reconstruction by means of bone-patellar-bone (BTB) autografting is an increasingly popular procedure for the stabillization of ACL-deficient knee (1, 2). The central one-third of the patellar tendon and bony plugs are excised together to increase strength, durability and elasticity (3, 4) and the donor site is allowed to heal by primary intensification. The outcome of ACL reconstruction, using...

Exposure in a total knee arthroplasty can be challenging regardless of whether it is a difficult primary or a revision. Various techniques both proximal and distal to the patella have been described and implemented to gain exposure and improve knee flexion. When patella eversion is not possible due to previous surgery or severe preoperative knee flexion contracture, a coronal tibial tubercle os...

The case A 7-year-old girl has a 2-month history of a mildly swollen and slightly painful knee, which her parents believe was caused by a fall at school. There is no other relevant history. Examination reveals a small swelling of the knee, with a small flexion contracture, loss of full flexion and some discomfort at the end of the range of motion. The results of the rest of the examination are ...

BACKGROUND The intent of the present study was to determine the effectiveness of massage therapy in the rehabilitation of post-anterior cruciate ligament reconstruction patellofemoral pain syndrome. The primary complications following surgical repair of the anterior cruciate ligament-classified as patellofemoral pain syndrome-are hamstring flexion contracture and quadriceps weakness, leading to...

We reviewed retrospectively 94 patients who had undergone soft-tissue release to correct flexion contracture of the knee to determine the incidence of postoperative hypertension. The cause of contracture in most patients was cerebral palsy (45) or old poliomyelitis (39). Twenty patients developed persistent hypertension. Two of them were symptomatic, one developing hypertensive encephalopathy. ...

Fixed flexion deformity of knee secondary to osteoarthritis occurs mainly due posterior soft tissue tethering and/or contracture especially capsule rather than bony changes. A the leads functional, biomechanical and gait impairments that interferes with normal daily activities patients decrease their satisfaction after TKR. Correction FFD is mandatory during TKR replacement optimize postoperati...

Knee postburn scar flexion contractures, making up 22% of large joint contractures [1], affect the leg motion, impair the lower extremity function, present cosmetic defects, and requiring surgical treatment. The contracted scars undergo (during joint extension) severe tension, tearing, and often are converted to pathologic scars-rough, thick, solid, prone to keloid growth and ulceration. Review...