PDF(Pubmed)
Abstract：
UNASSIGNED: Knee stiffness post-total knee arthroplasty (TKA) represents a common and challenging complication. Standard treatment protocols primarily include physical therapy, manipulation under anesthesia (MUA), fibrotic tissue release, lysis of adhesions (LOA), and in refractory cases, revision arthroplasty. However, these interventions often show minimal improvement in refractory cases. This report introduces V-Y quadricepsplasty as an innovative approach for addressing knee stiffness post-TKA, particularly in cases unresponsive to MUA and LOA, without any evidence of prosthetic component malposition or failure.
UNASSIGNED: We present a case involving a middle-aged woman experiencing persistent knee stiffness post-TKA, unresponsive to both MUA and LOA. Diagnostic evaluations confirmed no malposition or failure of the prosthetic component. The patient underwent a successful V-Y quadricepsplasty, which resulted in significant improvement in her condition.
UNASSIGNED: This case underscores the efficacy of V-Y quadricepsplasty in managing knee stiffness post-TKA, especially in cases where traditional treatments such as MUA and LOA are ineffective and there is no evidence of prosthetic component failure or malposition. This approach potentially offers a new avenue for treatment in similar clinical scenarios.
UNASSIGNED: We present a case involving a middle-aged woman experiencing persistent knee stiffness post-TKA, unresponsive to both MUA and LOA. Diagnostic evaluations confirmed no malposition or failure of the prosthetic component. The patient underwent a successful V-Y quadricepsplasty, which resulted in significant improvement in her condition.
UNASSIGNED: This case underscores the efficacy of V-Y quadricepsplasty in managing knee stiffness post-TKA, especially in cases where traditional treatments such as MUA and LOA are ineffective and there is no evidence of prosthetic component failure or malposition. This approach potentially offers a new avenue for treatment in similar clinical scenarios.
摘要：
■全膝关节置换术（TKA）后膝关节僵硬是一种常见且具有挑战性的并发症。标准治疗方案主要包括物理治疗，麻醉下操作（MUA），纤维化组织释放，粘连溶解(LOA)，在难治性病例中，关节翻修术.然而,这些干预措施在难治性病例中通常显示出最小的改善.本报告介绍了V-Y四头肌作为解决TKA后膝关节僵硬的创新方法，特别是在对MUA和LOA无反应的情况下，没有任何假肢组件错位或失效的证据。
■我们介绍了一例中年妇女在TKA后经历持续性膝盖僵硬的病例，对MUA和LOA均无反应。诊断评估证实假体组件没有错位或失效。患者接受了一次成功的V-Y四足移植，这导致了她的病情的显著改善。
■此案例强调了V-Y股四头肌成形术在TKA术后膝关节僵硬中的功效，尤其是在MUA和LOA等传统治疗无效且没有证据表明假体组件失效或错位的情况下。这种方法可能为类似临床情况下的治疗提供了新的途径。
■我们介绍了一例中年妇女在TKA后经历持续性膝盖僵硬的病例，对MUA和LOA均无反应。诊断评估证实假体组件没有错位或失效。患者接受了一次成功的V-Y四足移植，这导致了她的病情的显著改善。
■此案例强调了V-Y股四头肌成形术在TKA术后膝关节僵硬中的功效，尤其是在MUA和LOA等传统治疗无效且没有证据表明假体组件失效或错位的情况下。这种方法可能为类似临床情况下的治疗提供了新的途径。
