A less invasive procedure for posttraumatic knee stiffness
Introduction Management of posttraumatic knee stiffness (PTKS) is among the most difficult challenges in postoperative rehabilitation. Aim The purpose of this retrospective study was to present the outcomes of a procedure for PTKS. In this study, a less invasive procedure was introduced, which inclu...
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| Veröffentlicht in: | Archives of orthopaedic and trauma surgery 2011-06, Vol.131 (6), p.797-802 |
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| container_title | Archives of orthopaedic and trauma surgery |
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| creator | Liu, Ke-min Liu, Sihai Cui, Zhigang Han, Xinzuo Tang, Tao Wang, Anqin |
| description | Introduction
Management of posttraumatic knee stiffness (PTKS) is among the most difficult challenges in postoperative rehabilitation.
Aim
The purpose of this retrospective study was to present the outcomes of a procedure for PTKS. In this study, a less invasive procedure was introduced, which included intra-articular arthroscopic release, extra-articular mini-incision release and “multiple Z” lengthening of the knee extensor, as well as an early, aggressive rehabilitation protocol.
Patients
A series of patients aged from 29 to 60 years were treated with this procedure from April 2005 to May 2009, and the mean duration of follow-up was 13.5 months.
Results
The range of motion increased significantly in all patients. Flexion improved from a mean of 51° preoperation to a mean of 100° at discharge, and the average extension loss improved from 10° to 3° (
p
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| doi_str_mv | 10.1007/s00402-010-1223-z |
| format | Article |
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Management of posttraumatic knee stiffness (PTKS) is among the most difficult challenges in postoperative rehabilitation.
Aim
The purpose of this retrospective study was to present the outcomes of a procedure for PTKS. In this study, a less invasive procedure was introduced, which included intra-articular arthroscopic release, extra-articular mini-incision release and “multiple Z” lengthening of the knee extensor, as well as an early, aggressive rehabilitation protocol.
Patients
A series of patients aged from 29 to 60 years were treated with this procedure from April 2005 to May 2009, and the mean duration of follow-up was 13.5 months.
Results
The range of motion increased significantly in all patients. Flexion improved from a mean of 51° preoperation to a mean of 100° at discharge, and the average extension loss improved from 10° to 3° (
p
< 0.000). The average knee score, according to the Hospital for Special Surgery system, improved from 62 points preoperatively to 77 points at discharge, and 91 points at final follow-up (
p
< 0.000). All the patients were satisfied with the final ROM gain.</description><identifier>ISSN: 0936-8051</identifier><identifier>EISSN: 1434-3916</identifier><identifier>DOI: 10.1007/s00402-010-1223-z</identifier><identifier>PMID: 21165634</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Adult ; Arthroscopy ; Female ; Follow-Up Studies ; Humans ; Knee Injuries - physiopathology ; Knee Injuries - rehabilitation ; Knee Injuries - surgery ; Knee Joint - physiopathology ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Orthopaedic Surgery ; Orthopedic Procedures - methods ; Orthopedics ; Patient Satisfaction ; Range of Motion, Articular ; Retrospective Studies ; Treatment Outcome</subject><ispartof>Archives of orthopaedic and trauma surgery, 2011-06, Vol.131 (6), p.797-802</ispartof><rights>Springer-Verlag 2010</rights><rights>Archives of Orthopaedic and Trauma Surgery is a copyright of Springer, (2010). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c371t-e24e49fddc4a22dc68af1eb9fb1239abb200dc93381ffce37a36f3f9f8d978793</citedby><cites>FETCH-LOGICAL-c371t-e24e49fddc4a22dc68af1eb9fb1239abb200dc93381ffce37a36f3f9f8d978793</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00402-010-1223-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00402-010-1223-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21165634$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Liu, Ke-min</creatorcontrib><creatorcontrib>Liu, Sihai</creatorcontrib><creatorcontrib>Cui, Zhigang</creatorcontrib><creatorcontrib>Han, Xinzuo</creatorcontrib><creatorcontrib>Tang, Tao</creatorcontrib><creatorcontrib>Wang, Anqin</creatorcontrib><title>A less invasive procedure for posttraumatic knee stiffness</title><title>Archives of orthopaedic and trauma surgery</title><addtitle>Arch Orthop Trauma Surg</addtitle><addtitle>Arch Orthop Trauma Surg</addtitle><description>Introduction
Management of posttraumatic knee stiffness (PTKS) is among the most difficult challenges in postoperative rehabilitation.
Aim
The purpose of this retrospective study was to present the outcomes of a procedure for PTKS. In this study, a less invasive procedure was introduced, which included intra-articular arthroscopic release, extra-articular mini-incision release and “multiple Z” lengthening of the knee extensor, as well as an early, aggressive rehabilitation protocol.
Patients
A series of patients aged from 29 to 60 years were treated with this procedure from April 2005 to May 2009, and the mean duration of follow-up was 13.5 months.
