The natural history of a newly developed flexion contracture following primary total knee arthroplasty
Purpose We investigated the incidence, natural history, and functional consequences of a newly developed flexion contracture after total knee arthroplasty (TKA). Methods Forty patients with full knee extension preoperatively who developed a postoperative flexion contracture were match-paired 1:2 wit...
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| Veröffentlicht in: | International orthopaedics 2013-10, Vol.37 (10), p.1917-1923 |
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| container_issue | 10 |
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| container_title | International orthopaedics |
| container_volume | 37 |
| creator | Anania, Andres Abdel, Matthew P. Lee, Yuo-yu Lyman, Stephen González Della Valle, Alejandro |
| description | Purpose
We investigated the incidence, natural history, and functional consequences of a newly developed flexion contracture after total knee arthroplasty (TKA).
Methods
Forty patients with full knee extension preoperatively who developed a postoperative flexion contracture were match-paired 1:2 with 80 patients who had full extension. The incidence of a newly developed flexion contracture, ROM, and Knee Society scores (KSS) at six weeks, four months, and one year were analysed.
Results
The incidence of a new flexion contracture at six weeks was 14 %, but diminished to 5 % and 0.3 % at four months and one year, respectively. One year after surgery, there was no difference in the KSS (
p
= 0.5).
Conclusions
This study showed that the majority of patients who developed a new flexion contracture after TKA have full knee extension one year postoperatively. Moreover, knee extension and KSS at one year are equivalent to those patients who did not developed a flexion contracture. |
| doi_str_mv | 10.1007/s00264-013-1993-3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3779550</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1435849224</sourcerecordid><originalsourceid>FETCH-LOGICAL-c508t-aeb9f4af3190ddee43560f4967a9ae82066270483df959f73728d85f7e07ffa3</originalsourceid><addsrcrecordid>eNp9kc1vEzEQxS0EomnhD-CCfOSyZfy1Xl-QUMWXVIlL7pa7O062OHawvS3573GUUMGF0xzmvd88zSPkDYNrBqDfFwDeyw6Y6JgxohPPyIpJwTvFjHpOViAk63hv1AW5LOUegOl-YC_JBReDUKqHFfHrLdLo6pJdoNu51JQPNHnqaMTHcKATPmBIe5yoD_hrTpGOKdbsxuZA6lMI6XGOG7rP8841a021gX5EROpy3ea0D67UwyvywrtQ8PV5XpH150_rm6_d7fcv324-3najgqF2Du-Ml84LZmCaEKVoIb00vXbG4cCh77kGOYjJG2W8FpoP06C8RtDeO3FFPpyw--Vuh9OIx6jBnsPZ5Gb77ybOW7tJD1ZobZSCBnh3BuT0c8FS7W4uI4bgIqal2PZdNUjDuWxSdpKOOZWS0T-dYWCP9dhTPbbVY4_1WNE8b__O9-T400cT8JOgtFXcYLb3acmxvew_1N_2Op5b</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1435849224</pqid></control><display><type>article</type><title>The natural history of a newly developed flexion contracture following primary total knee arthroplasty</title><source>MEDLINE</source><source>SpringerNature Journals</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><creator>Anania, Andres ; Abdel, Matthew P. ; Lee, Yuo-yu ; Lyman, Stephen ; González Della Valle, Alejandro</creator><creatorcontrib>Anania, Andres ; Abdel, Matthew P. ; Lee, Yuo-yu ; Lyman, Stephen ; González Della Valle, Alejandro</creatorcontrib><description>Purpose
We investigated the incidence, natural history, and functional consequences of a newly developed flexion contracture after total knee arthroplasty (TKA).
Methods
Forty patients with full knee extension preoperatively who developed a postoperative flexion contracture were match-paired 1:2 with 80 patients who had full extension. The incidence of a newly developed flexion contracture, ROM, and Knee Society scores (KSS) at six weeks, four months, and one year were analysed.
Results
The incidence of a new flexion contracture at six weeks was 14 %, but diminished to 5 % and 0.3 % at four months and one year, respectively. One year after surgery, there was no difference in the KSS (
p
= 0.5).
