V-Y quadricepsplasty in total knee arthroplasty. | Semantic Scholar (2024)

TKA provides satisfactory results in patients with knee osteoarthritis associated with significant pre-operative stiffness, and the surgical plan should be adapted to anticipate complications, which are particularly frequent in the presence of a flexion deficit.

A series of 123 revision total knee replacements performed at three centers and followed up for 2 to 4 years was evaluated, finding the group of patients who had quadriceps turndown and the tibial tubercle osteotomy had equivalent scores post-operatively both of which were significantly lower than the standard group.

The application of quadriceps snip in complex TKA can effectively improve the operative field exposure and reduce incidence of complications such as patella tendon tearing, patellA fracture, and quadricep tendon injury.

The short-term results of total knee arthroplasty showed no differences between patients with or without patellar resurfacing.

Although TKA in stiff knees can be successful, the results are inferior to those obtained in standard TKA, indicating that careful preoperative planning and meticulous surgical technique are essential for good results.

Although TKA in the ankylosed knee is technically demanding and has a considerable rate of complications, reasonable restoration of function can be obtained by careful selection of patients, meticulous surgical technique, and aggressive rehabilitation.

This surgical approach, which results in a complete soft tissue degloving of the distal femur and proximal tibia, allowed satisfactory exposure in all cases and the complication rate related to this exposure method was comparable with other series using diverse methods of knee exposure.

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Following a vigorous range of motion protocol, 13 ankylosed knees achieved a significant increase in postoperative range ofmotion, which was indistinguishable from that achieved by a comparable group of flexible knees.

Proper treatment of patellofemoral problems involves determining the mechanism for instability to help choose the best surgical solution to the problem.

The quadriceps turndown procedure is an important part of the surgical armamentarium of the knee arthroplasty surgeon and provides distinct advantages for safe exposure, restoration of a functional flexion range, and facilitation of early postoperative rehabilitation.

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