{'fraction_non_alphanumeric': 0.027332704995287466, 'fraction_numerical': 0.01885014137606032, 'mean_word_length': 4.867403314917127, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
Management of severe knee extension stiffness in children : particularity in sub-Saharan Africa

Introduction: Knee extension stiffness due to fibrous retraction of the quadriceps is a relatively uncommon condition in children but not so rare in developing countries. It is the result of iatrogenic intra-muscular injection. It is responsible for major functional prejudices in the child Patients and methods: A retrospective study was carried out over a period of 4 years. Twenty children were treated surgically for knee extension stiffness. In 100% of cases it was a severe retraction of the knee. The quadriceps-plasty described by Judet was used in 16 cases and a V-Y quadriceps-plasty in 4 cases. Immediate post-operative physiotherapy was performed every 6 hours with positioning in splint (with every 6-hour alternation between extension and 100°-flexion splint). Results: The average knee flexion degree was 5° in preoperative period and improved to 103° after the surgery. The final result was considered excellent in 30% and good in 70% of the cases.