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Diagnosed As Tibial Spine Injury In Knee, Pus Discharge. Have Screwed Fixed. Is Flexion Possible?
good mg,
i met with an accident and diagnoised as tibial spine injury on the right knee in the year 2003. For that ACL had done with screw fixed inside. Puss had come from the place where the surgery were undergone. Again switches were removed and cleaned the place after 2 days interval. After one months of removal of plaster of paris i tried to flex with the help of physiotherapist but the excercise was in vain. Later i approached to the senior ortho where i calcaneal traction was done , was advised to wait to control the infection and the screw inside the knee had removed with the x-y quadriceps procedure. even after the surgery, no flexion was possible with severe work-ups. again i visited he told that flexion is not possibe since the ligaments and things around knee are severely damaged and the knee is very stiff- must go for ilazarav ring fixation to fix the knee joints. i did so...my knee is not flexed a little now.... With regard to this, my question is there any way to make my knee flexed, if no is there any future advancement to make the knee flexed..? Moreover the diameter of thigh part is getting somehow thin
i met with an accident and diagnoised as tibial spine injury on the right knee in the year 2003. For that ACL had done with screw fixed inside. Puss had come from the place where the surgery were undergone. Again switches were removed and cleaned the place after 2 days interval. After one months of removal of plaster of paris i tried to flex with the help of physiotherapist but the excercise was in vain. Later i approached to the senior ortho where i calcaneal traction was done , was advised to wait to control the infection and the screw inside the knee had removed with the x-y quadriceps procedure. even after the surgery, no flexion was possible with severe work-ups. again i visited he told that flexion is not possibe since the ligaments and things around knee are severely damaged and the knee is very stiff- must go for ilazarav ring fixation to fix the knee joints. i did so...my knee is not flexed a little now.... With regard to this, my question is there any way to make my knee flexed, if no is there any future advancement to make the knee flexed..? Moreover the diameter of thigh part is getting somehow thin
Tue, 23 Jul 2013
Hi, thanks for writing to HCM.
The causes for knee stiffness could be INTR AARTICULAR (within the joint) or EXTRA ARTICULAR (outside the joint) leading to limitation in flexion.
In your case, INFECTION perse might have caused intraarticular adhesions leading to loss of flexion. Also there might have developed adhesions between the distal femur (thigh bone) and the quadriceps muscle (thigh muscle).
As you failed to regain flexion with physiotherapy and other modes of management, I personally feel that the only way of getting some flexion in the knee is by undergoing TOTAL KNEE REPLACEMENT. You can expect knee flexion upto 90 degrees in your case. This has to be done by an expert arthroplasty surgeon as dealing with a stiff knee is very difficult.
The decrease in diameter of your thigh is due to atrophy of quadriceps muscle which could be secondary to infection in the joint or disuse atrophy.
Hope this information is helpful. Good day
The causes for knee stiffness could be INTR AARTICULAR (within the joint) or EXTRA ARTICULAR (outside the joint) leading to limitation in flexion.
In your case, INFECTION perse might have caused intraarticular adhesions leading to loss of flexion. Also there might have developed adhesions between the distal femur (thigh bone) and the quadriceps muscle (thigh muscle).
As you failed to regain flexion with physiotherapy and other modes of management, I personally feel that the only way of getting some flexion in the knee is by undergoing TOTAL KNEE REPLACEMENT. You can expect knee flexion upto 90 degrees in your case. This has to be done by an expert arthroplasty surgeon as dealing with a stiff knee is very difficult.
The decrease in diameter of your thigh is due to atrophy of quadriceps muscle which could be secondary to infection in the joint or disuse atrophy.
Hope this information is helpful. Good day
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