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Article: Review article: Knee flexion after total knee arthroplasty

TitleReview article: Knee flexion after total knee arthroplasty
Authors
KeywordsFlexion
Range of motion
Total knee arthroplasty
Issue Date2002
PublisherHong Kong Academy of Medicine Press. The Journal's web site is located at http://www.josonline.org/
Citation
Journal Of Orthopaedic Surgery, 2002, v. 10 n. 2, p. 194-202 How to Cite?
AbstractMany factors affect or predict the flexion range achieved after total knee arthroplasty. While the knees that have good preoperative flexion have better final flexion, knees with good preoperative flexion do lose some flexion whereas those with poor preoperative flexion can gain flexion. Although studies of different prosthetic designs have produced conflicting results, recent studies appear to favour posterior cruciate ligament (PCL) -substituting over PCL-retaining prostheses. Several factors related to surgical techniques have been found to be important. These include the tightness of the retained posterior cruciate ligament, the elevation of the joint line, increased patellar thickness, and a trapezoidal flexion gap. Vigorous rehabilitation after surgery appears useful, while continuous passive motion has not been found to be effective. Obesity and previous surgery are poor prognostic factors; certain cultural factors, such as the Japanese style of sitting, offer 'unintentional' passive flexion and result in patients with better range. If the flexion after surgery is unsatisfactory, manipulation under anaesthesia within 3 months of the total knee arthroplasty can be beneficial.
Persistent Identifierhttp://hdl.handle.net/10722/79642
ISSN
2015 Impact Factor: 0.542
2015 SCImago Journal Rankings: 0.458
References

 

DC FieldValueLanguage
dc.contributor.authorChiu, KYen_HK
dc.contributor.authorNg, TPen_HK
dc.contributor.authorTang, WMen_HK
dc.contributor.authorYau, WPen_HK
dc.date.accessioned2010-09-06T07:56:57Z-
dc.date.available2010-09-06T07:56:57Z-
dc.date.issued2002en_HK
dc.identifier.citationJournal Of Orthopaedic Surgery, 2002, v. 10 n. 2, p. 194-202en_HK
dc.identifier.issn1022-5536en_HK
dc.identifier.urihttp://hdl.handle.net/10722/79642-
dc.description.abstractMany factors affect or predict the flexion range achieved after total knee arthroplasty. While the knees that have good preoperative flexion have better final flexion, knees with good preoperative flexion do lose some flexion whereas those with poor preoperative flexion can gain flexion. Although studies of different prosthetic designs have produced conflicting results, recent studies appear to favour posterior cruciate ligament (PCL) -substituting over PCL-retaining prostheses. Several factors related to surgical techniques have been found to be important. These include the tightness of the retained posterior cruciate ligament, the elevation of the joint line, increased patellar thickness, and a trapezoidal flexion gap. Vigorous rehabilitation after surgery appears useful, while continuous passive motion has not been found to be effective. Obesity and previous surgery are poor prognostic factors; certain cultural factors, such as the Japanese style of sitting, offer 'unintentional' passive flexion and result in patients with better range. If the flexion after surgery is unsatisfactory, manipulation under anaesthesia within 3 months of the total knee arthroplasty can be beneficial.en_HK
dc.languageengen_HK
dc.publisherHong Kong Academy of Medicine Press. The Journal's web site is located at http://www.josonline.org/en_HK
dc.relation.ispartofJournal of Orthopaedic Surgeryen_HK
dc.subjectFlexionen_HK
dc.subjectRange of motionen_HK
dc.subjectTotal knee arthroplastyen_HK
dc.titleReview article: Knee flexion after total knee arthroplastyen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1022-5536&volume=10&spage=194&epage=202&date=2002&atitle=Knee+flexion+after+total+knee+arthroplastyen_HK
dc.identifier.emailChiu, KY:pkychiu@hkucc.hku.hken_HK
dc.identifier.emailYau, WP:peterwpy@hkucc.hku.hken_HK
dc.identifier.authorityChiu, KY=rp00379en_HK
dc.identifier.authorityYau, WP=rp00500en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.pmid12493934-
dc.identifier.scopuseid_2-s2.0-0036992703en_HK
dc.identifier.hkuros79320en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0036992703&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume10en_HK
dc.identifier.issue2en_HK
dc.identifier.spage194en_HK
dc.identifier.epage202en_HK
dc.publisher.placeHong Kongen_HK
dc.identifier.scopusauthoridChiu, KY=7202988127en_HK
dc.identifier.scopusauthoridNg, TP=24438193400en_HK
dc.identifier.scopusauthoridTang, WM=7403430820en_HK
dc.identifier.scopusauthoridYau, WP=7005822441en_HK

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