scholarly journals Management of Flexion Contracture in Total Knee Arthroplasty

2020 ◽  
Author(s):  
Kavin Khatri ◽  
Deepak Bansal ◽  
Karan Rajpal
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Flexion Contracture ◽  
Total Knee

scholarly journals Intraoperative manipulation for flexion contracture during total knee arthroplasty

2019 ◽  
Vol 27 (1) ◽  
pp. 230949901982557
Author(s):  
Yoshio Matsui ◽  
Masanori Matsuura ◽  
Yukihide Minoda ◽  
Sigeru Nakagawa ◽  
Yoshiaki Okajima ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Flexion Contracture ◽  
Total Knee

scholarly journals Evaluation of Clinical Factors of Flexion Contracture in Total Knee Arthroplasty

2010 ◽  
Vol 59 (1) ◽  
pp. 183-186
Author(s):  
Go Takayama ◽  
Toshihiro Ohdera ◽  
Masami Tokunaga ◽  
Eiji Yoshimoto ◽  
Shusaku Matsuda ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Flexion Contracture ◽  
Clinical Factors ◽  
Total Knee

The Natural History of Flexion Contracture in Total Knee Arthroplasty

1989 ◽  
Vol &NA; (248) ◽  
pp. 129???134 ◽  
Author(s):  
MICHAEL TANZER ◽  
JO MILLER
Keyword(s):  
Total Knee Arthroplasty ◽  
Natural History ◽  
Knee Arthroplasty ◽  
Flexion Contracture ◽  
History Of ◽  
Total Knee

Surgical Procedure for Flexion Contracture and Recurvatum in Total Knee Arthroplasty

2002 ◽  
Vol 404 ◽  
pp. 189-195 ◽  
Author(s):  
Leo A. Whiteside ◽  
William M. Mihalko
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Surgical Procedure ◽  
Flexion Contracture ◽  
Total Knee

Decreasing Posterior Femoral Condyle Offset Improves Intraoperative Correction of Flexion Contracture in Total Knee Arthroplasty

2020 ◽  
Author(s):  
Murilo Anderson Leie ◽  
Antonio Klasan ◽  
Wei Wang Yeo ◽  
Dylan Misso ◽  
Myles Coolican
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Femoral Condyle ◽  
Knee Extension ◽  
Flexion Contracture ◽  
Level Of Evidence ◽  
Full Extension ◽  
Time Of Surgery ◽  
Posterior Femoral Condyle ◽  
Total Knee

AbstractMultiple intraoperative strategies are described to achieve full extension in total knee arthroplasty, but only a few studies have assessed the effect of the flexion gap on intraoperative improvement in flexion contracture. The aim of this study was to determine whether posterior condylar offset, in isolation, independently affects extension at the time of total knee arthroplasty.Two hundred and seventy-eight patients who underwent total knee arthroplasty for knee osteoarthritis and flexion contracture ≥ 5 degrees between January 2008 and July 2018 were included in this study. Patients with other factors that could affect knee extension at the time of surgery were excluded. We recorded the thickness of posterior femoral condyle bone resected as well as the thickness of the posterior femoral component chosen for each patient. Patients' knee extension was recorded under anesthetic, prior to resection and intraoperatively after total knee replacement.Average thickness of bone resection for the posteromedial femur was 12.64  ± 1.65 mm and for the posterolateral femur was 10.38  ± 1.52 mm. Using a linear regression model, we found that changes in posterior offset and implant downsizing influenced correction of fixed flexion deformity at the time of surgery. When patients had a combined posteromedial and posterolateral offset 2 mm thinner than the thickness of bone resected, there was an average correction of 3.5 degrees of flexion contracture.Our study demonstrated that posterior femoral condyle offset is an independent variable affecting correction of flexion contracture at the time of surgery in a gap balanced cruciate-retaining total knee arthroplasty. Level of evidence Level IV evidence

Intraoperative Manipulation for Flexion Contracture During Total Knee Arthroplasty

Orthopedics ◽  
2016 ◽  
Vol 39 (6) ◽  
pp. e1070-e1074 ◽  
Author(s):  
Yoshio Matsui ◽  
Yukihide Minoda ◽  
Inori Fumiaki ◽  
Sigeru Nakagawa ◽  
Yoshiaki Okajima ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Flexion Contracture ◽  
Total Knee

scholarly journals Result of posteromedial capsule and superficial medial collateral ligament release on gap and alignment in total knee arthroplasty in varusknee deformity by computer assisted surgery measurement: a retrospective stud

