NDLI: Flexion contracture following primary total knee arthroplasty: risk factors and outcomes.

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Flexion contracture following primary total knee arthroplasty: risk factors and outcomes.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Goudie, Stuart T. Deakin, Angela H. Ahmad, Aftab Maheshwari, Rohit Picard, Frederic
Description	Country affiliation: United kingdom Author Affiliation: Goudie ST ( Department of Orthopaedics, Golden Jubilee National Hospital, Clydebank, Scotland, United Kingdom.)
Abstract	Function and satisfaction after total knee arthroplasty (TKA) are partially linked to postoperative range of motion (ROM). Fixed flexion contracture is a recognized complication of TKA that reduces ROM and is a source of morbidity for patients. This study aimed to identify preoperative risk factors for developing fixed flexion contracture following TKA and to quantify the effect of fixed flexion contracture on outcomes (Oxford knee score 12-60 and patient satisfaction) at 2 years. Pre-, intra-, and postoperative data for 811 TKAs were retrospectively reviewed. At 2 years postoperatively, the incidence of fixed flexion contracture was 3.6%. Men were 2.6 times more likely than women to have fixed flexion contracture (P=.012), and patients with preimplant fixed flexion contracture were 2.3 times more likely than those without to have fixed flexion contracture (P=.028). Increasing age was associated with an increased rate of fixed flexion contracture (P=.02). Body mass index was not a risk factor (P=.968). Incidence of fixed flexion contracture for those undergoing computer navigated TKA was 3.9% compared with 3.4% for those having conventional surgery (P=.711). Patients with fixed flexion contracture had poorer outcomes with a median [interquartile range] Oxford Knee Score of 25 [15] compared with 20 [11] for those without (P=.003) and lower patient satisfaction (P=.036). These results support existing literature for incidence of fixed flexion contracture after TKA, risk factors, and outcomes, indicating that these figures can be extrapolated to a wide population. They also clarify a previously contentious point by excluding body mass index as a risk factor.
Related Links	https://www.healio.com/orthopedics/journals/ortho/2011-12-34-12/{9aa8d1f2-17fd-4d87-80b9-c1a518024c8d}/flexion-contracture-following-primary-total-knee-arthroplasty-risk-factors-and-outcomes
File Format	HTM / HTML
ISSN	01477447
e-ISSN	19382367
DOI	10.3928/01477447-20111021-18
Journal	Orthopedics
Issue Number	12
Volume Number	34
Language	English
Publisher	SLACK Incorporated
Publisher Date	2011-12-06
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Discipline Orthopedics Arthroplasty, Replacement, Knee Adverse Effects Contracture Pathology Knee Joint Osteoarthritis, Knee Etiology Physiopathology Health Status Surgery Outcome Assessment (health Care) Patient Satisfaction Postoperative Complications Range Of Motion, Articular Recovery Of Function Retrospective Studies Risk Factors
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Surgery

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Is extreme flexion of the knee after total knee replacement a prerequisite for patient satisfaction?

Computer navigation results in less severe flexion contracture following total knee arthroplasty.

High-flexion total knee arthroplasty: a systematic review.

Functional outcomes of simultaneous bilateral versus unilateral total knee arthroplasty.

Flexion contracture persists if the contracture is more than 15° at 3 months after total knee arthroplasty.

Outcome and range of motion using a high-flexion cruciate-retaining TKA.

Five-year results of the Innex total knee arthroplasty system.

Measured flexion following total knee arthroplasty.

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Flexion contracture following primary total knee arthroplasty: risk factors and outcomes.

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Computer navigation results in less severe flexion contracture following total knee arthroplasty.

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Flexion contracture persists if the contracture is more than 15° at 3 months after total knee arthroplasty.

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