasty: A case report

Ozgur ERDOGAN [1] , Emre KAYA [2] , Tolga KEÇECİ [3] , Mehmet SOYARSLAN [4]


Judet quadricepsplasty provides a gradual release of knee extension contracture occurring due to intrinsic and extrinsic reasons. We herein present a 68-year-old male patient with a fragmented right femur AO (arbeitsgemeinschaft für osteosynthesefragen) Type A3 fracture, which occurred because of an in-vehicle traffic accident 30 years ago. The fracture was fixed with an anterior plate-screw with open reduction, and knee extension contracture had developed after the operation. The distinctive features of this case include a previous, unsuccessful, ipsilateral V-Y quadricepsplasty, an ipsilateral total hip arthroplasty with anterior approach six months ago and a persistent extension contracture for over 30 years. Gradual releasing techniques, as described by Judet, were performed under general anesthesia and sterile conditions with the patient in supine position. Intraoperatively, two displaced screws were detected on the anterior femur, which had adhered to the vastus medialis muscle, and fibrosed. Adhesions were dissected and screws were removed. Before the release of the proximal adhesion of the rectus muscle, a forced external rotation of hip joint was performed to assure that adequate fibrotic tissue had formed on the anterior facet of the joint capsule to prevent anterior instability. Five recurrent knee joint effusions developed after surgery, which were aspirated by needle. Joint fluids were clear and there were no reproductions of any microorganisms. By the end of an uneventful, two-year follow-up period, final knee range of motion was 0-90 degrees. Loss of extension and extensor muscle power had entirely improved by 6 months. In a patient with hip prosthesis, provided that adequate fibrosis has formed on the anterior facet of the joint capsule, rectus release may not cause instability. In cases resistant to rehabilitation, if there is implant, fibrosis or hypertrophic callus which may cause irritation at any level of the knee extensor mechanism, we suggest their resection for a more even anterior cortex contour.
contracture, hip joint, hip prosthesis, knee joint
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Birincil Dil en
Konular Ortopedi
Bölüm Olgu sunumu
Yazarlar

Orcid: 0000-0002-6703-3881
Yazar: Ozgur ERDOGAN
Kurum: İSTANBUL HAYDARPAŞA NUMUNE SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ
Ülke: Turkey


Orcid: 0000-0002-9493-8790
Yazar: Emre KAYA
Kurum: İSTANBUL KARTAL DR. LÜTFİ KIRDAR SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ
Ülke: Turkey


Orcid: 0000-0002-9493-8790
Yazar: Tolga KEÇECİ (Sorumlu Yazar)
Kurum: GİRESUN ŞEBİNKARAHİSAR DEVLET HASTANESİ
Ülke: Turkey


Orcid: 0000-0001-9011-691X
Yazar: Mehmet SOYARSLAN
Kurum: ÜSKÜDAR ÜNİVERSİTESİ, TIP FAKÜLTESİ
Ülke: Turkey


Tarihler

Yayımlanma Tarihi : 1 Ocak 2021

Bibtex @olgu sunumu { josam763148, journal = {Journal of Surgery and Medicine}, issn = {}, eissn = {2602-2079}, address = {jsurgmed@gmail.com}, publisher = {Fatih BAŞAK}, year = {2021}, volume = {5}, pages = {103 - 105}, doi = {10.28982/josam.763148}, title = {Judet's quadricepsplasty after total hip arthroplasty and Thompson's quadricepsplasty: A case report}, key = {cite}, author = {Erdogan, Ozgur and Kaya, Emre and Keçeci, Tolga and Soyarslan, Mehmet} }
APA Erdogan, O , Kaya, E , Keçeci, T , Soyarslan, M . (2021). Judet's quadricepsplasty after total hip arthroplasty and Thompson's quadricepsplasty: A case report . Journal of Surgery and Medicine , 5 (1) , 103-105 . DOI: 10.28982/josam.763148
MLA Erdogan, O , Kaya, E , Keçeci, T , Soyarslan, M . "Judet's quadricepsplasty after total hip arthroplasty and Thompson's quadricepsplasty: A case report" . Journal of Surgery and Medicine 5 (2021 ): 103-105 <http://jsurgmed.com/tr/pub/issue/59430/763148>
Chicago Erdogan, O , Kaya, E , Keçeci, T , Soyarslan, M . "Judet's quadricepsplasty after total hip arthroplasty and Thompson's quadricepsplasty: A case report". Journal of Surgery and Medicine 5 (2021 ): 103-105
RIS TY - JOUR T1 - Judet's quadricepsplasty after total hip arthroplasty and Thompson's quadricepsplasty: A case report AU - Ozgur Erdogan , Emre Kaya , Tolga Keçeci , Mehmet Soyarslan Y1 - 2021 PY - 2021 N1 - doi: 10.28982/josam.763148 DO - 10.28982/josam.763148 T2 - Journal of Surgery and Medicine JF - Journal JO - JOR SP - 103 EP - 105 VL - 5 IS - 1 SN - -2602-2079 M3 - doi: 10.28982/josam.763148 UR - https://doi.org/10.28982/josam.763148 Y2 - 2021 ER -
EndNote %0 Journal of Surgery and Medicine Judet's quadricepsplasty after total hip arthroplasty and Thompson's quadricepsplasty: A case report %A Ozgur Erdogan , Emre Kaya , Tolga Keçeci , Mehmet Soyarslan %T Judet's quadricepsplasty after total hip arthroplasty and Thompson's quadricepsplasty: A case report %D 2021 %J Journal of Surgery and Medicine %P -2602-2079 %V 5 %N 1 %R doi: 10.28982/josam.763148 %U 10.28982/josam.763148
ISNAD Erdogan, Ozgur , Kaya, Emre , Keçeci, Tolga , Soyarslan, Mehmet . "Judet's quadricepsplasty after total hip arthroplasty and Thompson's quadricepsplasty: A case report". Journal of Surgery and Medicine 5 / 1 (Ocak 2021): 103-105 . https://doi.org/10.28982/josam.763148
AMA Erdogan O , Kaya E , Keçeci T , Soyarslan M . Judet's quadricepsplasty after total hip arthroplasty and Thompson's quadricepsplasty: A case report. J Surg Med. 2021; 5(1): 103-105.
Vancouver Erdogan O , Kaya E , Keçeci T , Soyarslan M . Judet's quadricepsplasty after total hip arthroplasty and Thompson's quadricepsplasty: A case report. Journal of Surgery and Medicine. 2021; 5(1): 103-105.
IEEE O. Erdogan , E. Kaya , T. Keçeci ve M. Soyarslan , "Judet's quadricepsplasty after total hip arthroplasty and Thompson's quadricepsplasty: A case report", Journal of Surgery and Medicine, c. 5, sayı. 1, ss. 103-105, Oca. 2021, doi:10.28982/josam.763148