Results of open arthrolysis for the treatment of stiffness after total knee replacement
Stiffness is an uncommon but potentially debilitating complication following total knee replacement (TKR). The treatment of this condition remains difficult and controversial. We present the results of 13 patients who underwent open arthrolysis for stiffness. The mean time between TKR and arthrolysi...
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| Veröffentlicht in: | Journal of bone and joint surgery. British volume 2005-10, Vol.87 (10), p.1357-1360 |
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| container_title | Journal of bone and joint surgery. British volume |
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| creator | HUTCHINSON, J. R. M PARISH, E. N CROSS, M. J |
| description | Stiffness is an uncommon but potentially debilitating complication following total knee replacement (TKR). The treatment of this condition remains difficult and controversial. We present the results of 13 patients who underwent open arthrolysis for stiffness. The mean time between TKR and arthrolysis was 14 months. The mean follow-up was 7.2 years (2 to 10). The mean range of movement prior to arthrolysis was 55 degrees . This increased to 91 degrees , six months after arthrolysis (p < 0.005). The improved range of movement was maintained during the follow-up period. No patient has required revision of their components. We have found arthrolysis to be a useful and successful approach to post-TKR stiffness. |
| doi_str_mv | 10.1302/0301-620X.87B10.16228 |
| format | Article |
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R. M</creatorcontrib><creatorcontrib>PARISH, E. N</creatorcontrib><creatorcontrib>CROSS, M. J</creatorcontrib><title>Results of open arthrolysis for the treatment of stiffness after total knee replacement</title><title>Journal of bone and joint surgery. British volume</title><addtitle>J Bone Joint Surg Br</addtitle><description>Stiffness is an uncommon but potentially debilitating complication following total knee replacement (TKR). The treatment of this condition remains difficult and controversial. We present the results of 13 patients who underwent open arthrolysis for stiffness. The mean time between TKR and arthrolysis was 14 months. The mean follow-up was 7.2 years (2 to 10). The mean range of movement prior to arthrolysis was 55 degrees . This increased to 91 degrees , six months after arthrolysis (p < 0.005). The improved range of movement was maintained during the follow-up period. No patient has required revision of their components. We have found arthrolysis to be a useful and successful approach to post-TKR stiffness.</description><subject>Aged</subject><subject>Arthroplasty, Replacement, Knee - adverse effects</subject><subject>Biological and medical sciences</subject><subject>Contracture - etiology</subject><subject>Contracture - surgery</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Knee Joint - physiopathology</subject><subject>Knee Joint - surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Orthopedic surgery</subject><subject>Patella - surgery</subject><subject>Range of Motion, Articular</subject><subject>Reoperation - methods</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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Graft diseases</topic><topic>Tissue Adhesions - etiology</topic><topic>Tissue Adhesions - surgery</topic><toplevel>online_resources</toplevel><creatorcontrib>HUTCHINSON, J. R. M</creatorcontrib><creatorcontrib>PARISH, E. N</creatorcontrib><creatorcontrib>CROSS, M. J</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of bone and joint surgery. British volume</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>HUTCHINSON, J. R. M</au><au>PARISH, E. N</au><au>CROSS, M. J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Results of open arthrolysis for the treatment of stiffness after total knee replacement</atitle><jtitle>Journal of bone and joint surgery. British volume</jtitle><addtitle>J Bone Joint Surg Br</addtitle><date>2005-10-01</date><risdate>2005</risdate><volume>87</volume><issue>10</issue><spage>1357</spage><epage>1360</epage><pages>1357-1360</pages><issn>0301-620X</issn><issn>2049-4394</issn><eissn>2044-5377</eissn><eissn>2049-4408</eissn><coden>JBSUAK</coden><abstract>Stiffness is an uncommon but potentially debilitating complication following total knee replacement (TKR). The treatment of this condition remains difficult and controversial. We present the results of 13 patients who underwent open arthrolysis for stiffness. The mean time between TKR and arthrolysis was 14 months. The mean follow-up was 7.2 years (2 to 10). The mean range of movement prior to arthrolysis was 55 degrees . This increased to 91 degrees , six months after arthrolysis (p < 0.005). The improved range of movement was maintained during the follow-up period. No patient has required revision of their components. We have found arthrolysis to be a useful and successful approach to post-TKR stiffness.</abstract><cop>London</cop><pub>British Editorial Society of Bone and Joint Surgery</pub><pmid>16189307</pmid><doi>10.1302/0301-620X.87B10.16228</doi><tpages>4</tpages><edition>British volume</edition><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Arthroplasty, Replacement, Knee - adverse effects Biological and medical sciences Contracture - etiology Contracture - surgery Diseases of the osteoarticular system Female Follow-Up Studies Humans Knee Joint - physiopathology Knee Joint - surgery Male Medical sciences Middle Aged Orthopedic surgery Patella - surgery Range of Motion, Articular Reoperation - methods Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Tissue Adhesions - etiology Tissue Adhesions - surgery |
| title | Results of open arthrolysis for the treatment of stiffness after total knee replacement |
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