Total Knee Arthroplasty in Stiff and Ankylosed Knees

A retrospective study was done to evaluate the results of total knee arthroplasty performed on 84 knees in 53 patients with spontaneously ankylosed knees, having a preoperative arc of movement between 0° and 20°(average, 14°). The difficulties encountered in surgical exposure were managed by using v...

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Veröffentlicht in:The Journal of arthroplasty 2005-08, Vol.20 (5), p.585-590
Hauptverfasser: Rajgopal, Ashok, Ahuja, Neeraj, Dolai, Biplab
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container_issue 5
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container_title The Journal of arthroplasty
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creator Rajgopal, Ashok
Ahuja, Neeraj
Dolai, Biplab
description A retrospective study was done to evaluate the results of total knee arthroplasty performed on 84 knees in 53 patients with spontaneously ankylosed knees, having a preoperative arc of movement between 0° and 20°(average, 14°). The difficulties encountered in surgical exposure were managed by using various extensile exposure techniques. Follow-up ranged from 4 to 15 years (average, 9 years). The average postoperative arc of movement at final follow-up was 75°, with a significant average gain of 61° ( P < .01). The average extensor lag was 6°. Four knees had a residual flexion contractures of 5° or less. Total knee arthroplasty in ankylosed knees can achieve correction of deformity with a significant gain in range of motion and marked improvement in quality of life.
doi_str_mv 10.1016/j.arth.2005.04.002
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subjects Adult
Aged
Aged, 80 and over
ankylosed knee
Ankylosis - physiopathology
Ankylosis - surgery
Arthroplasty, Replacement, Knee
Female
Follow-Up Studies
Humans
Knee Joint - diagnostic imaging
Knee Joint - physiopathology
Male
Middle Aged
Postoperative Complications
Radiography
Range of Motion, Articular
stiff knee
total knee arthroplasty
title Total Knee Arthroplasty in Stiff and Ankylosed Knees
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