Evolution of the quadriceps snip

Kevin Lloyd Garvin, G. Scuderi, J. N. Insall

Research output: Contribution to journalArticle

116 Citations (Scopus)

Abstract

Between May 1990 and December 1992, the quadriceps snip was used to assist in the surgical exposure of the knee in 16 patients (4 women and 12 men) who underwent knee surgery at the average age of 65 years (range, 50-73 years). The original diagnoses included osteoarthritis (12 patients), traumatic arthritis (2 patients), rheumatoid arthritis (1 patient), and psoriatic arthritis (1 patient). The surgical exposure was done in the treatment of aseptic loosening of a total knee prosthesis in 8 patients, septic loosening in 2 patients, and primary knee arthroplasty in 6 patients with fibrous ankylosis. Using the Hospital for Special Surgery Scoring System, the authors rated the knees of 10 patients as excellent and those of 6 patients as good at postoperative evaluation. The range of motion was improved in all knees by an average of 30°. Cybex testing revealed significant weakness of the knee in extension when compared with the contralateral normal side at test speeds of 60° and 180° per second but no difference compared with the opposite knee that had been replaced. In the authors' experience, the surgical technique of a quadriceps snip has been safe and simple, has not required special equipment, and postoperatively the patient's physical therapy has not had to he altered. Clinically, the quadriceps strength was very good, although weaker than that of a contralateral normal leg when measured by Cybex testing.

Original languageEnglish (US)
Pages (from-to)131-137
Number of pages7
JournalClinical Orthopaedics and Related Research
Issue number321
StatePublished - Jan 1 1995

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Knee
Special Hospital
Knee Prosthesis
Ankylosis
Knee Replacement Arthroplasties
Psoriatic Arthritis
Articular Range of Motion
Osteoarthritis
Arthritis
Rheumatoid Arthritis
Leg
Equipment and Supplies
Therapeutics

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Garvin, K. L., Scuderi, G., & Insall, J. N. (1995). Evolution of the quadriceps snip. Clinical Orthopaedics and Related Research, (321), 131-137.

Evolution of the quadriceps snip. / Garvin, Kevin Lloyd; Scuderi, G.; Insall, J. N.

In: Clinical Orthopaedics and Related Research, No. 321, 01.01.1995, p. 131-137.

Research output: Contribution to journalArticle

Garvin, KL, Scuderi, G & Insall, JN 1995, 'Evolution of the quadriceps snip', Clinical Orthopaedics and Related Research, no. 321, pp. 131-137.
Garvin, Kevin Lloyd ; Scuderi, G. ; Insall, J. N. / Evolution of the quadriceps snip. In: Clinical Orthopaedics and Related Research. 1995 ; No. 321. pp. 131-137.
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