Fixed Flexion Deformity Knee
By: Dr Thirukumaran
Fixed knee deformity in a 17 years old malaysian female
Pre
Op
17 year old Indian girl Presenting with fixed flexion deformity of her right knee
Pre
Op
PAST HISTORY
bilateral patella Alta, with stiff knees, and a range of 30 degrees
1989 - Lt Quadriceps plasty was done, with good out come,knee range improved to 90 degrees
1991 - Rt Quadriceps plasty was done, with disaster, infection
Pre
Op
—septic arthritis---
multiple debriment, skin loss, Tissue loss,patelectomy.
wound healed by secondary intention.
Ankylosis,set in.
Pre
Op
Pre
Op
Pre
Op
PROBLEM
1. Fixed flexion deformity.
2. Poor skin, with scar tissue directly adherent
    on to lower 2/3 of femur with no quadriceps
    muscles.
3. Unsightly gait.
4. Shortening femur > tibia
Post
Op
Opening wedge osteotomy through CORA hinge at the concave cortex
Post
Op
Correction obtained
Post
Op
Post
Op
Xrays : 2nd stage tibia lengthening
<
Post
Op2
Distraction of corticotomy
Post
Op2
Healing of regenerate
Progress
Knee flexion corrected with tibia frame applied