2020 ◽  
Vol 8 (5_suppl5) ◽  
pp. 2325967120S0006
Author(s):  
Pruk Chaiyakit ◽  
Ittiwat Onklin ◽  
Weeranate Ampunpong
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Knee Prosthesis ◽  
Computer Assisted Surgery ◽  
Varus Deformity ◽  
Flexion Contracture ◽  
Computer Assisted ◽  
Total Knee ◽  
The Mean ◽  
Lateral Gaps

Soft tissue release and gap balancing in total knee arthroplasty (TKA) are important issue and lack of conclusive result. We performed posteromedial capsule (PMC) and superficial medial collateral ligament (sMCL) release by preservation of anterior attachment of pes anserine. Gaps and alignment were recorded by computer assisted surgery measurement. Results: T: The mean correction of varus deformity after PMC release and sMCL release were 4.88 ± 2.82° and 3.39 ± 1.7 respectively with the mean FC after PMC and sMCL release correction of 5.57 ± 3.5 and 1.34 ± 2.9° respectively. The mean medial gap changes on full extension after PMC and sMCL release was 1.83 ± 1.39 and 1.67 ± 1.04 mm. respectively with the mean medial gaps at 90 degree flexion after PMC and sMCL release changes of 0.73 ± 0.9 and 5.14 ± 2.11 mm. respectively. The mean lateral gap changes on extension after PMC and sMCL release were -1.3 ± 1.83 and -1.1 ± 1.6 mm. respectively with the mean lateral gaps at 90 degree flexion after PMC and sMCL release changes of -0.19 ± 1.03 and 0.06 ± 1.75 mm. here were 21 patients (16 female and 5 male) with mean age of 68 (48-78) years. The mean body mass index was 28.49 (20.70 – 39.95) kg/m2. The mean preoperative hip-knee-ankle angle was varus 8.12 (3.5-16.0) degrees with mean flexion contracture of 11.3 (3.5-16.0) degrees. Sixteen knees were implanted with Fixed bearing knee prosthesis and five knees were implanted with Mobile bearing knee prosthesis (Table.1). We performed PMC release in all patients, and combined PMC and sMCL release in fourteen patients. The mean correction of varus deformity after PM release and sMCL release were 4.88 ± 2.82 and 3.39 ± 1.7 degrees respectively. While the mean correction of flexion contracture after PMC release and sMCL release were 5.57 ± 3.5 and 1.34 ± 2.9 degrees respectively (Fig.8). The mean medial gaps change on extension after PMC and sMCL release were 1.83 ± 1.39 and 1.67 ± 1.04 mm. respectively. The mean medial gaps change at 90 degree flexion after PMC and sMCL release were 0.73 ± 0.9 and 5.14 ± 2.11 mm. respectively (Fig.9). The mean lateral gaps change on extension after PMC and sMCL release were 1.3 ± 1.83 and -1.1 ± 1.6 mm. respectively. The mean lateral gaps change at 90 degree flexion after PMC and sMCL release were -0.19 ± 1.03 and 0.06 ± 1.75 mm. (Fig.9). There is no instability of knee after PMC and sMCL release. Materials and Methods: Twenty one patient had been operated on. TKA with computer assisted surgery was performed using PMC and sMCL release by preservation of anterior attachment of pes anserine. Alignment, medial and lateral gaps were measured by computer assisted surgery. The mean age was 68 (48-78) years with the mean preoperative hip-kneeankle angle of 8.12 (3.5-16.0) degrees and the mean flexion contracture (FC) of 11.3 (3.516.0) degrees. Conclusion: We believe that sMCL release with preservation of anterior attachment of pes anserinus in total knee arthroplasty has additional effect on varus knee correction after PMC release without creation of knee instability.

Management of Flexion Contracture in Total Knee Arthroplasty

2007 ◽  
Vol 22 (4) ◽  
pp. 20-24 ◽  
Author(s):  
Giles R. Scuderi ◽  
Tony Kochhar
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Flexion Contracture ◽  
Total Knee

Flexion Contracture in Total Knee Arthroplasty

2006 ◽  
Vol 452 ◽  
pp. 78-82 ◽  
Author(s):  
Johan Bellemans ◽  
Hilde Vandenneucker ◽  
Jan Victor ◽  
Johan Vanlauwe
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Flexion Contracture ◽  
Total Knee
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