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Related Concept Videos

Knee Joint01:23

Knee Joint

3.4K
The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
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Related Experiment Video

Updated: May 7, 2026

Clinical Protocol of Producing Adipose Tissue-Derived Stromal Vascular Fraction for Potential Cartilage Regeneration
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Revision for stiff knee after knee replacement.

Sophie Putman1, Paul-Antoine André2, Gilles Pasquier2

  • 1Metrics, Université Lille-Nord de France, 59000 Lille, France; Service d'Orthopédie 2, CHU Lille, France.

Orthopaedics & Traumatology, Surgery & Research : OTSR
|November 23, 2024
PubMed
Summary
This summary is machine-generated.

Stiffness after total knee replacement requires identifying causes like technical errors or poor rehabilitation. Management involves multidisciplinary treatment, including manipulation under anesthesia or surgical revision for improved range of motion.

Keywords:
ArthrolysisKnee replacementManipulation under anesthesiaRevisionStiffness

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Area of Science:

  • Orthopedic surgery
  • Biomedical engineering
  • Rehabilitation medicine

Background:

  • Stiffness after total knee replacement (TKR) is a common complication, impacting patient function and satisfaction.
  • Defining TKR stiffness varies, often involving limited flexion or range of motion (ROM).
  • Identifying the root cause—preoperative, intraoperative, or postoperative—is crucial for effective management.

Purpose of the Study:

  • To outline the diagnostic approach to stiffness following total knee replacement.
  • To detail the various treatment strategies based on the type and timing of stiffness.
  • To emphasize the multidisciplinary nature of managing TKR stiffness.

Main Methods:

  • Review of existing literature and expert opinion on TKR stiffness.
  • Categorization of stiffness causes into preoperative, intraoperative, and postoperative factors.
  • Description of treatment options including manipulation under anesthesia, arthrolysis, and implant revision.

Main Results:

  • Early intervention (less than 3 months) with manipulation under anesthesia can improve flexion.
  • Arthrolysis (often arthroscopic) is effective for stiffness without significant technical errors.
  • Implant revision is reserved for cases of malpositioning, oversizing, or failed conservative treatments, carrying higher risks.

Conclusions:

  • Successful management of TKR stiffness necessitates a thorough etiological diagnosis and a tailored, multidisciplinary treatment plan.
  • Patient education regarding realistic expectations and the prolonged nature of recovery is essential.
  • Treatment outcomes are often imperfect, highlighting the need for ongoing pain management and rehabilitation.