Conclusions
This study showed that the majority of patients who developed a new flexion contracture after TKA have full knee extension one year postoperatively. Moreover, knee extension and KSS at one year are equivalent to those patients who did not developed a flexion contracture.</description><identifier>ISSN: 0341-2695</identifier><identifier>EISSN: 1432-5195</identifier><identifier>DOI: 10.1007/s00264-013-1993-3</identifier><identifier>PMID: 23835560</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Aged ; Aged, 80 and over ; Algorithms ; Arthroplasty, Replacement, Knee - methods ; Case-Control Studies ; Contracture - diagnostic imaging ; Contracture - epidemiology ; Female ; Humans ; Incidence ; Knee Joint - diagnostic imaging ; Knee Joint - physiology ; Knee Joint - surgery ; Knee Prosthesis ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Original Paper ; Orthopedics ; Osteoarthritis, Knee - surgery ; Postoperative Complications - diagnostic imaging ; Postoperative Complications - epidemiology ; Radiography ; Range of Motion, Articular - physiology ; Retrospective Studies ; Treatment Outcome</subject><ispartof>International orthopaedics, 2013-10, Vol.37 (10), p.1917-1923</ispartof><rights>Springer-Verlag Berlin Heidelberg 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c508t-aeb9f4af3190ddee43560f4967a9ae82066270483df959f73728d85f7e07ffa3</citedby><cites>FETCH-LOGICAL-c508t-aeb9f4af3190ddee43560f4967a9ae82066270483df959f73728d85f7e07ffa3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3779550/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3779550/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,41488,42557,51319,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23835560$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Anania, Andres</creatorcontrib><creatorcontrib>Abdel, Matthew P.</creatorcontrib><creatorcontrib>Lee, Yuo-yu</creatorcontrib><creatorcontrib>Lyman, Stephen</creatorcontrib><creatorcontrib>González Della Valle, Alejandro</creatorcontrib><title>The natural history of a newly developed flexion contracture following primary total knee arthroplasty</title><title>International orthopaedics</title><addtitle>International Orthopaedics (SICOT)</addtitle><addtitle>Int Orthop</addtitle><description>Purpose
We investigated the incidence, natural history, and functional consequences of a newly developed flexion contracture after total knee arthroplasty (TKA).
Methods
Forty patients with full knee extension preoperatively who developed a postoperative flexion contracture were match-paired 1:2 with 80 patients who had full extension. The incidence of a newly developed flexion contracture, ROM, and Knee Society scores (KSS) at six weeks, four months, and one year were analysed.
Results
The incidence of a new flexion contracture at six weeks was 14 %, but diminished to 5 % and 0.3 % at four months and one year, respectively. One year after surgery, there was no difference in the KSS (
p
= 0.5).
Conclusions
This study showed that the majority of patients who developed a new flexion contracture after TKA have full knee extension one year postoperatively. Moreover, knee extension and KSS at one year are equivalent to those patients who did not developed a flexion contracture.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Algorithms</subject><subject>Arthroplasty, Replacement, Knee - methods</subject><subject>Case-Control Studies</subject><subject>Contracture - diagnostic imaging</subject><subject>Contracture - epidemiology</subject><subject>Female</subject><subject>Humans</subject><subject>Incidence</subject><subject>Knee Joint - diagnostic imaging</subject><subject>Knee Joint - physiology</subject><subject>Knee Joint - surgery</subject><subject>Knee Prosthesis</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original Paper</subject><subject>Orthopedics</subject><subject>Osteoarthritis, Knee - surgery</subject><subject>Postoperative Complications - diagnostic imaging</subject><subject>Postoperative Complications - epidemiology</subject><subject>Radiography</subject><subject>Range of Motion, Articular - physiology</subject><subject>Retrospective Studies</subject><subject>Treatment Outcome</subject><issn>0341-2695</issn><issn>1432-5195</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc1vEzEQxS0EomnhD-CCfOSyZfy1Xl-QUMWXVIlL7pa7O062OHawvS3573GUUMGF0xzmvd88zSPkDYNrBqDfFwDeyw6Y6JgxohPPyIpJwTvFjHpOViAk63hv1AW5LOUegOl-YC_JBReDUKqHFfHrLdLo6pJdoNu51JQPNHnqaMTHcKATPmBIe5yoD_hrTpGOKdbsxuZA6lMI6XGOG7rP8841a021gX5EROpy3ea0D67UwyvywrtQ8PV5XpH150_rm6_d7fcv324-3najgqF2Du-Ml84LZmCaEKVoIb00vXbG4cCh77kGOYjJG2W8FpoP06C8RtDeO3FFPpyw--Vuh9OIx6jBnsPZ5Gb77ybOW7tJD1ZobZSCBnh3BuT0c8FS7W4uI4bgIqal2PZdNUjDuWxSdpKOOZWS0T-dYWCP9dhTPbbVY4_1WNE8b__O9-T400cT8JOgtFXcYLb3acmxvew_1N_2Op5b</recordid><startdate>20131001</startdate><enddate>20131001</enddate><creator>Anania, Andres</creator><creator>Abdel, Matthew P.