Flexion contracture deformities, as well as severe varus and valgus deformities of the knee joint, accompany osteoarthritis or rheumatoid arthritis (RA). In particular, severe flexion contracture deformity of the knee joint is often found in patients with RA, which renders them nonambulatory. This report describes a 26-year-old female patient diagnosed with RA 10 years ago. She had chronic join...

Musculoskeletal disorders may be the primary manifestations of scleroderma. The case is reported of a patient admitted for an evaluation of severe knee flexion contractures who was diagnosed as having scleroderma but lacked the typical presenting features of the disease. Radiographic, serological, and histological support for this diagnosis are presented. Scleroderma should be considered in the...

Varying surgical techniques, patient groups and results have been described regards the surgical treatment of post traumatic flexion contracture of the elbow. We present our experience using the limited lateral approach on patients with carefully defined contracture types.Surgical release of post-traumatic flexion contracture of the elbow was performed in 23 patients via a limited lateral appro...

This paper describes the application of low level controlled torque to an elbow contracture through the use of an active orthosis. Over a period of twenty months the lack of elbow extension range was reduced from 105 degrees to 57 degrees. A description of the important orthotic design factors which led to significant functional improvement is provided.

Supracondylar femoral osteotomy was performed on 82 patients between 8 and 25 years of age to correct knee flexion contractures of 15 to 95 degrees resulting from poliomyelitis. Seven who could not walk before the osteotomy could do so afterwards and 21 out of22 patients were cured ofa hand-knee gait. Thirty-four of53 who walked with a caliper were able to discard it. Residual flexion contractu...

In some parts of the world poliomyelitis is still endemic and there are thousands of young people with joint contractures (Fig. 1). These most commonly occur at the knee, and the aim of treatment must be a straight knee with a useful range of painless flexion so that a hinged caliper can be worn. This paper reports experience in correcting flexion contractures of the knee following poliomyeliti...

Proximal interphalangeal (PIP) flexion contracture is a common complication following hand injuries and conditions. This study investigated the treatment outcome of 20 subjects with PIP flexion contracture who followed a dynamic splinting program using either a Capener or low-profile outrigger. The splint applied a 250-g force to the distal end of the middle phalanx. Each patient was instructed...

This study was conducted to compare the effects of three ankle-foot orthosis (AFO) designs on walking after stroke and determine whether an ankle plantar flexion contracture impacts response to the AFOs. A total of 30 individuals, ranging from 6-215 months post-stroke, were tested in four conditions: shoes only (SH), dorsi-assist/dorsi-stop AFO (DA-DS), plantar stop/free dorsiflexion AFO (PS), ...

A severe elbow flexion contracture following a supracondylar fracture in a 13-yearold- male was treated with conventional physical therapy and an adjustable dynamic splint, the elbow Dynasplint(R). The Dynasplint was applied primarily at night. The patient achieved complete resolution of his flexion contracture. The Dynasplint incorporates the principles of adjustable, low-intensity force for p...

uncontrolled recurrent hemarthrosis can end to contracture, deformity, pain, joint destruction and gait disorders which are disabling. we are going to report a challenge, a unilateral knee flexion contracture in a child with severe hemophilia a and inhibitor who underwent different treatment options with unsatisfactory improvement of knee range of motion. mismanaging postoperatively, patient an...