Results
The range of motion increased significantly in all patients. Flexion improved from a mean of 51° preoperation to a mean of 100° at discharge, and the average extension loss improved from 10° to 3° (
p
< 0.000). The average knee score, according to the Hospital for Special Surgery system, improved from 62 points preoperatively to 77 points at discharge, and 91 points at final follow-up (
p
< 0.000). All the patients were satisfied with the final ROM gain.</description><subject>Adult</subject><subject>Arthroscopy</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Knee Injuries - physiopathology</subject><subject>Knee Injuries - rehabilitation</subject><subject>Knee Injuries - surgery</subject><subject>Knee Joint - physiopathology</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Orthopaedic Surgery</subject><subject>Orthopedic Procedures - methods</subject><subject>Orthopedics</subject><subject>Patient Satisfaction</subject><subject>Range of Motion, Articular</subject><subject>Retrospective Studies</subject><subject>Treatment Outcome</subject><issn>0936-8051</issn><issn>1434-3916</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kM1LxDAQxYMouq7-AV6k4MFTdSaJaeJNFr9A8KLnkKYTqe62a9IK-tebZf0AwdMwzO-9eTzGDhBOEKA6TQASeAkIJXIuyo8NNkEpZCkMqk02ASNUqeEMd9huSs8AyLWBbbbDEdWZEnLCzi-KOaVUtN2bS-0bFcvYe2rGSEXoY7Hs0zBENy7c0PripSMq0tCG0GXNHtsKbp5o_2tO2ePV5cPspry7v76dXdyVXlQ4lMQlSROaxkvHeeOVdgGpNqFGLoyraw7QeCOExhA8icoJFUQwQTem0pURU3a89s3RXkdKg120ydN87jrqx2S1qiouQUAmj_6Qz_0YuxzOcq7QaIVSZwrXlI99SpGCXcZ24eK7RbCrXu26VwurPfdqP7Lm8Mt5rBfU_Ci-i8wAXwMpn7onir-v_3f9BFqKgyg</recordid><startdate>20110601</startdate><enddate>20110601</enddate><creator>Liu, Ke-min</creator><creator>Liu, Sihai</creator><creator>Cui, Zhigang</creator><creator>Han, Xinzuo</creator><creator>Tang, Tao</creator><creator>Wang, Anqin</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20110601</creationdate><title>A less invasive procedure for posttraumatic knee stiffness</title><author>Liu, Ke-min ; Liu, Sihai ; Cui, Zhigang ; Han, Xinzuo ; Tang, Tao ; Wang, Anqin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c371t-e24e49fddc4a22dc68af1eb9fb1239abb200dc93381ffce37a36f3f9f8d978793</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Arthroscopy</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Knee Injuries - physiopathology</topic><topic>Knee Injuries - rehabilitation</topic><topic>Knee Injuries - surgery</topic><topic>Knee Joint - physiopathology</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Orthopaedic Surgery</topic><topic>Orthopedic Procedures - methods</topic><topic>Orthopedics</topic><topic>Patient Satisfaction</topic><topic>Range of Motion, Articular</topic><topic>Retrospective Studies</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Liu, Ke-min</creatorcontrib><creatorcontrib>Liu, Sihai</creatorcontrib><creatorcontrib>Cui, Zhigang</creatorcontrib><creatorcontrib>Han, Xinzuo</creatorcontrib><creatorcontrib>Tang, Tao</creatorcontrib><creatorcontrib>Wang, Anqin</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of orthopaedic and trauma surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Liu, Ke-min</au><au>Liu, Sihai</au><au>Cui, Zhigang</au><au>Han, Xinzuo</au><au>Tang, Tao</au><au>Wang, Anqin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A less invasive procedure for posttraumatic knee stiffness</atitle><jtitle>Archives of orthopaedic and trauma surgery</jtitle><stitle>Arch Orthop Trauma Surg</stitle><addtitle>Arch Orthop Trauma Surg</addtitle><date>2011-06-01</date><risdate>2011</risdate><volume>131</volume><issue>6</issue><spage>797</spage><epage>802</epage><pages>797-802</pages><issn>0936-8051</issn><eissn>1434-3916</eissn><abstract>Introduction
Management of posttraumatic knee stiffness (PTKS) is among the most difficult challenges in postoperative rehabilitation.
Aim
The purpose of this retrospective study was to present the outcomes of a procedure for PTKS. In this study, a less invasive procedure was introduced, which included intra-articular arthroscopic release, extra-articular mini-incision release and “multiple Z” lengthening of the knee extensor, as well as an early, aggressive rehabilitation protocol.
Patients
A series of patients aged from 29 to 60 years were treated with this procedure from April 2005 to May 2009, and the mean duration of follow-up was 13.5 months.
Results
The range of motion increased significantly in all patients. Flexion improved from a mean of 51° preoperation to a mean of 100° at discharge, and the average extension loss improved from 10° to 3° (
p
< 0.000). The average knee score, according to the Hospital for Special Surgery system, improved from 62 points preoperatively to 77 points at discharge, and 91 points at final follow-up (
p
< 0.000). All the patients were satisfied with the final ROM gain.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>21165634</pmid><doi>10.1007/s00402-010-1223-z</doi><tpages>6</tpages></addata></record> |
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| subjects | Adult Arthroscopy Female Follow-Up Studies Humans Knee Injuries - physiopathology Knee Injuries - rehabilitation Knee Injuries - surgery Knee Joint - physiopathology Male Medicine Medicine & Public Health Middle Aged Orthopaedic Surgery Orthopedic Procedures - methods Orthopedics Patient Satisfaction Range of Motion, Articular Retrospective Studies Treatment Outcome |
| title | A less invasive procedure for posttraumatic knee stiffness |
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