Total Knee Arthroplasty in Patients With Stiff Knees

被引:23
作者
Hsu, Chi-Hsiang [1 ]
Lin, Po-Chun [1 ]
Chen, Wun-Schen [1 ]
Wang, Jun-Wen [1 ]
机构
[1] Chang Gung Univ, Chang Gung Mem Hosp, Coll Med, Kaohsiung Med Ctr,Dept Orthoped Surg, Kaohsiung, Taiwan
关键词
stiff knees; total knee arthroplasty; arc of motion; prognostic factors; REPLACEMENT;
D O I
10.1016/j.arth.2011.05.001
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
100224 [整形外科学];
摘要
The purpose of this study was to evaluate the clinical outcome of total knee arthroplasty and analyze the prognostic factors in patients with stiff knees. Thirty-two patients (39 knees) with severe knee arthritis and an arc of motion of 50 degrees or less were treated by total knee arthroplasty. The mean follow-up period was 58 months (range, 24-123 months). The mean arc of motion improved from 35 degrees before the operation to 94 degrees at the time of the latest follow-up (P<.05). Improvement in knee motion after postoperative 3 months was insignificant. The most important factor related to the final arc of knee motion was preoperative arc of knee motion. The V-Y quadricepsplasty was associated with an inferior clinical outcome. Total knee arthroplasty in patients with stiff knees has substantially improved in the clinical outcome and the arc of motion.
引用
收藏
页码:286 / 292
页数:7
相关论文
共 36 条
[1]
Natural history of fixed flexion deformity following total knee replacement - A prospective five-year study [J].
Aderinto, J ;
Brenkel, IJ ;
Chan, P .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2005, 87B (07) :934-936
[2]
Aglietti P, 1989, J Arthroplasty, V4, P1, DOI 10.1016/S0883-5403(89)80046-4
[3]
[Anonymous], 2004, J BONE JOINT SURG AM, V86, P6
[4]
Bae DK, 2005, J BONE JOINT SURG BR, V87B, P333, DOI 10.1302/0301-620X.87B3
[5]
Comparison of surgical approaches in total knee arthroplasty [J].
Barrack, RL ;
Smith, P ;
Munn, B ;
Engh, G ;
Rorabeck, C .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 1998, (356) :16-21
[6]
Bellamy N, 1988, J RHEUMATOL, V15, P12
[7]
Comparison of total knee arthroplasty in stiff and ankylosed knees [J].
Bhan, S. ;
Malhotra, R. ;
Kiran, E. Krishna .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2006, (451) :87-95
[8]
THE FIXATION OF A PROXIMAL TIBIAL POLYETHYLENE PROSTHESIS WITHOUT CEMENT [J].
BLAHA, JD ;
INSLER, HP ;
FREEMAN, MAR ;
REVELL, PA ;
TODD, RC .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1982, 64 (03) :326-335
[9]
Surgical exposures in revision total knee arthroplasty [J].
Della Valle, Craig J. ;
Berger, Richard A. ;
Rosenberg, Aaron G. .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2006, (446) :59-68
[10]
Factors affecting flemon after total knee arthroplasty [J].
Dennis, Douglas A. ;
Komistek, Richard D. ;
Scuderi, Giles R. ;
Zingde, Sumesh .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2007, (464) :53-60