Percutaneous quadriceps recession: a technique for management of congenital hyperextension deformities of the knee in the neonate.

Percutaneous quadriceps recession was compared with open quadricepsplasty in the Finder's type 5 category of congenital hyperextension deformities. Six open quadricepsplasties and six percutaneous recessions were performed between the ages of 5 and 58 days. Follow-up averaged 2 years 3 months. All knees remained reduced and maintained an improved range of motion (ROM). Percutaneous recession avoids a long incision, requires less dissection and surgical time, and has a shorter healing time. When performed in the neonate, percutaneous recession eases management of the child and treatment of coexistent deformities.