+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Surgical treatment of flexion contractures after total knee arthroplasty

, : Surgical treatment of flexion contractures after total knee arthroplasty. Journal of Arthroplasty 22(6 Suppl 2): 62-66

The goal of knee arthroplasty is to relieve pain and normalize range of motion while providing stability through the gait cycle. Postoperative, significant (>15 degrees ) flexion contractures can cause persistent pain and altered gait mechanics. This study evaluated the efficacy of revision surgery for painful flexion contractures. Of the 14 patients included in the study, 10 had complete resolution of their flexion contracture. There was significant improvement in extension (P < .0001), flexion (P = .002), and total arc of motion (P < .0001). Knee Society (KSS) pain scores improved significantly (P < .001), whereas KSS function scores did not significantly improve (P = .66). Revision surgery for symptomatic flexion contractures can improve range of motion and diminish pain. The best form of treatment is avoidance through careful flexion and extension gap balancing during primary surgery.


PMID: 17823018

DOI: 10.1016/j.arth.2007.03.037

Other references

Dworkin, S.F., 2014: The OPPERA study: act two. Journal of Pain 14(12 Suppl): T1-T1

Klik Andreas A.; Zartl A.; Michael A.; Abel A.; Luckner L., 1998: Water erosion in an abandoned brown-coal mine at Cospuden, Germany. Journal of Soil and Water Conservation: , Pages 166. 1998.

Armstrong-Ziegler, J.G., 1978: An aniliid snake and associated vertebrates from the Campanian of New Mexico. A new species of aniliid snake Coniophis cosgriffi is described from the Upper Cretaceous Fruitland Formation 30 miles southwest of Farmington, New Mexico [USA]. It is represented by a single complete vertebra from 1 of 4 sites where more than 700...

Hanafee, W.N., 1970: Multiple progressive intracranial arterial occlusion of children and young adults. California Medicine 112(5): 60-60

Ono, N.N.; Bandaranayake, P.C.G.; Tian, L., 2013: Establishment of pomegranate (Punica granatum) hairy root cultures for genetic interrogation of the hydrolyzable tannin biosynthetic pathway. In contrast to the numerous reports on the human therapeutic applications of hydrolyzable tannins (HTs), genes involved in their biosynthesis have not been identified at the molecular level from any plant species. Although we have previously ident...

Shelford, V.E., 1917: Color and color-pattern mechanism of tiger beetles. Illinois Biological Monographs, 3(No. 4: 399-528

Sherwin, B.B., 1985: Changes in sexual behavior as a function of plasma sex steroid levels in post-menopausal women. Eight women who had been maintained on a combined estrogen-androgen drug since hysterectomy and bilateral oophorectomy 2 yr previously were investigated for changes in sexual behavior during the course of 1 treatment cycle. Following intramuscular...

Saier, M.H.J. ; Newman, M.J., 1976: Direct transfer of the phosphoryl moiety of mannitol 1 phosphate to carbon 14 mannitol catalyzed by the enzyme ii complexes of the phosphoenol pyruvate mannitol phospho transferase systems in spirochaeta aurantia and salmonella typhimurium. Spirochaeta aurantia possesses a phosphoenolpyruvate:mannitol phosphotransferase system which catalyzes the transmembrane transport and phosphorylation of mannitol. In vitro studies showed that both phosphoenolpyruvate and mannitol 1-phosphate cou...

Benhaberou-Brun, D.; Lambert, C.; Dumont, M., 1999: Association between melatonin secretion and daytime sleep complaints in night nurses. Study objectives: To test the hypothesis that nightworkers' diurnal sleep complaints are associated with the timing of melatonin secretion. Design: After a minimum of three consecutive night shifts, the subjects were admitted to the laborator...

Black, J.A., 1962: Current therapeutics. 175. Effects on the toetus and newborn of drugs given during pregnancy. Practitioner 189: 99-106