NDLI: Surgical Release of Severe Flexion Contracture for Oncologic Knee Arthroplasty

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Surgical Release of Severe Flexion Contracture for Oncologic Knee Arthroplasty

Content Provider	Semantic Scholar
Author	Ng, Vincent S. Y. Louie, Philip K. Punt, Stephanie E. W. Conrad, E. U.
Copyright Year	2017
Abstract	BACKGROUND Severe postoperative knee contractures after arthroplasty or megaprosthesis reconstruction occur rarely, but are devastating complications. Management of preoperative flexion contractures is well-described, but there is a paucity of literature for surgical treatment of postoperative contractures. A retrospective chart review was performed for a single surgeon of cases between 1996 and 2014. RESULTS Nine patients (5 of 66 for pediatrics; 4 of 95 for adults) underwent surgical release for severe stiffness after implantation of knee megaprosthesis. The total arc of motion was improved from a preoperative mean of 34° (range, 10° to 70°) to a postoperative mean 89° (63° to 125°). The amount of extension improved by a mean of 27° (range, -3° to +70°) and the amount of flexion improved by a mean of 28° (range, -10° to +75°). CONCLUSION Surgical release of severe postoperative knee contracture is a challenging procedure, but in most cases, the amount of extension and flexion can be improved, yielding a greater total arc of motion.
Starting Page	45
Ending Page	50
Page Count	6
File Format	PDF HTM / HTML
Alternate Webpage(s)	https://benthamopen.com/contents/pdf/TOORTHJ/TOORTHJ-11-45.pdf
PubMed reference number	5366395
Alternate Webpage(s)	https://doi.org/10.2174/1874325001711010045
DOI	10.2174/1874325001711010045
Journal	The open orthopaedics journal
Volume Number	11
Language	English
Access Restriction	Open
Subject Keyword	Chart evaluation by healthcare professional Eighty Nine Flexion contracture Knee Replacement Arthroplasty (procedure) Operative Surgical Procedures Patients Postoperative Nausea and Vomiting Stiffness oncology field
Content Type	Text
Resource Type	Article

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