Intraoperative manipulation for flexion contracture during total knee arthroplasty

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Early and late manipulation improve flexion after total knee arthroplasty.

Manipulations have been considered effective only in the early postoperative period. From a total joint registry containing 9640 primary total knee arthroplasties (TKAs), 195 patients who underwent manipulation under anesthesia (MUA) were identified. A total of 102 had MUA within 90 days (early), and 93 more than 90 days (late) after TKA. Average pain (10-point scale), satisfaction (10-point sc...

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Dynamic splinting for knee flexion contracture following total knee arthroplasty: a case report

Total Knee Arthroplasty operations are increasing in frequency, and knee flexion contracture is a common pathology, both pre-existing and post-operative. A 61-year-old male presented with knee flexion contracture following a total knee arthroplasty. Physical therapy alone did not fully reduce the contracture and dynamic splinting was then prescribed for daily low-load, prolonged-duration stretc...

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Knee flexion after total knee arthroplasty.

PURPOSE To identify factors related to knee flexion after total knee arthroplasty in a Chinese population. METHODS Records of 242 total knee arthroplasties were retrospectively reviewed. The parameters evaluated were age, gender, diagnosis, preoperative knee flexion and extension, preoperative flexion arc, tibiofemoral angle, Knee Society knee score and functional score, and implant design. ...

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Surgical Release of Severe Flexion Contracture for Oncologic Knee Arthroplasty

BACKGROUND Severe postoperative knee contractures after arthroplasty or megaprosthesis reconstruction occur rarely, but are devastating complications. Management of preoperative flexion contractures is well-described, but there is a paucity of literature for surgical treatment of postoperative contractures. A retrospective chart review was performed for a single surgeon of cases between 1996 an...

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The Flexion Contracture Of The Knee Correlates With Posterior Offset Ratio After Total Knee Arthroplasty

Introduction: Improving the postoperative knee motion in total knee arthroplasty (TKA) has become a major goal for orthopaedic surgeons and joint prosthesis. The effect of the implant posterior condylar offset has recently generated much enthusiasm among researchers. [1] Some reports were concerned about the relationship between the posterior condylar offset and an extension gap. However, the p...

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ژورنال

عنوان ژورنال: Journal of Orthopaedic Surgery

سال: 2019

ISSN: 2309-4990,2309-4990

DOI: 10.1177/2309499019825574