Fixed Flexion Deformity Knee
By: Dr Thirukumaran
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Pre
Op
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17 year old Indian girl Presenting with fixed flexion deformity of her right knee
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Pre
Op
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PAST HISTORY
bilateral patella Alta, with stiff knees, and a range of 30 degrees
1989 - Lt Quadriceps plasty was done, with good out come,knee range improved to 90 degrees
1991 - Rt Quadriceps plasty was done, with disaster, infection |
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Pre
Op
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—septic arthritis---
multiple debriment, skin loss,
Tissue loss,patelectomy.
wound healed by secondary intention.
Ankylosis,set in.
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Pre
Op
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PROBLEM
1. Fixed flexion deformity.
2. Poor skin, with scar tissue directly adherent
on to lower 2/3 of femur with no quadriceps
muscles.
3. Unsightly gait.
4. Shortening femur > tibia |
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Post
Op
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Opening wedge osteotomy through CORA hinge at the concave cortex
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Post
Op
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Correction obtained
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Post
Op
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Xrays : 2nd stage tibia lengthening
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Post
Op2
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Distraction of corticotomy
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Post
Op2
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Healing of regenerate
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Progress
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Knee flexion corrected with tibia frame applied
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