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[Brisement forcé after knee replacement].

O Skov1

  • 1Ortopaedkirurgisk afdeling. Kolding Sygehus.

Ugeskrift for Laeger
|April 1, 1991
PubMed
Summary
This summary is machine-generated.

Brisement forcé, a manipulation under anesthesia, offers temporary knee flexion improvement after knee replacement. However, its long-term benefits on final mobility are uncertain, with pre-existing pain and resistance being poor prognostic indicators.

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Area of Science:

  • Orthopedic surgery
  • Rehabilitation medicine
  • Biomechanical engineering

Context:

  • Restoring knee flexion after knee replacement is crucial for daily activities.
  • Limited range of motion may necessitate further intervention.
  • Brisement forcé is a procedure involving forceful manipulation of the knee under anesthesia.

Purpose:

  • To evaluate the effectiveness of brisement forcé in improving knee flexion post-replacement.
  • To identify prognostic factors influencing the long-term outcome of brisement forcé.
  • To assess the immediate and lasting effects of the procedure on joint mobility.

Summary:

  • Brisement forcé demonstrated an immediate positive impact on knee joint flexion in 32 patients.
  • The improvement in flexion was transient, with uncertain long-term benefits on final joint mobility.

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  • Pre-manipulation pain and tenacious resistance during the procedure were associated with poorer final outcomes.

    • Impact:

    • Brisement forcé can provide short-term gains in knee flexion, aiding immediate recovery.
    • The procedure's long-term efficacy is questionable, suggesting a need for alternative or adjunctive therapies.
    • Identifying negative prognostic indicators can help manage patient expectations and guide treatment decisions.