Modified Judet Quadricepsplasty in Patients with Post-Traumatic Knee Stiffness Safety and Efficacy

Background: One difficult side effect of complicated knee fractures is knee stiffness. Clinical outcomes and complication rates continue to be possible disadvantages despite the description of numerous treatment approaches in recent decades. Objectives: The purpose of this study was to evaluate the clinical results and side effects of modified Judet quadricepsplasty after knee stiffness brought on by intricate knee fractures. Methods: The cross-sectional Observational study was conducted in the Department of Orthopedics, National Institute of Traumatology and Orthopedic Rehabilitation (NITOR) from June 2020 to May 2023. A total of 60 patients presenting post-traumatic knee stiffness underwent modified Judet quadricepsplasty were included in the study. All procedures were performed by the same surgical team, and all patients followed the same postoperative pain control and rehabilitation protocols. Data were collected over a period of 36 months and analyzed by appropriate computer based programmed software Statistical Package for the Social Sciences (SPSS), version 24. Results: In this study, most of the patients 23 (38.3%) lies between 30 years to 34 years. Mean ± SD of the patients was 32.2 ± 7.3 ± 7.3 years. Most of the patients 52 (86.70%) were male and 8 (13.30%) were female. Most of the patients 22 (36.7%) experienced Extra-articular distal femur fracture + tibial plateau fracture, 13 (21.7%) patients had Tibial plateau fracture, 12 (20.0%) patients had Extra-articular distal femur fracture + patella fracture and 9 (15.0%) patients had Intra-articular distal femur fracture. Average of preoperative flexion was 34° (23–50°). Average of intraoperative flexion was 122.4° (118–135°). Average of final flexion after rehabilitation was 97.9° (75–120°). Average of flexion loss from the intraoperative to final evaluation was 25.8°. Average of flexion achieved using the modified Judet technique in this case series was 61.8°. Average time from injury was 22.2 months, Preop