{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:22:45Z","timestamp":1787840565702,"version":"build-2784847793"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2017,1]]},"abstract":"\n Background:<\/jats:title>\n Posttraumatic and\/or postsurgical knee stiffness is one of the orthopedic complications which is difficult to be treated and can affect individual's life negatively. The aim of this study is to investigate the results of quadricepsplasty in patients with knee stiffness resulted from femoral fracture.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n This is a cross-sectional study on all patients with femoral fracture which has caused knee flexion limitation referred to Kashani and Al-Zahra Hospitals in Isfahan from January 2010 to March 2013. The type and site of fracture, joint extension, and fracture fixation technique were recorded. Moreover, the range of motion (ROM) before surgery, under general anesthesia, and 3- and 6-month postoperation were measured.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Among the patients, 13 had a simple fracture (48%) and 14 had a segmental fracture (51.9%). Considering the fracture site, 11, 10, and 6 patients had femoral (40.74%), supracondylar (37.3%), and femoral supracondylar (22.2%) fractures, respectively. The fracture fixation was performed by the plate, external, and Wagner fixation techniques for 24 (88.9%), 2 (7.4%), and 1 (3.7%) patients, respectively. The mean ROM before operation, under general anesthesia, and 3- and 6-month postoperation were determined to be 33.15\u00b0 \u00b1 24.73\u00b0, 122.60\u00b0 \u00b1 10.22\u00b0, 99.63\u00b0 \u00b1 16.52\u00b0, and 100.74\u00b0 \u00b1 15.67\u00b0, respectively. The mean ROM value at various stages was not similar (\n P<\/jats:italic>\n < 0.001). The mean changes in the ROM were 79.2\u00b0 \u00b1 24.6\u00b0 and 62.1\u00b0 \u00b1 19.7\u00b0 in the cases with simple and segmental fractures, respectively. The mean changes in the knee ROM were significantly higher in simple fractures in comparison with the segmental femoral fracture (\n P<\/jats:italic>\n = 0.03).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n We found Thompson's quadricepsplasty may successfully increase the range of knee flexion in knee fracture and also regardless of quadriceps time.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/1735-1995.205237","type":"journal-article","created":{"date-parts":[[2017,4,26]],"date-time":"2017-04-26T05:40:35Z","timestamp":1493185235000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":8,"title":["Evaluation of Thompson's quadricepsplasty results in patients with knee stiffness resulted from femoral fracture"],"prefix":"10.4103","volume":"22","author":[{"given":"Hamid","family":"Mousavi","sequence":"first","affiliation":[{"name":"Department of Orthopedics, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Behrouz","family":"Mir","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Safaei","sequence":"additional","affiliation":[{"name":"Isfahan Medical School Research Center, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2017,4,26]]},"reference":[{"key":"R1-20250827","doi-asserted-by":"crossref","first-page":"390","DOI":"10.4103\/0019-5413.37004","article-title":"Thompson's quadricepsplasty for stiff knee","volume":"41","author":"Kundu","year":"2007","journal-title":"Indian J Orthop"},{"key":"R2-20250827","first-page":"385","article-title":"Mastering Orthopedic Techniques: Knee Reconstruction","author":"Maheshwari","year":"2016","journal-title":"Post-traumatic Stiff Knee"},{"issue":"1 Suppl","key":"R3-20250827","doi-asserted-by":"crossref","first-page":"S179","DOI":"10.1016\/j.otsr.2014.06.026","article-title":"Post-traumatic knee stiffness: Surgical techniques","volume":"101","author":"Pujol","year":"2015","journal-title":"Orthop Traumatol Surg Res"},{"key":"R4-20250827","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1016\/S0020-1383(99)00249-1","article-title":"Treatment of isolated complex distal femoral fractures by external fixation","volume":"31","author":"Ali","year":"2000","journal-title":"Injury"},{"key":"R5-20250827","doi-asserted-by":"crossref","first-page":"591","DOI":"10.2106\/00004623-196749040-00001","article-title":"Supracondylar fracture of the adult femur. A study of one hundred and ten cases","volume":"49","author":"Neer","year":"1967","journal-title":"J Bone Joint Surg Am"},{"key":"R6-20250827","doi-asserted-by":"crossref","first-page":"1559","DOI":"10.2106\/00004623-197355080-00001","article-title":"Closed reduction and early cast-brace ambulation in the treatment of femoral fractures. I. An in vivo quantitative analysis of immobilization in skeletal traction and a cast-brace","volume":"55","author":"Connolly","year":"1973","journal-title":"J Bone Joint Surg Am"},{"key":"R7-20250827","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1097\/01.blo.0000093913.9b","article-title":"Judet's quadricepsplasty, surgical technique, and results in limb reconstruction","volume":"415","author":"Ali","year":"2003","journal-title":"Clin Orthop Relat Res"},{"key":"R8-20250827","first-page":"E77","article-title":"Judet quadricepsplasty in the treatment of posttraumatic knee rigidity: Long-term outcomes of 45 cases","volume":"72","author":"Oliveira","year":"2011","journal-title":"J Trauma"},{"key":"R9-20250827","doi-asserted-by":"crossref","first-page":"992","DOI":"10.1302\/0301-620X.82B7.0820992","article-title":"A modified Thompson quadricepsplasty for the stiff knee","volume":"82","author":"Hahn","year":"2000","journal-title":"J Bone Joint Surg Br"},{"key":"R10-20250827","doi-asserted-by":"crossref","first-page":"280","DOI":"10.1016\/j.knee.2006.02.013","article-title":"Modified Judet's quadricepsplasty for loss of knee flexion","volume":"13","author":"Alici","year":"2006","journal-title":"Knee"},{"key":"R11-20250827","doi-asserted-by":"crossref","first-page":"358","DOI":"10.1097\/01.ta.0000230281.31144.1d","article-title":"The judet quadricepsplasty: Long-term outcome of 21 cases","volume":"61","author":"Masse","year":"2006","journal-title":"J Trauma Acute Care Surg"}],"container-title":["Journal of Research in Medical Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/01222967-201722000-00050","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:25:09Z","timestamp":1787837109000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/01222967-201722000-00050"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,1]]},"references-count":11,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2017]]}},"URL":"https:\/\/doi.org\/10.4103\/1735-1995.205237","relation":{},"ISSN":["1735-1995","1735-7136"],"issn-type":[{"value":"1735-1995","type":"print"},{"value":"1735-7136","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,1]]},"assertion":[{"value":"2016-07-14","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-01-29","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}