RÉSUMÉ
This study presents a new protocol for arthroscopic approach based on the treatment of 36 patients with extension block of the knee as a result of intra-articular reconstruction of the anterior cruciate ligament (ACL) using the patellar tendon. Arthroscopy not only allowed the identification of the active mechanical extension block of the knee, but also the passive mechanical block that can occur with a functional or loose ligament. This protocol can be useful in the treatment of postoperative extension block of the knee as a complication of ACL reconstruction.
Sujet(s)
Ligament croisé antérieur/chirurgie , Arthroscopie/méthodes , Contracture/étiologie , Contracture/chirurgie , Traumatismes du genou/chirurgie , 33584/effets indésirables , Transposition tendineuse/effets indésirables , Lésions du ligament croisé antérieur , Contracture/rééducation et réadaptation , Femelle , Études de suivi , Humains , Traumatismes du genou/diagnostic , Mâle , Mesure de la douleur , Études prospectives , Amplitude articulaire/physiologie , 33584/méthodes , Récupération fonctionnelle , Transposition tendineuse/méthodes , Résultat thérapeutiqueRÉSUMÉ
Prosthetic fitting in patients with below-knee amputations and concurrent knee flexion contractures poses inherent difficulties to the prosthetic rehabilitation team. The standard bent-knee prosthesis is bulky and awkward. It treats the patient functionally as a knee disarticulation and yields no potential for improving the patient's degree of contracture. This paper describes a case report with an alternative to the bent-knee prosthesis that not only offered improved function relative to the standard bent-knee prosthesis, but also acted therapeutically by reducing the patient's knee-flexion contracture.