Innovative Percutaneous Quadricepsplasty for Knee Extension Contracture in Arthrogryposis: A Case Report.

Q4 Medicine JBJS case connector Pub Date : 2024-10-03 eCollection Date: 2024-10-01 DOI:10.2106/JBJS.CC.23.00524
Pantea Bozorg Savoji, Homayoon Khaledian, Davood Dehghani Ashkezari, Mohammad Ayati Firoozabadi
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Abstract

Case: A 15-year-old male patient diagnosed with arthrogryposis presented with a left knee extension contracture. He underwent an innovative percutaneous quadricepsplasty performed arthroscopically. Subsequent to the procedure, the patient was enrolled in an aggressive physiotherapy program. Over a follow-up period of 12 months, significant improvement was observed, with the patient achieving a 95° range of motion in his left knee.

Conclusion: Noninvasive percutaneous quadricepsplasty, combined with methods such as arthroscopy, may enhance therapeutic outcomes and alleviate chronic knee extension contractures in patients with arthrogryposis. This combination of treatment methods has the potential to revolutionize the management of such conditions.

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创新性经皮股四头肌成形术治疗关节畸形膝关节外展挛缩:病例报告。
病例一名被诊断为关节发育不良的 15 岁男性患者出现了左膝外展挛缩。他在关节镜下接受了创新的经皮股四头肌成形术。术后,患者接受了积极的物理治疗。在12个月的随访期间,患者的左膝关节活动范围达到了95°,病情得到了明显改善:结论:无创经皮股四头肌成形术与关节镜等方法相结合,可提高治疗效果,缓解关节发育不良患者的慢性膝关节伸展挛缩。这种治疗方法的结合有望彻底改变此类疾病的治疗方法。
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来源期刊
JBJS case connector
JBJS case connector Medicine-Medicine (all)
CiteScore
0.60
自引率
0.00%
发文量
319
期刊介绍: JBJS Case Connector helps improve patient care by providing the medical community with a journal that harnesses technology to provide information tools for discovery and reporting of unusual musculoskeletal problems, findings, treatment, and outcomes. Co-edited by Thomas W. Bauer, MD, PhD, and Ronald W. Lindsey, MD, JBJS Case Connector assists orthopaedic surgeons in the search for precedents, connections, and trends in their efforts to improve patient care. Using this unique journal, surgeons can find the commonalities between cases, benefit from the experience of their peers, and filter case information by many important variables in order to provide the best possible care for orthopaedic patients. This cross-referenced online journal includes thousands of orthopaedic case reports. It compiles symptoms, conditions, and demographic details to empower surgeons to find cases similar to theirs. Surgeons can mine the database to reveal emerging trends and identify patterns, distinguishing between truly rare cases and repeated, related single instances of a larger problem. The JBJS Case Connector Image Quiz feature provides interactive quizzes based on images from content published by JBJS and includes a discussion area for further exploration of ideas and concepts. The JBJS Image Quiz app for iPad and iPhone is available in the App Store. Contributions to JBJS Case Connector are welcomed from anywhere in the world and are considered on their merits. Articles must be written in English and should be submitted as outlined in the Instructions to Authors. All authors must abide by the JBJS ethics policies and all submissions to JBJS Case Connector are covered by the JBJS embargo policy.
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