{"id":29816,"date":"2013-12-21T14:38:00","date_gmt":"2013-12-21T13:38:00","guid":{"rendered":"https:\/\/centreliv.yetinc.ch\/?p=29816"},"modified":"2024-08-08T14:39:50","modified_gmt":"2024-08-08T12:39:50","slug":"total-knee-arthroplasty-of-the-stiff-knee-three-hundred-and-four-cases","status":"publish","type":"post","link":"https:\/\/drvincentvilla.ch\/en\/total-knee-arthroplasty-of-the-stiff-knee-three-hundred-and-four-cases\/","title":{"rendered":"Total knee arthroplasty of the stiff knee: three hundred and four cases"},"content":{"rendered":"\n<p><strong>Abstract<\/strong><\/p>\n\n\n\n<p><strong>Purpose:&nbsp;<\/strong>The purpose of this study was to analyse the results of total knee arthroplasty (TKA) in stiff knees (flexion \u226490\u00b0 and\/or flexion contracture \u226520\u00b0). Our hypothesis was that despite having poorer results than those obtained in a \u00ab\u00a0standard\u00a0\u00bb population and a high rate of complications, TKA was a satisfactory treatment in patients with osteoarthritis of the knee associated with significant stiffness.<\/p>\n\n\n\n<p><strong>Methods:&nbsp;<\/strong>Three hundred and four consecutive primary HLS TKAs (Tornier), whose data were prospectively collected between October 1987 and October 2012, were retrospectively analysed at a mean of 60 months (range, 12-239) postoperatively. Two groups, those with a \u00ab\u00a0flexion contracture\u00a0\u00bb and those with a \u00ab\u00a0flexion deficit\u00a0\u00bb, were assessed for postoperative range of motion (as integrated to the Knee Society score [KSS]), physical activity level and patient satisfaction.<\/p>\n\n\n\n<p><strong>Results:&nbsp;<\/strong>At the latest follow-up, range of motion was significantly improved, as was the KSS. Ninety-four percent of patients were satisfied or very satisfied, and activity levels were increased after surgery. The complication rate, however, was high in patients with a preoperative flexion deficit (17%). Pain and residual stiffness were the most common complications.<\/p>\n\n\n\n<p><strong>Conclusion:&nbsp;<\/strong>TKA provides satisfactory results in patients with knee osteoarthritis associated with significant pre-operative stiffness. The surgical plan should be adapted to anticipate complications, which are particularly frequent in the presence of a flexion deficit.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\"><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Abstract Purpose:&nbsp;The purpose of this study was to analyse the results of total knee arthroplasty (TKA) in stiff knees (flexion \u226490\u00b0 and\/or flexion contracture \u226520\u00b0). Our hypothesis was that despite having poorer results than those obtained in a \u00ab\u00a0standard\u00a0\u00bb population and a high rate of complications, TKA was a satisfactory treatment in patients with osteoarthritis [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"off","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[31,28],"tags":[],"class_list":["post-29816","post","type-post","status-publish","format-standard","hentry","category-articles-scientifiques","category-dr-villa"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Total knee arthroplasty of the stiff knee: three hundred and four cases - Dr Vincent Villa - Chirurgien orthop\u00e9diste<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/drvincentvilla.ch\/en\/total-knee-arthroplasty-of-the-stiff-knee-three-hundred-and-four-cases\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Total knee arthroplasty of the stiff knee: three hundred and four cases - Dr Vincent Villa - Chirurgien orthop\u00e9diste\" \/>\n<meta property=\"og:description\" content=\"Abstract Purpose:&nbsp;The purpose of this study was to analyse the results of total knee arthroplasty (TKA) in stiff knees (flexion \u226490\u00b0 and\/or flexion contracture \u226520\u00b0). 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