The natural history of a newly developed flexion contracture following primary total knee arthroplasty

Andres Anania, Matthew P. Abdel, Yuo Yu Lee, Stephen Lyman, Alejandro González Della Valle

Research output: Contribution to journalArticle

15 Scopus citations

Abstract

Purpose: We investigated the incidence, natural history, and functional consequences of a newly developed flexion contracture after total knee arthroplasty (TKA). Methods: Forty patients with full knee extension preoperatively who developed a postoperative flexion contracture were match-paired 1:2 with 80 patients who had full extension. The incidence of a newly developed flexion contracture, ROM, and Knee Society scores (KSS) at six weeks, four months, and one year were analysed. Results: The incidence of a new flexion contracture at six weeks was 14 %, but diminished to 5 % and 0.3 % at four months and one year, respectively. One year after surgery, there was no difference in the KSS (p = 0.5). Conclusions: This study showed that the majority of patients who developed a new flexion contracture after TKA have full knee extension one year postoperatively. Moreover, knee extension and KSS at one year are equivalent to those patients who did not developed a flexion contracture.

Original languageEnglish (US)
Pages (from-to)1917-1923
Number of pages7
JournalInternational Orthopaedics
Volume37
Issue number10
DOIs
StatePublished - Oct 1 2013

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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