Intraoperative manipulation for flexion contracture during total knee arthroplasty

Journal of Orthopaedic Surgery
Yoshio MatsuiFumiaki Inori

Abstract

Joint gap unbalancing during total knee arthroplasty (TKA) induces flexion contracture. Flexion contracture is one of the most serious complications of TKA. When flexion contracture is found during surgery, intraoperative manipulation is often empirically performed. We evaluated the effects of intraoperative manipulation on joint gap and postoperative flexion contracture. TKA was performed for 136 knees. Intraoperative manipulation was performed for flexion contracture in 61 knees. Joint gap changes before and after manipulation were measured at six positions from extension to 120° of flexion. Manipulation was not performed for 75 knees. The extension angle was measured radiographically immediately after surgery, at 3 months, and 6 months postoperatively. Extension angles with manipulation and without manipulation were compared. Joint gap changes (mm) before and after manipulation were 0.1, 0.0, -0.2, -0.3, -0.1, and -0.3 at 0°, 30°, 45°, 60°, 90°, and 120° of flexion, respectively, indicating that manipulation could not change joint gaps significantly. Extension angles (°) with and without manipulation were -4.0 ± 4.6 and -3.8 ± 3.9 immediately after surgery, -5.3 ± 6.7 and -5.5 ± 6.2 at 3 months postoperatively, and -2.7 ± 6....Continue Reading

References

Feb 1, 1987·Physical Therapy·P P GogiaB J Norton
Oct 18, 2001·Clinical Orthopaedics and Related Research·Y KadoyaY Yamano
Nov 22, 2001·Clinical Orthopaedics and Related Research·T K FehringM Nadaud
Apr 7, 2004·The Journal of Arthroplasty·John Z EdwardsMichael J Askew
May 5, 2006·Clinical Orthopaedics and Related Research·Kevin J MulhallKhaled J Saleh
Oct 11, 2007·The Journal of Arthroplasty·Robert S Namba, Maria Inacio
Feb 8, 2008·The Journal of Bone and Joint Surgery. British Volume·L UnittUNKNOWN Balancer Study Group
Sep 9, 2008·The Journal of Arthroplasty·Carlos LaverniaDavid Lee
Feb 20, 2009·Orthopedics·Eric L SmithJames V Bono
Apr 2, 2009·The Journal of Bone and Joint Surgery. British Volume·T MatsumotoM Kurosaka
Jan 21, 2010·Clinical Orthopaedics and Related Research·Sean E FitzsimmonsMichael J Bronson
Jun 28, 2011·International Orthopaedics·Christoph SchnurrDietmar P König
Sep 14, 2011·The Journal of Bone and Joint Surgery. British Volume·H MitsuyasuY Iwamoto
Sep 13, 2012·Clinical Orthopaedics and Related Research·Harpreet S BawaVictor M Goldberg
Nov 28, 2012·Clinical Orthopaedics and Related Research·Yoshio MatsuiShuji Horibe
Dec 20, 2012·Clinical Orthopaedics and Related Research·Toshifumi WatanabeScott A Banks
Aug 21, 2013·The Journal of Arthroplasty·William C SchroerRyan M Nunley
Feb 1, 2014·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Shigetoshi OkamotoYukihide Iwamoto
Feb 14, 2014·Archives of Orthopaedic and Trauma Surgery·Yoshio MatsuiYoshinori Kadoya
May 16, 2014·The Knee·Yukihide MinodaHiroaki Nakamura
Oct 28, 2016·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Yukihide MinodaHiroaki Nakamura
Dec 8, 2014·The Journal of Arthroplasty·Yukihide MinodaMasashi Hirakawa
May 8, 2015·The Journal of Bone and Joint Surgery. American Volume·Kathi ThieleRobert Hube

❮ Previous
Next ❯

Software Mentioned

Statview

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.