Total knee arthroplasty with limitations of flexion

Massin, P.; Lautridou, C.; Cappelli, M.; Petit, Arnaud; Odri, G.; Ducellier, Florian; Sabatier, C.; Hulet, C.; Canciani, J.-P.; Letenneur, J.; Burdin, P.

doi:10.1016/j.otsr.2009.04.002

Cited by 27 publications

(12 citation statements)

References 16 publications

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“…Regarding range of motion, the improvement observed in our series is similar to that reported in other series in the literature [13][14][15][16][17]. These ranges are lower than those that can be expected in a population with osteoarthritis of the knee without significant associated stiffness.…”

Section: Discussionsupporting

confidence: 87%

Total knee arthroplasty of the stiff knee: three hundred and four cases

Debette

Lustig

Servien

et al. 2013

International Orthopaedics (SICOT)

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Purpose The purpose of this study was to analyse the results of total knee arthroplasty (TKA) in stiff knees (flexion ≤90°a nd/or flexion contracture ≥20°). Our hypothesis was that despite having poorer results than those obtained in a "standard" population and a high rate of complications, TKA was a satisfactory treatment in patients with osteoarthritis of the knee associated with significant stiffness. Methods Three hundred and four consecutive primary HLS TKAs (Tornier), whose data were prospectively collected between October 1987 and October 2012, were retrospectively analysed at a mean of 60 months (range, 12-239) postoperatively. Two groups, those with a "flexion contracture" and those with a "flexion deficit", were assessed for postoperative range of motion (as integrated to the Knee Society score [KSS]), physical activity level and patient satisfaction. Results At the latest follow-up, range of motion was significantly improved, as was the KSS. Ninety-four percent of patients were satisfied or very satisfied, and activity levels were increased after surgery. The complication rate, however, was high in patients with a preoperative flexion deficit (17 %). Pain and residual stiffness were the most common complications. Conclusion TKA provides satisfactory results in patients with knee osteoarthritis associated with significant pre-operative stiffness. The surgical plan should be adapted to anticipate complications, which are particularly frequent in the presence of a flexion deficit.

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Section: Discussionsupporting

confidence: 87%

Total knee arthroplasty of the stiff knee: three hundred and four cases

Debette

Lustig

Servien

et al. 2013

International Orthopaedics (SICOT)

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“…The reported clinical results of TKA in patients with haemophilia have varied considerably with the prevalence of infection ranging from 0% to 17% and a rate of prosthetic survival of 90% after 5 years [1]. In the most recent literature, the rate of infection has ranged from 1.4% to 11.4%, with an average of 6.9% [2–5]. The 20‐year survival rate published by Goddard et al.…”

Section: Rate Of Infection In Total Knee Arthroplasties Performed Inmentioning

confidence: 99%

“…In the recent literature (2008–11), the average prevalence of infection was 6.9% [1–5] (Table 1). In the present study, it was 7%, which is much higher than the prevalence of 1–2% observed after total knee replacements in the non‐haemophilic population, and the one previously published by us of 2.8%.…”

Section: Rate Of Infection In Total Knee Arthroplasties Performed Inmentioning

confidence: 99%

Infection after total knee arthroplasty in haemophilic arthropathy with special emphasis on late infection

Rodríguez-Merchán

Gómez-Cardero²,

Jiménez‐Yuste

2011

Haemophilia

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In the end-stage disease, chronic haemophilic synovitis of the knee results in changes that eventually lead to haemophilic arthropathy [1]. Incapacitating pain as a result of haemophilic arthropathy and a severely restricted range of motion are the usual indications for total knee arthroplasty (TKA) in haemophilic patients. Pain relief has been reported in persons with haemophilia who have undergone a TKA. Although the results of TKA in these patients have been described as satisfactory, some authors have reported a high rate of early and late complications, often related to infection and restricted range of motion.We have evaluated the relatively long-term results of primary TKA in a group of persons with haemophilia treated at a single institution, with special emphasis on the problem of deep infection. The results of many of the patients of this study have been previously published, but with a shorter follow-up [1]. Thus, this is an extended series with a longer follow-up, mainly focusing on the rate of infection.From

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“…Massin et al26) reported that improvements in flexion was not correlated with the postoperative function score. In the current study, the increase in maximal flexion angle was significantly greater by 10° in the study group, whereas there were no significant differences between the two groups in the knee score and function score.…”

Section: Discussionmentioning

confidence: 99%

Mid-term Results of Total Knee Arthroplasty Using PFC Sigma RP-F

Kim

Cheon

Kyung

2012

Knee Surg Relat Res

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PurposeWe compared the mid-term results after total knee arthroplasty (TKA) using PFC Sigma RP-F mobile model with PFC Sigma PS fixed model.Materials and MethodsWe analyzed 45 knees that underwent TKA with PFC Sigma RP-Fn (study group) and 45 knees with PFC Sigma PS (control group). The mean follow-up period was 65 months (range, 60-69 months). The evaluation system of the American knee society was used for clinical and radiological assessment. Also, the maximal knee flexion angle was assessed.ResultsThe mean maximum flexion angle in the study group (135°) was greater than that in the control group (125°) at the early post-operation & final follow-up period (p=0.033). The range of motion (ROM) in the study group was recovered earlier at the postoperative 6 months, and ROM gain was improved to a greater extent at the final follow-up period (p=0.039). The knee score and function score and radiographic evaluation were no difference between the two groups (p>0.05) at the final follow-up. The two cases of radiolucency in posterior condyle and medial tibial plateau and one case of patellar elongation were seen in the study group.ConclusionsThe PFC Sigma RP-F mobile system appears to facilitate greater maximum flexion angle and ROM gain with two cases of radiolucent line.

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Total knee arthroplasty with limitations of flexion

Abstract: level 4 retrospective.

Cited by 27 publications

References 16 publications

Total knee arthroplasty of the stiff knee: three hundred and four cases

Total knee arthroplasty of the stiff knee: three hundred and four cases

Infection after total knee arthroplasty in haemophilic arthropathy with special emphasis on late infection

Mid-term Results of Total Knee Arthroplasty Using PFC Sigma RP-F

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