Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca · 2007 · 12 citations · 14 references
MedicineOrthopaedic SurgeryOrthopedic SurgeryJoint Replacement SurgeryOrthopedic RehabilitationOrthopedicsJoint Motion AnalysisJoint SurgeryKnee ArthroplastyKnee RehabilitationOsteoarthritisRevision ArthroplastyConservative Pharmacologic TreatmentConservative Surgical TreatmentJoint Stiffness PreventionKnee Joint MechanicsRehabilitation After Total Knee ArthroplastyRevision Arthroplasty ImplantsRevision Knee ArthroplastyTotal Joint Arthroplasty
PURPOSE OF THE STUDYThe aim of the study was to ascertain what proportion of patients undergoing total knee arthroplasty (TKA) complain of restricted knee joint motion, and to investigate options for improvement of this situation. MATERIALOur evaluation included a group of 796 patients treated with TKA at our department in the period from January 1, 1990, to December 31, 2004.In all cases, a condylar implant with preservation of the posterior cruciate ligaments was used. CONCLUSIONSRestricted motion of the knee joint after TKA is difficult to treat and, therefore, prevention is recommended.This should include thorough conservative treatment of gonarthrosis, early indication for surgery, prevention of elevation in the joint line and consistent rehabilitation with appropriate analgesia.For severe stiffness of the knee joint, as evaluated by the criteria of Kim et al., revision arthroplasty can be recommended.
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