Minimally Invasive Quadricepsplasty Using the Adolphson-Cerqueira Technique: A Retrospective Study after 1-Year of Follow-up.

IF 1 Q3 ORTHOPEDICS Strategies in Trauma and Limb Reconstruction Pub Date : 2024-05-01 Epub Date: 2024-08-14 DOI:10.5005/jp-journals-10080-1615

F S Cerqueira, L Silva, L L Kropf, Gava Motta, F S Cerqueira, B D Leonetti, D P Motta

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Abstract

Aim: Knee stiffness limits activities of daily living with treatment having no gold standard technique currently. We present follow-up data 1-year after quadricepsplasty using the Adolphson-Cerqueira technique for the treatment of knee stiffness in a Brazilian population sample.

Materials and methods: This retrospective study included patients who underwent a quadricepsplasty using the Adolphson-Cerqueira technique between January 2006 and March 2023 at our institution. The inclusion criteria were: (1) Knee stiffness with a range of motion <70°; (2) Patellar excursion ≥2 mm on physical examination; (3) Available knee radiography in the anteroposterior and lateral views; and (4) A follow-up at 1 year postoperatively. The Judet Classification was used to assess the outcome of the quadricepsplasty.

Results: Sixty-seven patients were included. The results were 6% poor, 31.3% fair, 44.8% good, and 17.9% excellent according to the Judet Classification. A correlation was observed between age and the gain in range of motion at the 1-year postoperative follow-up, and between the gain in range of motion intraoperatively and that at the 1-year follow-up. There were five cases of complications (7.46%): one of patellar fracture, three of quadriceps tendon rupture, and one of avulsion fracture in the superior pole of the patella.

Conclusion: Quadricepsplasty using the Adolphson-Cerqueira technique produced satisfactory results overall for improving knee joint stiffness and had a complication rate comparable with other currently used techniques.

Clinical significance: Loss of knee range of motion remains a difficult problem without there being a clear gold standard in treatment. Many different options are described in the literature. We provide a further option with follow-up results.

How to cite this article: Cerqueira FS, Silva L, Kropf LL, et al. Minimally Invasive Quadricepsplasty Using the Adolphson-Cerqueira Technique: A Retrospective Study after 1-Year of Follow-up. Strategies Trauma Limb Reconstr 2024;19(2):87-93.

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使用 Adolphson-Cerqueira 技术的微创股四头肌成形术：随访一年后的回顾性研究。

目的：膝关节僵硬限制了日常生活活动，目前尚无治疗膝关节僵硬的金标准技术。我们展示了巴西人口样本中使用阿道夫森-塞尔奎拉技术进行股四头肌成形术治疗膝关节僵硬术后 1 年的随访数据：这项回顾性研究纳入了 2006 年 1 月至 2023 年 3 月期间在我院接受阿道夫森-塞尔奎拉技术股四头肌成形术的患者。纳入标准为(1) 膝关节僵硬，活动范围受限结果：共纳入 67 例患者。根据 Judet 分级，结果为差的占 6%，一般的占 31.3%，好的占 44.8%，优秀的占 17.9%。年龄与术后一年随访时的活动范围增加值之间存在相关性，术中活动范围增加值与术后一年随访时的活动范围增加值之间也存在相关性。并发症有五例（7.46%）：一例髌骨骨折，三例股四头肌腱断裂，一例髌骨上极撕脱骨折：结论：使用阿道夫森-塞尔奎拉技术进行股四头肌成形术在改善膝关节僵硬方面总体效果令人满意，并发症发生率与目前使用的其他技术相当：临床意义：膝关节活动范围丧失仍然是一个棘手的问题，目前还没有明确的治疗金标准。文献中描述了许多不同的方案。我们提供了另一种方案，并提供了随访结果：Cerqueira FS, Silva L, Kropf LL, et al. Adolphson-Cerqueira技术的微创股四头肌成形术：随访一年后的回顾性研究。Strategies Trauma Limb Reconstr 2024;19(2):87-93.

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Strategies in Trauma and Limb Reconstruction Medicine-Orthopedics and Sports Medicine

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期刊介绍： Strategies in Trauma and Limb Reconstruction is dedicated to surgeons, allied medical professionals and researchers in the field of orthopaedics and trauma. The scope of the journal is to discuss the fields of skeletal injury, and the complications thereof, congenital and acquired limb deformities and deficiencies, and orthopaedic-related infection, together with their surgical and non-surgical treatments. The journal publishes original articles, reviews, case reports, descriptions of new or recognised treatment techniques, forum discussions of clinical scenarios and relevant correspondence. It aims to provide a widely accessible source of useful information to practitioners in the field through the problem- or technique-based approach of published articles.