Sistema de Salut de Catalunya
Institut Català de la Salut
[Lara Y] Servei de Cirurgia Ortopèdica i Traumatologia, Vall d'Hebron Hospital Universitari, Barcelona, Spain. [Aguilera-Sáez J] Servei de Cirurgia Plàstica i Cremats, Vall d'Hebron Hospital Universitari, Barcelona, Spain. [Tomás-Hernández J, Teixidor-Serra J, Andrés-Peiró JV] Unitat de Traumatologia Ortopèdica, Servei de Cirurgia Ortopèdica i Traumatologia, Vall d'Hebron Hospital Universitari, Barcelona, Spain. [Khoudeir-Ávila AS] Servei de Medicina Física i Rehabilitació, Vall d'Hebron Hospital Universitari, Barcelona, Spain
Vall d'Hebron Barcelona Hospital Campus
2022-05-31T08:34:34Z
2022-05-31T08:34:34Z
2021-12
Extensor apparatus injury; Open patella fracture; Stiff knee
Lesión del aparato extensor; Fractura de rótula abierta; Rodilla rígida
Lesió de l'aparell extensor; Fractura de ròtula oberta; Genoll rígid
Open patella fractures have high complication rates. Post-traumatic joint stiffness is particularly common. The management of this complication is even more difficult if free flap was used to cover a soft tissue defect. Late surgical manipulation of free flaps can lead to their failure, with catastrophic consequences. The use of minimally invasive techniques could reduce the associated risks. We present a case of knee stiffness after the fix and flap treatment of a grade IIIB open patella fracture. We performed an arthroscopic arthrolysis with portals through the flap. The pedicle was preoperatively located and avoided. Joint range of motion remarkably improved without records of flap complications. We consider that the technique is feasible. Its success was based on the multidisciplinary collaboration between orthopaedic and plastic surgeons and rehabilitation medicine specialists.
Article
Published version
English
Articulacions - Malalties - Cirurgia; Artroscòpia; Avaluació de resultats (Assistència sanitària); ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Surgical Procedures, Operative::Surgical Procedures, Operative::Orthopedic Procedures::Arthroscopy; DISEASES::Musculoskeletal Diseases::Joint Diseases; Other subheadings::Other subheadings::Other subheadings::/surgery; ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Diagnosis::Prognosis::Treatment Outcome; TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::intervenciones quirúrgicas::intervenciones quirúrgicas::procedimientos ortopédicos::artroscopia; ENFERMEDADES::enfermedades musculoesqueléticas::artropatías; Otros calificadores::Otros calificadores::Otros calificadores::/cirugía; TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::diagnóstico::pronóstico::resultado del tratamiento
Elsevier
Trauma Case Reports;36
https://doi.org/10.1016/j.tcr.2021.100553
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
Articles científics - HVH [3440]
