Total knee arthroplasty in stiff and ankylosed knees.
A retrospective study was done to evaluate the results of total knee arthroplasty performed on 84 knees in 53 patients with spontaneously ankylosed knees, having a preoperative arc of movement between 0 degrees and 20 degrees (average, 14 degrees). The difficulties encountered in surgical exposure were managed by using various extensile exposure techniques. Follow-up ranged from 4 to 15 years (average, 9 years). The average postoperative arc of movement at final follow-up was 75 degrees, with a significant average gain of 61 degrees (P < .01). The average extensor lag was 6 degrees. Four knees had a residual flexion contractures of 5 degrees or less. Total knee arthroplasty in ankylosed knees can achieve correction of deformity with a significant gain in range of motion and marked improvement in quality of life.
Rajgopal
Ashok
A
Department of Orthopedic Surgery, Fortis Hospital, Noida, Uttar Pradesh, India.
Ahuja
Neeraj
N
Dolai
Biplab
B
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000844:Ankylosis / Q000503:physiopathology / Q000601:surgery*; D019645:Arthroplasty, Replacement, Knee; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007719:Knee Joint / Q000000981:diagnostic imaging / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011859:Radiography; D016059:Range of Motion, Articular