EC Orthopaedics

Introduction: Quadriceps contracture is a physical and social disability in children, and is often the result of a history of intramuscular injections of the quadriceps muscle. The aim of this study was to evaluate the treatment outcomes of quadriceps fibroma treated with quadriceps myoplasty and muscle restoration using the iliotibial band (ITB) transfer method.

Materials and Methods: This is a retrospective descriptive study spanning 19 years from January 2000 to August 2018, including 146 children (185 knees). Patients were divided into two groups, from January 2000 to November 2009, in Group 1, including 70 patients (89 knees) performed with the Pary technique; and from December 2009 to December 2018, in Group 2, including 76 patients (96 knees) performed with the Pary technique and iliotibial band transfer. Final results were assessed according to the Judet criteria.

Results: The mean age at the time of surgery was 42 months (range: 22 to 162 months). The mean age at the last follow-up was 21 years, 2 months. The mean follow-up age was 18.4 years. At the last follow-up, the Extension Lag improved from 38° to 19° in Group 1 and from 36° to 9° in Group 2. At the last follow-up, the mean Extension Lag was 19° in Group 1; and Mean extension delay was 9° in Group 2. Preoperative flexion range ranged from 5° to 31° with a mean range of 23.5°. Improvement in flexion range from 5˚ to 140° with a mean increase of 98°. At final follow-up, mean active flexion was 123.5° (78° to 140°). Mean final range of motion increase was 96.8° (25° to 135°). Acceptable outcomes were 76 (85.4%) in Group 1; 96 (100%) in Group 2; 171 (92.4%) in all patients. Acceptable outcomes in G1 were similar to G2 (Pvalue: O.105455); and G 2 with Excellent beter G 1 (Pvalue: O.019132).

Conclusion: Quadriceps contracture is a condition of quadriceps contracture due to various causes. Transfer of the iliotibial ligament to the quadriceps muscle after quadriceps surgery with good postoperative results.

 Keywords: Fibrotic Contracture; Plastic Surgery; Children; Quadriceps Contracture; Iliotibial Ligament Transfer

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