{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T07:45:34Z","timestamp":1792136734724,"version":"4.4.0"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjectives: This study aimed to assess the results of knee capsulotomy for correcting fixed knee flexion contracture in children with cerebral palsy (CP). \\r\\nMethods: Thirty-five children (20 boys, 15 girls; mean age 13.5\u00b12.5 years) with CP underwent posterior knee capsulotomy for 59 knees. Eleven patients had diplegia, one patient had hemiplegia, and 23 patients had quadriplegia. There were two community ambulators (3 knees), 19 household ambulators (33 knees), and 14 nonambulators (23 knees). Posterior knee capsulotomy was combined with hamstring lengthening (50 knees, 84.8%), rectus femoris transfer (10 knees, 17%), Achilles tendon lengthening (12 knees, 20.3%), and posterior cruciate ligament release (eight knees, 13.6%). The mean follow-up was 3.5\u00b11.7 years. \\r\\nResults: Fixed knee flexion contracture significantly improved from 26.5\u00b115.4 degrees to 17.0\u00b115.5 degrees after posterior knee capsulotomy (p&lt;0.0001). The mean improvement was 9.5 degrees. Popliteal angle significantly improved from 70.6\u00b118.7 degrees to 48.2\u00b119.9 degrees (p&lt;0.0001). Ankle dorsiflexion did not differ significantly. At the end of follow-up, 38 knees (64.4%) had improved knee flexion contracture and 21 knees (35.6%) had recurrent flexion contracture (failure). Age and male gender were significantly associated with failure rate (adjusted odds ratio 0.78, 95% CI: 0.62-0.99 and 12.1, 95% CI: 2.37-61.7, respectively). Complications included transient sciatic nerve palsy in seven knees (11.9%), and wound dehiscence in two knees (3.4%). Revision was required in two knees (3.4%), and posterolateral corner reconstruction in one knee (1.7%).\\r\\nConclusion: Posterior knee capsulotomy is another option for the treatment of knee contracture in CP, resulting in a significant decrease in knee contracture with acceptable complications. However, failure rate is higher in boys, patients who are marginal ambulators, and in younger age group.\n\n\n\u00d6zet\n\nAma\u00e7: Beyin fel\u00e7li (BF) \u00e7ocuklarda kal\u0131c\u0131 diz fleksiyon kontrakt\u00fcr\u00fcn\u00fcn d\u00fczeltilmesinde kaps\u00fclotominin sonu\u00e7lar\u0131 de\u011ferlendirildi. \\r\\n\u00c7al\u0131\u015fma plan\u0131: Beyin fel\u00e7li 35 \u00e7ocu\u011fun (20 erkek, 15 k\u0131z; ort. ya\u015f 13.5\u00b12.5) 59 dizine posterior diz kaps\u00fclotomisi uyguland\u0131. On bir hastada dipleji, bir hastada hemipleji, 23 hastada kuadripleji vard\u0131. Y\u00fcr\u00fcyebilme durumu a\u00e7\u0131s\u0131ndan, iki hasta d\u0131\u015farda (3 diz), 19 hasta (33 diz) ev i\u00e7i yard\u0131mc\u0131 ara\u00e7la y\u00fcr\u00fcyebiliyorken, 14 hastada (23 diz) y\u00fcr\u00fcme yoktu. Posterior diz kaps\u00fclotomisi ile birlikte uygulanan i\u015flemler \u015funlard\u0131: Hamstring uzatma (50 diz, %84.8), rektus femoris transferi (10 diz, %17), A\u015fil tendon uzatma (12 diz, %20.3) ve arka \u00e7apraz ba\u011f gev\u015fetme (8 diz, %13.6). Ortalama takip s\u00fcresi 3.5\u00b11.7 y\u0131ld\u0131. \\r\\nSonu\u00e7lar: Posterior diz kaps\u00fclotomisinden sonra kal\u0131c\u0131 diz fleksiyon kontrakt\u00fcr\u00fc 26.5\u00b115.4 dereceden 17.0\u00b115.5 dereceye geriledi (p&lt;0.0001). Ortalama d\u00fczelme 9.5 derece idi. Popliteal a\u00e7\u0131da da anlaml\u0131 d\u00fc\u015fme g\u00f6r\u00fcld\u00fc (70.6\u00b118.7 dereceden 48.2\u00b119.9 dereceye; p&lt;0.0001). Ayak bile\u011fi dorsifleksiyonu ise benzer kald\u0131. Takip d\u00f6nemi sonunda, 38 dizde (%64.4) diz fleksiyon kontrakt\u00fcr\u00fcnde iyile\u015fme g\u00f6r\u00fcl\u00fcrken, 21 dizde (%35.6) kontrakt\u00fcr n\u00fcks\u00fc geli\u015fti. Ya\u015f ve erkek cinsiyeti ba\u015far\u0131s\u0131zl\u0131k oran\u0131yla anlaml\u0131 derecede ili\u015fkili bulundu (ya\u015f i\u00e7in ayarlanm\u0131\u015f odds oran\u0131 0.78, %95 GA: 0.62-0.99; erkek cinsiyet i\u00e7in ayarlanm\u0131\u015f odds oran\u0131 12.1, %95 GA: 2.37-61.7). Komplikasyon olarak, yedi dizde (%11.9) ge\u00e7ici siyatik sinir felci, iki dizde (%3.4) yara a\u00e7\u0131lmas\u0131 g\u00f6r\u00fcld\u00fc. \u0130ki dizde (%3.4) revizyon, bir dizde (%1.7) de posterolateral k\u00f6\u015fe rekonstr\u00fcksiyonu yap\u0131lmas\u0131 gerekti.\\r\\n\u00c7\u0131kar\u0131mlar: Posterior diz kaps\u00fclotomisi BF\u2019de diz kontrakt\u00fcr\u00fcn\u00fcn bir ba\u015fka tedavi y\u00f6ntemidir ve kabul edilebilir komplikasyonlarla anlaml\u0131 derecede azalt\u0131labilir. Ancak, erkek \u00e7ocuklarda, marjinal y\u00fcr\u00fcmesi olanlarda ve daha k\u00fc\u00e7\u00fck ya\u015ftaki \u00e7ocuklarda ba\u015far\u0131s\u0131zl\u0131k oran\u0131 daha y\u00fcksektir.<\/jats:p>","DOI":"10.3944\/aott.2009.121","type":"journal-article","created":{"date-parts":[[2009,5,14]],"date-time":"2009-05-14T04:27:59Z","timestamp":1242275279000},"page":"121-127","source":"Crossref","is-referenced-by-count":20,"title":["Knee capsulotomy for fixed knee flexion contracture"],"prefix":"10.5152","volume":"43","author":[{"given":"Patarawan","family":"Woratanarat","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirk","family":"W. Dabney","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Freeman","family":"Miller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,8]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2253\/2210","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:00:29Z","timestamp":1763463629000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2253"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,8]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2009,1,2]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2009.121","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,8]]}}}