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Related Experiment Videos

Stiffness after total knee arthroplasty.

Matthew R Bong1, Paul E Di Cesare

  • 1Department of Orthopaedic Surgery, NYU-Hospital for Joint Diseases, New York, NY 10003, USA.

The Journal of the American Academy of Orthopaedic Surgeons
|May 27, 2004
PubMed
Summary

Postoperative stiffness after total knee arthroplasty (TKA) can be treated with physical therapy, manipulation, or lysis of adhesions. Revision surgery is recommended for component malpositioning or oversizing.

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Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering

Background:

  • Postoperative stiffness is a significant complication following total knee arthroplasty (TKA).
  • Identifying risk factors is crucial for preventing and managing TKA stiffness.
  • Understanding treatment options is essential for restoring function after TKA.

Purpose of the Study:

  • To review the risk factors associated with postoperative stiffness after TKA.
  • To outline the management strategies for TKA stiffness.
  • To provide guidance on surgical interventions for refractory cases.

Main Methods:

  • Literature review of preoperative, intraoperative, and postoperative factors contributing to TKA stiffness.
  • Analysis of treatment modalities including conservative management, manipulation, lysis of adhesions, and revision arthroplasty.

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  • Evaluation of timing and indications for different interventions.

    • Main Results:

    • Preoperative factors include limited range of motion, diagnosis, and prior surgery.
    • Intraoperative factors involve component positioning, gap balancing, and bone resection.
    • Postoperative causes include arthrofibrosis, infection, and patient motivation.

    Conclusions:

    • Early mobilization and physical therapy are primary treatments for TKA stiffness.
    • Closed manipulation is effective within 3 months; lysis of adhesions can be considered later.
    • Revision arthroplasty is indicated for mechanical issues like malpositioned components.