Treatment of a post-traumatic stiff knee after an open extensor apparatus injury by arthroscopic arthrolysis through a free flap
Open patella fractures have high complication rates. Post-traumatic joint stiffness is particularly common. The management of this complication is even more difficult if free flap was used to cover a soft tissue defect. Late surgical manipulation of free flaps can lead to their failure, with catastr...
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Elsevier
2021
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oai:doaj.org-article:1ef68f2de2e64babb22e64291fd07de32021-11-18T04:50:20ZTreatment of a post-traumatic stiff knee after an open extensor apparatus injury by arthroscopic arthrolysis through a free flap2352-644010.1016/j.tcr.2021.100553https://doaj.org/article/1ef68f2de2e64babb22e64291fd07de32021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2352644021001588https://doaj.org/toc/2352-6440Open patella fractures have high complication rates. Post-traumatic joint stiffness is particularly common. The management of this complication is even more difficult if free flap was used to cover a soft tissue defect. Late surgical manipulation of free flaps can lead to their failure, with catastrophic consequences. The use of minimally invasive techniques could reduce the associated risks. We present a case of knee stiffness after the fix and flap treatment of a grade IIIB open patella fracture. We performed an arthroscopic arthrolysis with portals through the flap. The pedicle was preoperatively located and avoided. Joint range of motion remarkably improved without records of flap complications. We consider that the technique is feasible. Its success was based on the multidisciplinary collaboration between orthopaedic and plastic surgeons and rehabilitation medicine specialists.Yuri LaraJordi Aguilera-SáezJordi Tomás-HernándezJordi Teixidor-SerraAndrea-Salomé Khoudeir-ÁvilaJosé-Vicente Andrés-PeiróElsevierarticleOpen patella fractureExtensor apparatus injuryFree flapStiff kneeArthroscopySurgeryRD1-811ENTrauma Case Reports, Vol 36, Iss , Pp 100553- (2021) |
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DOAJ |
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DOAJ |
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EN |
| topic |
Open patella fracture Extensor apparatus injury Free flap Stiff knee Arthroscopy Surgery RD1-811 |
| spellingShingle |
Open patella fracture Extensor apparatus injury Free flap Stiff knee Arthroscopy Surgery RD1-811 Yuri Lara Jordi Aguilera-Sáez Jordi Tomás-Hernández Jordi Teixidor-Serra Andrea-Salomé Khoudeir-Ávila José-Vicente Andrés-Peiró Treatment of a post-traumatic stiff knee after an open extensor apparatus injury by arthroscopic arthrolysis through a free flap |
| description |
Open patella fractures have high complication rates. Post-traumatic joint stiffness is particularly common. The management of this complication is even more difficult if free flap was used to cover a soft tissue defect. Late surgical manipulation of free flaps can lead to their failure, with catastrophic consequences. The use of minimally invasive techniques could reduce the associated risks. We present a case of knee stiffness after the fix and flap treatment of a grade IIIB open patella fracture. We performed an arthroscopic arthrolysis with portals through the flap. The pedicle was preoperatively located and avoided. Joint range of motion remarkably improved without records of flap complications. We consider that the technique is feasible. Its success was based on the multidisciplinary collaboration between orthopaedic and plastic surgeons and rehabilitation medicine specialists. |
| format |
article |
| author |
Yuri Lara Jordi Aguilera-Sáez Jordi Tomás-Hernández Jordi Teixidor-Serra Andrea-Salomé Khoudeir-Ávila José-Vicente Andrés-Peiró |
| author_facet |
Yuri Lara Jordi Aguilera-Sáez Jordi Tomás-Hernández Jordi Teixidor-Serra Andrea-Salomé Khoudeir-Ávila José-Vicente Andrés-Peiró |
| author_sort |
Yuri Lara |
| title |
Treatment of a post-traumatic stiff knee after an open extensor apparatus injury by arthroscopic arthrolysis through a free flap |
| title_short |
Treatment of a post-traumatic stiff knee after an open extensor apparatus injury by arthroscopic arthrolysis through a free flap |
| title_full |
Treatment of a post-traumatic stiff knee after an open extensor apparatus injury by arthroscopic arthrolysis through a free flap |
| title_fullStr |
Treatment of a post-traumatic stiff knee after an open extensor apparatus injury by arthroscopic arthrolysis through a free flap |
| title_full_unstemmed |
Treatment of a post-traumatic stiff knee after an open extensor apparatus injury by arthroscopic arthrolysis through a free flap |
| title_sort |
treatment of a post-traumatic stiff knee after an open extensor apparatus injury by arthroscopic arthrolysis through a free flap |
| publisher |
Elsevier |
| publishDate |
2021 |
| url |
https://doaj.org/article/1ef68f2de2e64babb22e64291fd07de3 |
| work_keys_str_mv |
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