The management of the stiff knee after total knee arthroplasty is controversial. Manipulation under anesthesia and open lysis of adhesions are techniques that can theoretically address the fibrous scar tissue, but their efficacy has been shown to be variable. We describe the technique of arthroscopic lysis of adhesions for the stiff knee after total knee arthroplasty. The advantages of this tec...

Ground reaction forces (GRF), joint positions, joint moments, and muscle powers in the lower extremity were compared between soft and stiff landings from a vertical fall of 59 cm. Soft and stiff landings had less than and greater than 90 degrees of knee flexion after floor contact. Ten trials of sagittal plane film and GRF data, sampled at 100 and 1000 Hz, were obtained from each of eight femal...

BACKGROUND AND PURPOSE Stiff-knee gait is defined as reduced knee flexion during the swing phase. It is accompanied by frontal plane compensatory movements (eg, circumduction and hip hiking) typically thought to result from reduced toe clearance. As such, we examined if knee flexion assistance before foot-off would reduce exaggerated frontal plane movements in people with stiff-knee gait after ...

background: distraction osteogenesis (ds) is currently an important technique for lengthening shortened bones of the hand and foot. authors report their experience in applying ds for various conditions of the hand and foot using a distractor that the senior author has designed. materials and methods: records of patients who underwent ds for hand and foot conditions in a private clinic were retr...

Simulation results suggest that the primary mechanism for improvement in knee flexion after surgery is reduction of the muscle’s knee extension moment, rather than conversion to a knee flexion moment. Scarred transfer simulations resulted in an average peak knee flexion improvement (14° ± 5°) comparable to the average increase in knee flexion range of motion (13° ± 11°) in the subjects’ postope...

BACKGROUND AND PURPOSE Walking is an essential activity for daily life and social participation, and it is frequently limited after stroke. A lack of knee flexion during the swing phase (stiff knee) is one of the impairments that restrict walking ability among patients with hemiparetic spasticity. Our purpose was to study the effect of Botulinum toxin type A (BoNT A) injections in several spast...