슬관절 부분강직에 대한 대퇴사두고근성형술 및 관절유리술

Abstract

Many people viho sustain injuries to the femur or muscles of thigh are handicapped for life by varing degree of 1imitation of motion of the knee joint flexion such as squatting or kneeling. Many surgical procedures were reported by Thompson (1944), Judet (1959), van Nes (1962), Nicoll (l963), Hesketh (1963), Jahng (1965), Han (1980, l986), Daoud (1982) and Yoo (1989). During tbe period from March 1987 to April 1991, 21 cases of stiff knee joint were treated surgically in our clinics. 1. 21 cases of stiff knee treated by modified Judets technique of quadriceps- plasty and arthrolysis. 2. Male patient was 19 and female was 2. Age ranged from 16 years to 63 years. 3. The stiff knee were corrected successfu11y witbout release of rectus femoris muscle in our cases. 4. The string tie was useful in postoperatlve care. String tie was applied with the knee in a fu11 flexed position and when it was discarded, knee was extended and quad- riceps setting exercise was begun. 5. In 15 cases; plate removal was added, in 3 cases, scxew and wire removed, in two cases, combined quadricepsplasty and bone surgery for malunion or nonunion of the femur, whieh sbawed good result. 6. The average flexion achieved by operation was 126.6, the average flexion gain 69.2, while the average extension gain 6.4. 7. By Judet criteria, the result of 18 cases were excellent, 2 cases were good and 1 case showed fair result.