Treating Stiffness After Total Knee Arthroplasty: A Technical Note and Preliminary Results

Jaiswal, Parag; Perera, Jonathan R; Khan, Wasim; Rao, Namrata

doi:10.2174/1874325001206010276

Cited by 6 publications

(6 citation statements)

References 16 publications

(21 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…One of the benefits of delaying TKR in older individuals may be to avoid risks associated with the surgery or with subsequent required revisions. The complications associated with TKR have been extensively studied and include infection, 15,16 pulmonary embolism, 17,18 thromboses, 19,20 fat embolism, 21,22 hemarthrosis, 23,24 patellar fracture, 16,25 heterotopic ossification, 26,27 stiffness, 16,28 nerve damage, 29,30 vascular injuries, 16,31 urinary complications, 32,33 and increased mortality. 34,35 A recent study showed that postoperative mortality more than tripled in patients !…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Delayed Total Knee Replacement with Hylan G-F 20

Waddell

Joseph²

2014

J Knee Surg

View full text Add to dashboard Cite

We retrospectively examined prospective data on the incidence and time to total knee replacement (TKR) in (1) patients with grade IV osteoarthritis (OA) treated with hylan G-F 20 from 1997 to 2010 (full cohort; 1,863 knees) and (2) a patient subset treated from 1997 to 2003 (original cohort; 1,187 knees) to determine any continued hylan G-F 20 influence on TKR delay. In both the cohorts, 25 to 28% knees underwent a TKR, with an average of 2.8 to 3.1 years occurring between hylan G-F 20 and surgery. Age was a significant predictor of time to TKR. Knee synovitis increased slightly with repeat courses; most cases considered mild or moderate. Survival analysis showed that TKR was delayed for > 7 years in 75% of 1,863 grade IV OA knees (1,342 patients) treated with hylan G-F 20 in an orthopedic practice. Consistent with our previous report (Waddell and Bricker, 2007), we show hylan G-F 20 continues to delay the need for TKR.

show abstract

Section: Discussionmentioning

confidence: 99%

“…14 TKR is also costly and may require future revisions. In addition, TKR has been associated with various complications, [15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33] including an increased risk of mortality. 34,35 Because of ongoing pain, many patients (range, 20-40%) remain dissatisfied following a TKR.…”

mentioning

confidence: 99%

Delayed Total Knee Replacement with Hylan G-F 20

Waddell

Joseph²

2014

J Knee Surg

View full text Add to dashboard Cite

show abstract

“…However, it represents an abundance of scar tissue or fibrosis occurring either idiopathically or secondary to a patient’s predisposition to it. 16–18 The implication is that arthrofibrosis is a patient risk factor, although as it is only present following surgery and may be considered a postoperative factor.…”

Section: Risk Factorsmentioning

confidence: 99%

The stiff total knee arthroplasty: causes, treatment modalities and results

Rodríguez-Merchán¹

2019

EFORT Open Reviews

View full text Add to dashboard Cite

It is clear that the stiff total knee arthroplasty (TKA) is a multifactorial entity associated with preoperative, intraoperative and postoperative factors. Management of the stiff TKA is best achieved by preventing its occurrence using strategies to control preoperative factors, avoid intraoperative technical errors and perform aggressive, painless postoperative physical medicine and rehabilitation; adequate pain control is paramount in non-invasive management. Careful attention to surgical exposure, restoring gap balance, minimizing surgical trauma to the patellar ligament/extensor mechanism, appropriate implant selection, pain control and adequate physical medicine and rehabilitation (physiotherapy, Astym therapy) all serve to reduce its incidence. For established stiff TKA, there are multiple treatment options available including mobilization under anaesthesia (MUA), arthroscopic arthrolysis, revision TKA, and combined procedures. Cite this article: EFORT Open Rev 2019;4:602-610. DOI: 10.1302/2058-5241.4.180105

show abstract

“…Kuadriseps snip ya da V-Y plasti yöntemiyle, kuadriseps tendonunun bütünlüğüne zarar vermeksizin kontrollü gevşetme yapılabilir. [20] Genellikle, bu yaklaşımla hastanın ameliyat sonrası rehabilitasyon protokolünü modifiye etmek gerekmez. İleri derecede ankiloze dizlerde ise son çare olarak tuberositas tibia osteotomisi denenebilir.…”

Section: Açık Gevşetme Ve Sınırlı Revizyon Artroplastisiunclassified

Total diz artroplastisi sonrası diz eklem sertliğinin tanısı ve tedavi seçenekleri

Hürel¹,

Gülabi²

2019

TOTBID

View full text Add to dashboard Cite

TDA ameliyatı sonrasında gelişen eklem sertliği, hasta memnuniyetini önemli derecede azaltan bir ağrı kaynağı ve fonksiyonel sonuçları kısıtlayan ciddi bir potansiyel komplikasyondur. Genel olarak sert diz, TDA ameliyatı sonrası, altı haftalık bir süreçte 90°'den daha az bir EHA ve diz fleksiyonuna ulaşılmış olmasını ifade eder. Ameliyat sonrası görülme sıklığı literatürde %1,3 ila %60 oranlarında bildirilmektedir. Enfeksiyon, protez yumuşak doku dengesizliği veya instabilitesi, artrofibrozis ve T otal diz artroplastisi (TDA), artroz nedeniyle gelişmiş ağrı ve hareket kısıtlılığı tedavisinde başarıyla kullanılan bir tedavi seçeneğidir. Hastaların memnuniyeti ameliyat sonrasında ulaşılan eklem hareket açıklığı (EHA) derecesiyle yakından ilişkilidir. Tatminkâr bir günlük hayat aktivitesi için, dizde en az 90°'lik bir fleksiyon derecesi gereklidir. Normal yürüyüş sırasında 65°'lik bir fleksiyona, bir sandalyeye oturmak ve rahatça ayakkabı bağlayabilmek için 106°'lik bir fleksiyona gereksinim duyarız. Total diz artroplastisi sonrası diz eklem sertliğinin tanısı ve tedavi seçenekleri Stiff knee after total knee replacement-diagnosis and treatment options

show abstract

Treating Stiffness After Total Knee Arthroplasty: A Technical Note and Preliminary Results

Cited by 6 publications

References 16 publications

Delayed Total Knee Replacement with Hylan G-F 20

Delayed Total Knee Replacement with Hylan G-F 20

The stiff total knee arthroplasty: causes, treatment modalities and results

Total diz artroplastisi sonrası diz eklem sertliğinin tanısı ve tedavi seçenekleri

Contact Info

Product

Resources

About