1. Management of severe knee extension stiffness in children: Particularity in sub-Saharan Africa
- Author
-
Gayito, R. C., Haoudou, R., Priuli, G., ROBERT ELBAUM, Dusabe, J. -P, Moungondo, F., Pirotte, T., Docquier, P. -L, UCL - SSS/IREC/NMSK - Neuro-musculo-skeletal Lab, UCL - SSS/IREC/SLUC - Pôle St.-Luc, UCL - (SLuc) Service d'orthopédie et de traumatologie de l'appareil locomoteur, UCL - (SLuc) Service d'anesthésiologie, and UCL - (SLuc) Centre du cancer
- Subjects
body regions ,musculoskeletal diseases ,Judet quadriceps-plasty ,Orthopédie ,Hygiène et médecine sportives ,Knee stiffness in extension ,Judet quadricepsplasty ,musculoskeletal system - Abstract
Knee extension stiffness due to fibrous retraction of the quadriceps is a relatively uncommon condition in children but not so rare in developing countries. It is the result of iatrogenic intra-muscular injection. It is responsible for major functional prejudices in the child. A retrospective study was carried out over a period of 4 years. Twenty children were treated surgically for knee extension stiffness. In 100% of cases it was a severe retraction of the knee. The quadriceps-plasty described by Judet was used in 16 cases and a V-Y quadriceps-plasty in 4 cases. Immediate post-operative physiotherapy was performed every 6 hours with positioning in splint (with every 6-hour alternation between extension and 100°-flexion splint). The average knee flexion degree was 5° in preoperative period and improved to 103° after the surgery. The final result was considered excellent in 30% and good in 70% of the cases., SCOPUS: ar.j, info:eu-repo/semantics/published
- Published
- 2020