title: [Management of Flexion Contracture in Primary Total Knee Arthroplasty].
abstract: Flexion contracture is a common deformity of the arthritic knee. The present publication describes causes, clinical relevance and surgical technique in the presence of flexion contractures in total knee arthroplasty. Flexion contracture can be attributed to different causes. Basically it is a mismatch between flexion and extension gaps. Moderate and severe deformities have to be corrected by additional surgical interventions. In most cases soft tissue techniques with release of contracted structures, the removal of osteophytes and additional distal femoral bone resection are necessary. The goal of these interventions is to achieve full extension of the knee. During rehabilitation attention has to be paid to maintain it with intensive physical therapy. A remaining flexion contracture is associated with inferior functional outcome and persistent pain.
authors.affiliation: Orthopädische Chirurgie, OCM-Klinik München.
authors.forename: R
authors.initials: R
authors.lastname: Hube
authors.affiliation: Orthopädische Chirurgie, OCM-Klinik München.
authors.forename: H O
authors.initials: HO
authors.lastname: Mayr
authors.affiliation: Centrum für Muskuloskeletale Chirurgie, Klinik für Orthopädie, Charité - Universitätsmedizin Berlin.
authors.forename: T
authors.initials: T
authors.lastname: Pfitzner
authors.affiliation: Centrum für Muskuloskeletale Chirurgie, Klinik für Orthopädie, Charité - Universitätsmedizin Berlin.
authors.forename: P
authors.initials: P
authors.lastname: von Roth
mesh_terms: D019645:Arthroplasty, Replacement, Knee / Q000295:instrumentation / Q000379:methods*; D003286:Contracture / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D020370:Osteoarthritis, Knee / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D017755:Prosthesis Fitting / Q000379:methods*; D011859:Radiography; D016896:Treatment Outcome