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CASE REPORT
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Excellent outcome with modified thompson quadricepsplasty for knee extension contracture: Case report and review of the literature


 Department of Orthopaedic Surgery, Al Madina Al Munawara Hospital, Almadinah Almunawwarah, Saudi Arabia

Correspondence Address:
Sarmad Rashed K. Sulaiman,
Department of Orthopaedic Surgery, Al Madina Al Munawara Hospital 60, Mahzur, Medina 42319, Almadinah Almunawwarah
Saudi Arabia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmsr.jmsr_84_20

The daily life routine activities require a good range of knee motion, losing that after femur fracture is a common problem that can be triggered by extension contracture, flexion contracture, or combined contractures. This case report is about a 19-year-old male with unremarkable medical history who suffered from extension contracture with no flexion following a wrongly applied plate for distal femur fracture, which was treated successfully surgically by modified Thompson's quadricepsplasty after 21 months from the initial injury. The final outcome was no extension lag and 120° active flection. The aim of reporting this case was to increase the awareness about the modified Thompson's quadricepsplasty, which is an excellent solution to the debilitating extension contracture complication and present a review of the literature of this procedure. The aim of the literature review is to evaluate the correlation and the influence of the patient's age, the interval to quadricepsplasty after the initial trauma, preoperative knee range of motion, surgical approach, and the postoperative care on the outcome of Thompson's quadricepsplasty and its modifications for the treatment of posttraumatic knee contractures besides that, to answer the question: Is Thompson's quadricepsplasty an excellent procedure to treat knee extension contracture?


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