title: Knee range of motion in isolated femoral lengthening.
abstract: Twenty-five patients underwent isolated Ilizarov femoral lengthenings (mean lengthening, 6 cm). A retrospective review of the charts showed the specific changes in knee range of motion (ROM) during lengthening, after removal of the frame, and at the final follow-up examination. A decrease in ROM was seen during lengthening to an average minimum of 37 degrees +/- 15 degrees. Toward the end of the consolidation phase, improvement to 69 degrees +/- 28 degrees was noted. A progressive increase in ROM was seen after frame removal. Mean preoperative flexion was 127 degrees +/- 16 degrees, and at follow-up flexion was 122 degrees +/- 23 degrees (p = 0.191). Of the five patients who did not achieve 120 degrees flexion at the final follow-up examination, three had a diminished ROM (average, 107 degrees) at the outset. Two patients lost more than 15% of their preoperative flexion. There was no correlation noted between worst ROM (during lengthening) and final ROM at the last follow-up examination.
authors.affiliation: Department of Surgery, University of Maryland Medical School, Baltimore.
authors.forename: J E
authors.initials: JE
authors.lastname: Herzenberg
authors.forename: L L
authors.initials: LL
authors.lastname: Scheufele
authors.forename: D
authors.initials: D
authors.lastname: Paley
authors.forename: R
authors.initials: R
authors.lastname: Bechtel
authors.forename: S
authors.initials: S
authors.lastname: Tepper
mesh_terms: D000293:Adolescent; D000328:Adult; D000704:Analysis of Variance; D001852:Bone Lengthening / Q000379:methods; D002648:Child; D016267:External Fixators; D005269:Femur / Q000601:surgery*; D006801:Humans; D007719:Knee Joint / Q000502:physiology*; D007870:Leg Length Inequality / Q000601:surgery*; D016059:Range of Motion, Articular; D012189:Retrospective Studies