</creator><creator>Lee, Yuo-yu</creator><creator>Lyman, Stephen</creator><creator>González Della Valle, Alejandro</creator><general>Springer Berlin Heidelberg</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>7X8</scope><scope>5PM</scope></search><sort><creationdate>20131001</creationdate><title>The natural history of a newly developed flexion contracture following primary total knee arthroplasty</title><author>Anania, Andres ; Abdel, Matthew P. ; Lee, Yuo-yu ; Lyman, Stephen ; González Della Valle, Alejandro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c508t-aeb9f4af3190ddee43560f4967a9ae82066270483df959f73728d85f7e07ffa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Algorithms</topic><topic>Arthroplasty, Replacement, Knee - methods</topic><topic>Case-Control Studies</topic><topic>Contracture - diagnostic imaging</topic><topic>Contracture - epidemiology</topic><topic>Female</topic><topic>Humans</topic><topic>Incidence</topic><topic>Knee Joint - diagnostic imaging</topic><topic>Knee Joint - physiology</topic><topic>Knee Joint - surgery</topic><topic>Knee Prosthesis</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original Paper</topic><topic>Orthopedics</topic><topic>Osteoarthritis, Knee - surgery</topic><topic>Postoperative Complications - diagnostic imaging</topic><topic>Postoperative Complications - epidemiology</topic><topic>Radiography</topic><topic>Range of Motion, Articular - physiology</topic><topic>Retrospective Studies</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Anania, Andres</creatorcontrib><creatorcontrib>Abdel, Matthew P.</creatorcontrib><creatorcontrib>Lee, Yuo-yu</creatorcontrib><creatorcontrib>Lyman, Stephen</creatorcontrib><creatorcontrib>González Della Valle, Alejandro</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Anania, Andres</au><au>Abdel, Matthew P.</au><au>Lee, Yuo-yu</au><au>Lyman, Stephen</au><au>González Della Valle, Alejandro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The natural history of a newly developed flexion contracture following primary total knee arthroplasty</atitle><jtitle>International orthopaedics</jtitle><stitle>International Orthopaedics (SICOT)</stitle><addtitle>Int Orthop</addtitle><date>2013-10-01</date><risdate>2013</risdate><volume>37</volume><issue>10</issue><spage>1917</spage><epage>1923</epage><pages>1917-1923</pages><issn>0341-2695</issn><eissn>1432-5195</eissn><abstract>Purpose
We investigated the incidence, natural history, and functional consequences of a newly developed flexion contracture after total knee arthroplasty (TKA).
Methods
Forty patients with full knee extension preoperatively who developed a postoperative flexion contracture were match-paired 1:2 with 80 patients who had full extension. The incidence of a newly developed flexion contracture, ROM, and Knee Society scores (KSS) at six weeks, four months, and one year were analysed.
Results
The incidence of a new flexion contracture at six weeks was 14 %, but diminished to 5 % and 0.3 % at four months and one year, respectively. One year after surgery, there was no difference in the KSS (
p
= 0.5).
Conclusions
This study showed that the majority of patients who developed a new flexion contracture after TKA have full knee extension one year postoperatively. Moreover, knee extension and KSS at one year are equivalent to those patients who did not developed a flexion contracture.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>23835560</pmid><doi>10.1007/s00264-013-1993-3</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Aged, 80 and over Algorithms Arthroplasty, Replacement, Knee - methods Case-Control Studies Contracture - diagnostic imaging Contracture - epidemiology Female Humans Incidence Knee Joint - diagnostic imaging Knee Joint - physiology Knee Joint - surgery Knee Prosthesis Male Medicine Medicine & Public Health Middle Aged Original Paper Orthopedics Osteoarthritis, Knee - surgery Postoperative Complications - diagnostic imaging Postoperative Complications - epidemiology Radiography Range of Motion, Articular - physiology Retrospective Studies Treatment Outcome |
| title | The natural history of a newly developed flexion contracture following primary total knee arthroplasty |
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