Revision total knee arthroplasty for stiffness

The Journal of Arthroplasty
Curtis W HartmanCraig J Della Valle

Abstract

Few studies have evaluated the results of revision of well-fixed components for stiffness, and some authors have recommended against this intervention based on poor reported results. Thirty-five consecutive patients underwent revision of both femoral and tibial components for stiffness. At a mean of 54.5 months (range, 25-134), the mean arc of motion improved by 44.5 degrees from a preoperative mean of 53.6 degrees to a postoperative mean of 98.1 degrees (P < .0001). The arc of motion improved by more than 30 degrees in 75% (24/32) of patients evaluated at a minimum of 2 years. Seventeen (49%) of the 35 patients required a further intervention for stiffness or sustained a complication. These results suggest that revision total knee arthroplasty for stiffness can be performed with a reasonable expectation of improvement, although the risk of complications and additional operative procedures is substantial.

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Citations

Jan 15, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Robert D RussellRichard E Jones
Jul 29, 2015·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·P J C HeesterbeekA B Wymenga
Feb 18, 2017·The Journal of Arthroplasty·Joaquin Moya-AngelerGiles R Scuderi
May 5, 2018·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·David HazlewoodJinxi Wang
Dec 31, 2019·Arthroplasty Today·Nicholas D ColacchioRichard D Scott
Sep 30, 2020·The Journal of Arthroplasty·Liang XiongYoung-Min Kwon

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