Severe Bilateral Fixed Flexion Deformity—Simultaneous or Staged Total Knee Arthroplasty?

2016 ◽  
Vol 31 (1) ◽  
pp. 128-131 ◽  
Author(s):  
Wu Chean Lee ◽  
Yu Heng Kwan ◽  
Seng Jin Yeo
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Flexion Deformity ◽  
Total Knee ◽  
Fixed Flexion Deformity

scholarly journals Risk factors for a post-operative neutrally aligned total knee arthroplasty in the sagittal plane developing fixed flexion deformity at 2 years follow up study

2019 ◽  
Vol 5 (2) ◽  
pp. 211 ◽  
Author(s):  
Amila Silva ◽  
Sharon Tan ◽  
Adriel Tay ◽  
Hee Nee Pang ◽  
Ngai Nung Lo ◽  
...  
Keyword(s):  
Risk Factors ◽  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Sagittal Plane ◽  
P Value ◽  
Flexion Deformity ◽  
Maximum Flexion ◽  
Total Knee ◽  
Independent Risk Factors ◽  
Fixed Flexion Deformity

<p class="abstract"><strong>Background:</strong> The incidence of fixed flexion deformity (FFD) following total knee arthroplasty (TKA) has been reported to be as high as 17%, increasing demand on the quadriceps and hindering mobility. The aim of this study is then to identify these predictors for the development of FFD.</p><p class="abstract"><strong>Methods:</strong> In this retrospective study, all patients who underwent primary TKA from January 2008 to June 2009 at a single institution were identified. All patients with neutral alignment in the sagittal place of the knee intra-operatively were identified and followed up. The knee motion was measured in both operated and contralateral knees and followed-up for a minimum of 24 months post-operatively.<strong></strong></p><p class="abstract"><strong>Results:</strong> Multivariate analysis demonstrated pre-operative FFD of the non-operated knee (p-value 0.03), pre-operative range of motion of the operated knee (p-value 0.01) and non-operated (p-value 0.01) knee and pre-operative maximum flexion of the operated knee (p-value 0.001) to be independent risk factors for development of FFD at 24 months.</p><p class="abstract"><strong>Conclusions:</strong> Independent risk factors for the development of post-operative FFD in TKA are pre-operative FFD of the operated knee, FFD of the non-operated knee and the maximum flexion of the operated knee. The relative risk of a male developing FFD is also as high as 1.34.</p>

Fixed flexion deformity following total knee arthroplasty. A prospective study of the natural history

The Knee ◽  
2012 ◽  
Vol 19 (5) ◽  
pp. 519-521 ◽  
Author(s):  
Conal Quah ◽  
Girish Swamy ◽  
James Lewis ◽  
John Kendrew ◽  
Nitin Badhe
Keyword(s):  
Total Knee Arthroplasty ◽  
Natural History ◽  
Prospective Study ◽  
Knee Arthroplasty ◽  
Flexion Deformity ◽  
Total Knee ◽  
A Prospective Study ◽  
Fixed Flexion Deformity

Total knee arthroplasty in patients with fixed flexion deformity

2013 ◽  
Vol 24 (6) ◽  
pp. 659-664 ◽  
Author(s):  
Jitesh Kumar Jain ◽  
Rajeev K. Sharma ◽  
Saurabh Agarwal
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Flexion Deformity ◽  
Total Knee ◽  
Fixed Flexion Deformity

scholarly journals IDENTIFICATION OF PREDISPOSING FACTORS FOR RECOVERY OF RANGE OF MOTION OF KNEE AFTER TOTAL KNEE ARTHROPLASTY

2019 ◽  
Vol 3 (6) ◽  
Author(s):  
Alok Sobhan Datta ◽  
Sandeep Velagada
Keyword(s):  
Total Knee Arthroplasty ◽  
Range Of Motion ◽  
Knee Arthroplasty ◽  
Standard Treatment ◽  
Keywords Total Knee Arthroplasty ◽  
Valgus Angle ◽  
Postoperative Flexion ◽  
Total Knee ◽  
A Prospective Study ◽  
Fixed Flexion Deformity

BACKGROUND: Knee joint arthroplasty is the standard treatment for severe dysfunction of the knee aiming to make the knee pain free as well as to stabilise it with an appropriate range of motion. Aims and objectives: To assess whether the postoperative functional recovery of range of motion of total knee arthroplasty depends on objective and subjective parameters. MATERIAL AND METHODS: A prospective study comprising of twenty six cases who underwent total knee arthroplasty had been carried out from November 2013 to October 2015, in the in the Orthopaedics Department of IPGMER and SSKM Hospital, Kolkata, West Bengal, India. RESULTS: The mean age group in our study is 35.3 years and 69.2% were females. Left side surgeries were more common (57.7%). Mean fixed flexion deformity decreased significantly from 10.8396 to 0.7692 postoperative 1 year. Mean preoperative extension lag was 2.3077 degrees and postoperative extension lag was 4.0385 degrees. CONCLUSIONS: Total knee arthroplasty is the standard treatment for severe destructive arthritis of the knee with an aim to provide stable, painless and mobile joint. Based on the findings of this study, preoperative arc of flexion, mediolateral laxity and preoperative tibiofemoral varus/valgus angle have a significant influence on the postoperative flexion, which means they are important factors for predicting the outcome range of motion of the knee after a total knee arthroplasty. Keywords: Total Knee Arthroplasty (TKA).

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