Factors affecting the incidence and management of fixed flexion deformity in total knee arthroplasty: A systematic review

The Knee ◽  
2018 ◽  
Vol 25 (3) ◽  
pp. 352-359 ◽  
Author(s):  
Vincent V.G. An ◽  
Corey J. Scholes ◽  
Brett A. Fritsch
2019 ◽  
Vol 34 (9) ◽  
pp. 2124-2165.e1 ◽  
Author(s):  
Ajay Shah ◽  
Muzammil Memon ◽  
Jeffrey Kay ◽  
Thomas J. Wood ◽  
Daniel M. Tushinski ◽  
...  

Author(s):  
Amila Silva ◽  
Sharon Tan ◽  
Adriel Tay ◽  
Hee Nee Pang ◽  
Ngai Nung Lo ◽  
...  

<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>


The Knee ◽  
2012 ◽  
Vol 19 (5) ◽  
pp. 519-521 ◽  
Author(s):  
Conal Quah ◽  
Girish Swamy ◽  
James Lewis ◽  
John Kendrew ◽  
Nitin Badhe

2013 ◽  
Vol 24 (6) ◽  
pp. 659-664 ◽  
Author(s):  
Jitesh Kumar Jain ◽  
Rajeev K. Sharma ◽  
Saurabh Agarwal

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