Ignite Creation Date:
2024-05-06 @ 8:06 PM
Last Modification Date:
2024-10-26 @ 3:20 PM
Study NCT ID:
NCT06251765
Status:
COMPLETED
Last Update Posted:
2024-05-29
First Post:
2024-02-01
Brief Title:
Clinical Results After Judet Quadricepsplasty for Post-traumatic Knee Stiffness
Sponsor:
Istituto Ortopedico Rizzoli
Organization:
Istituto Ortopedico Rizzoli
Study Overview
Official Title:
Clinical Results After Judet Quadricepsplasty for Post-traumatic Knee Stiffness a Retrospective and Prospective Observational Study
Status:
COMPLETED
Status Verified Date:
2024-10
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The Post-traumatic Extension Contracture of the Knee PECK is a common complication following knee traumas It is characterized by a restricted Range of Motion ROM pain and discomfort in the affected knee
Various factors can cause PECK primarily inflammation and scar tissue formation The underlying inflammatory state leads to the development of scar tissue which - when combined with immobilization - results in the progressive stiffness of the knee Additionally prolonged immobilization leads to muscle atrophy and consequently reduced mobility and increased rigidity
All these conditions contribute to a limited ROM making it challenging to perform various daily activities
Sometimes conservative treatments can be effective but surgery is often necessary to restore joint functionality and alleviate pain
Historically various surgical approaches have been proposed to address post-traumatic knee stiffness
Open surgery is typically reserved for cases where arthroscopic adhesion release and manipulation under anesthesia have not been successful Over the last century various open surgical techniques have been proposed
In particular arthromyolysis according to Judet was first described in the 1950s by the French orthopedic surgeon Jacques Judet This technique involves a series of incisions and soft tissue releases allowing the surgeon to resolve the stiffness of the quadriceps tendon caused by trauma or prolonged immobilization
Although effective in restoring knee joint functionality arthromyolysis according to Judet is not without risks and potential complications These include infection massive bleeding nerve and muscle-tendon injuries and residual stiffness
The purpose of this study is to analyze our case series related to arthromyolysis according to Judet for PECK Clinical outcomes complications and patient satisfaction following this type of intervention will be evaluated
Various factors can cause PECK primarily inflammation and scar tissue formation The underlying inflammatory state leads to the development of scar tissue which - when combined with immobilization - results in the progressive stiffness of the knee Additionally prolonged immobilization leads to muscle atrophy and consequently reduced mobility and increased rigidity
All these conditions contribute to a limited ROM making it challenging to perform various daily activities
Sometimes conservative treatments can be effective but surgery is often necessary to restore joint functionality and alleviate pain
Historically various surgical approaches have been proposed to address post-traumatic knee stiffness
Open surgery is typically reserved for cases where arthroscopic adhesion release and manipulation under anesthesia have not been successful Over the last century various open surgical techniques have been proposed
In particular arthromyolysis according to Judet was first described in the 1950s by the French orthopedic surgeon Jacques Judet This technique involves a series of incisions and soft tissue releases allowing the surgeon to resolve the stiffness of the quadriceps tendon caused by trauma or prolonged immobilization
Although effective in restoring knee joint functionality arthromyolysis according to Judet is not without risks and potential complications These include infection massive bleeding nerve and muscle-tendon injuries and residual stiffness
The purpose of this study is to analyze our case series related to arthromyolysis according to Judet for PECK Clinical outcomes complications and patient satisfaction following this type of intervention will be evaluated
Detailed Description:
None
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None