Treatment of a post-traumatic stiff knee after an open extensor apparatus injury by arthroscopic arthrolysis through a free flap

dc.contributor
Institut Català de la Salut
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[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
dc.contributor
Vall d'Hebron Barcelona Hospital Campus
dc.contributor.author
Lara, Yuri
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Tomás Hernández, Jordi
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Andres Peiro, José Vicente
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Khoudeir, Andrea
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Aguilera-Sáez, Jorge
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Teixidor Serra, Jordi
dc.date.issued
2022-05-31T08:34:34Z
dc.date.issued
2022-05-31T08:34:34Z
dc.date.issued
2021-12
dc.identifier
Lara Y, Aguilera-Sáez J, Tomás-Hernández J, Teixidor-Serra J, Khoudeir-Ávila AS, Andrés-Peiró JV. Treatment of a post-traumatic stiff knee after an open extensor apparatus injury by arthroscopic arthrolysis through a free flap. Trauma Case Rep. 2021 Dec;36:100553.
dc.identifier
2352-6440
dc.identifier
https://hdl.handle.net/11351/7599
dc.identifier
10.1016/j.tcr.2021.100553
dc.identifier
34825042
dc.description.abstract
Extensor apparatus injury; Open patella fracture; Stiff knee
dc.description.abstract
Lesión del aparato extensor; Fractura de rótula abierta; Rodilla rígida
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Lesió de l'aparell extensor; Fractura de ròtula oberta; Genoll rígid
dc.description.abstract
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.
dc.format
application/pdf
dc.language
eng
dc.publisher
Elsevier
dc.relation
Trauma Case Reports;36
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https://doi.org/10.1016/j.tcr.2021.100553
dc.rights
Attribution 4.0 International
dc.rights
http://creativecommons.org/licenses/by/4.0/
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info:eu-repo/semantics/openAccess
dc.source
Scientia
dc.subject
Articulacions - Malalties - Cirurgia
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Artroscòpia
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Avaluació de resultats (Assistència sanitària)
dc.subject
ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Surgical Procedures, Operative::Surgical Procedures, Operative::Orthopedic Procedures::Arthroscopy
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DISEASES::Musculoskeletal Diseases::Joint Diseases
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Other subheadings::Other subheadings::Other subheadings::/surgery
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ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Diagnosis::Prognosis::Treatment Outcome
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TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::intervenciones quirúrgicas::intervenciones quirúrgicas::procedimientos ortopédicos::artroscopia
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ENFERMEDADES::enfermedades musculoesqueléticas::artropatías
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Otros calificadores::Otros calificadores::Otros calificadores::/cirugía
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TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::diagnóstico::pronóstico::resultado del tratamiento
dc.title
Treatment of a post-traumatic stiff knee after an open extensor apparatus injury by arthroscopic arthrolysis through a free flap
dc.type
info:eu-repo/semantics/article
dc.type
info:eu-repo/semantics/publishedVersion


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