Acta Orthop Traumatol Turc
Knee capsulotomy for fixed knee flexion contracture
Abstract
Objectives: This study aimed to assess the results of knee capsulotomy for correcting fixed knee flexion contracture in children with cerebral palsy (CP).
Methods: Thirty-five children (20 boys, 15 girls; mean age 13.5±2.5 years) with CP underwent posterior knee capsulotomy for 59 knees. Eleven patients had diplegia, one patient had hemiplegia, and 23 patients had quadriplegia. There were two community ambulators (3 knees), 19 household ambulators (33 knees), and 14 nonambulators (23 knees). Posterior knee capsulotomy was combined with hamstring lengthening (50 knees, 84.8%), rectus femoris transfer (10 knees, 17%), Achilles tendon lengthening (12 knees, 20.3%), and posterior cruciate ligament release (eight knees, 13.6%). The mean follow-up was 3.5±1.7 years.
Results: Fixed knee flexion contracture significantly improved from 26.5±15.4 degrees to 17.0±15.5 degrees after posterior knee capsulotomy (p
Methods: Thirty-five children (20 boys, 15 girls; mean age 13.5±2.5 years) with CP underwent posterior knee capsulotomy for 59 knees. Eleven patients had diplegia, one patient had hemiplegia, and 23 patients had quadriplegia. There were two community ambulators (3 knees), 19 household ambulators (33 knees), and 14 nonambulators (23 knees). Posterior knee capsulotomy was combined with hamstring lengthening (50 knees, 84.8%), rectus femoris transfer (10 knees, 17%), Achilles tendon lengthening (12 knees, 20.3%), and posterior cruciate ligament release (eight knees, 13.6%). The mean follow-up was 3.5±1.7 years.
Results: Fixed knee flexion contracture significantly improved from 26.5±15.4 degrees to 17.0±15.5 degrees after posterior knee capsulotomy (p
References
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