title: Factors affecting the range of movement of total knee arthroplasty.
abstract: We have investigated those factors which influence the range of movement after total knee arthroplasty, including sex, age, preoperative diagnosis and preoperative flexion deformity and flexion range. We also compared cemented and cementless tibial fixation, the influence of collateral ligament and lateral parapatellar releases and of replacement of the patella, and of the period of postoperative immobilisation. We reviewed 516 Johnson-Elloy (Accord) knee arthroplasties performed between 1982 and 1989, with a minimum follow-up of 12 months. The most important factors in the range of flexion achieved after arthroplasty are the diagnosis and the preoperative range of flexion. In patients with osteoarthritis there was a mean loss of flexion; in rheumatoid arthritis there was a mean gain. In both groups, the stiffer knees gained motion and the more mobile knees lost it. Post-operative range of motion was not influenced significantly by cement fixation, collateral ligament or patellar retinacular releases, prolonged immobilisation or patellar replacement.
authors.affiliation: Knee Research Unit, Wirral Hospital, Upton, England, UK.
authors.forename: I A
authors.initials: IA
authors.lastname: Harvey
authors.forename: K
authors.initials: K
authors.lastname: Barry
authors.forename: S P
authors.initials: SP
authors.lastname: Kirby
authors.forename: R
authors.initials: R
authors.lastname: Johnson
authors.forename: M A
authors.initials: MA
authors.lastname: Elloy
mesh_terms: D000367:Age Factors; D001172:Arthritis, Rheumatoid / Q000175:diagnosis / Q000503:physiopathology* / Q000601:surgery*; D001843:Bone Cements; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007103:Immobilization; D007719:Knee Joint; D007720:Knee Prosthesis; D008023:Ligaments, Articular / Q000601:surgery; D016014:Linear Models; D016015:Logistic Models; D008297:Male; D010003:Osteoarthritis / Q000175:diagnosis / Q000503:physiopathology* / Q000601:surgery*; D010329:Patella / Q000601:surgery; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D012307:Risk Factors; D012720:Severity of Illness Index; D012737:Sex Factors
chemical_list: D001843:Bone Cements