Splinting to Prevent Knee Flexion Contractures

Becker, A

doi:10.1093/ptj/57.12.1396

Physical Therapy

1977

DOI: 10.1093/ptj/57.12.1396

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Splinting to Prevent Knee Flexion Contractures

A Becker

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The gastrocnemius muscle flap in the correction of severe flexion contracture of the knee

Moscona¹,

Keret²,

Reis³

1982

Arch. Orth. Traum. Surg.

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Extreme flexion contracture of the knees due to extra-articular contracture of the knee joints is a frequent deformity in catastrophic neurological lesions such as multiple sclerosis, meningomyelocoele, paraplegia, quadriplegia, and cerebral spastic paralysis. Such gross knee contractures together with the coexisting hip flexion contractures create a severe nursing problem. Adequate perineal hygiene and positioning are very difficult to achieve and thus pressure sores frequently develop in these bed-ridden patients in spite of devoted nursing care. The orthopaedic surgeon can help alleviate the plight of these unfortunate victims: first the hip joint contractures are released by the classical methods and then, at the same session, the knee contractures: a simple one stage procedure is described. Primary cover of the large popliteal skin defect is achieved by a gastrocnemius versatile muscle flap, which is itself covered by a free split skin graft. An illustrative case is described.

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The gastrocnemius muscle flap in the correction of severe flexion contracture of the knee

Moscona¹,

Keret²,

Reis³

1982

Arch. Orth. Traum. Surg.

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Contractures in orthopaedic and neurological conditions: a review of causes and treatment

Farmer

James

2001

Disability and Rehabilitation

158

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Splinting to Prevent Knee Flexion Contractures

Cited by 2 publications

References 0 publications

The gastrocnemius muscle flap in the correction of severe flexion contracture of the knee

The gastrocnemius muscle flap in the correction of severe flexion contracture of the knee

Contractures in orthopaedic and neurological conditions: a review of causes and treatment

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