Linked Life Data

19442598

Source:http://linkedlifedata.com/resource/pubmed/id/19442598

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4 Suppl 1
pubmed:dateCreated
2009-5-26
pubmed:abstractText
Does total knee arthroplasty (TKA) correct the flexion contracture in knee stiffness associated with osteoarthritis, inflammatory disease, hemophilia or post-traumatic sequelae? The results of 107 TKAs from five specialized centers were retrospectively reviewed. Only knees with greater than or equal to 20 degrees flexion contracture on extension were included, 46 of which also had less than 90 degrees flexion. As a result of the arthroplasty, extension increased by 20+/-6 degrees in group 1 (flexion contracture only, n=61), and by 22+/-11 degrees in group 2 (combined stiffness, n=46), in which the total range of motion increased of 39+/-21 degrees. Overall, mean residual flexion contracture was 7+/-7 degrees. Improvements in mobility were greater in the cases with severe preoperative stiffness. One-year functional results correlated with final residual flexion contracture. Mobility at last follow-up did not depend on preoperative mobility, except in group 2, in which the final postoperative range of motion (ROM) correlated with preoperative ROM. Hemophilia was a factor of poor prognosis. Recovering full extension at end of surgery is mandatory, by first releasing the posterior capsule and the collateral ligaments from their osteophytes, and secondly by extending the distal femoral cut where necessary. TYPE OF STUDY: Level 4 retrospective.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Jun
pubmed:issn
1877-0568
pubmed:author
pubmed:copyrightInfo
2009 Elsevier Masson SAS. All rights reserved.
pubmed:issnType
Electronic
pubmed:volume
95
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
S7-12
pubmed:meshHeading
pubmed:year
2009
pubmed:articleTitle
Total knee arthroplasty in patients with greater than 20 degrees flexion contracture.
pubmed:affiliation
Orthopedic Surgery Department, Teaching Hospital, 4, rue Larrey, 49033 Angers cedex 09, France. philippe.massin@bch.aphp.fr
pubmed:publicationType
Journal Article, Multicenter Study