We retrospectively reviewed the results of joint distraction and reconstruction in @entity1159 in 6 @entity1 with 9 knees. The circular Ilizarov fixator was used in all cases. Extensor mechanism alignment with frame in situ was performed in 4 cases and alignment of mechanical axis of the lower limb was done in 2. All @entity1 had a mean total arc of movement of 79 degrees before operation; however, this was nonfunctional because of the degree of @entity1159 . Three of the 6 @entity1 were nonambulant before surgery. After joint distraction and reconstruction, mean total arc of movement remained unchanged, but this was more functional with improvement in the mobility status. At an average follow-up of 53 months, the mean @entity1159 was 100 degrees (range, 0-70 degrees), with further flexion possible up to 90 degrees (range, 60-120 degrees). Four @entity1 had no recurrence. All 6 @entity1 were ambulant with or without orthosis. Rebound phenomenon with loss of achieved correction was observed in 2 @entity1 . Four @entity1 were quite satisfied with results of surgery. Realignment of the extensor mechanism and mechanical axis is an important part that needs to be addressed in flexion contractures of the knee. Proper preoperative planning and staged procedures reduce the risk of recurrence. A treatment protocol is proposed to help in planning and further management.

Joint distraction and reconstruction in XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity1159 :: ('MESH:D003286', 'Disease') :: ['complex knee contractures', 'flexion contracture']
@entity1159 :: (MESH:D003286,Disease) :: ['complex knee contractures']
