Introduction: Knee stiffness, particularly extension deficit, is a debilitating complication following femoral trauma or knee surgery. When conservative measures fail, surgical intervention via quadricepsplasty is required. The Judet-V-Y quadricepsplasty is a well-established but technically demanding procedure. This study aims to evaluate the functional outcomes and complications of this technique in a series of 10 patients.

Methods: A retrospective analysis was conducted on 10 consecutive patients (8 male, 2 females; mean age 42.3 years) who underwent V-Y quadricepsplasty for refractory knee stiffness between [Date] and [Date]. The primary outcome measure was the change in active knee range of motion (ROM). Secondary outcomes included functional scores (Lysholm Knee Score) and documentation of complications.

Results: The mean pre-operative active knee extension deficit was 42.5° (range: 30°-55°), and mean flexion was 65.5° (range: 45°-80°). At a mean follow-up of 14 months, the mean post-operative extension deficit improved to 5.2° (near full extension), and mean flexion improved to 115.5°. The mean gain in total arc of motion was 93.3°. The mean Lysholm score improved from 32.4 (poor) pre-operatively to 78.6 (good) post-operatively. One patient experienced a post-operative wound infection that resolved with antibiotics, and two patients reported subjective quadriceps weakness.