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A function-limiting knee extension contracture following an intra-articular femur fracture was treated with traditional conservative and surgical intervention without satisfactory results. A new treatment program was planned which included a combination of heat, ice, prolonged passive stretch, and exercise. The patient regained functional knee flexion and was able to return to preinjury athletic activities. The treatment protocol described offers a time consuming, but effective approach to treating knee extension contractures resistant to surgical and traditional conservative management. J Orthop Sports Phys Ther 1986;7(4):159-162.

Case Study: A Treatment Approach for a Resistant Knee Extension Contracture