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Introduction Knee stiffness is a widely known and worrying condition in several postoperative knees, such as total knee arthroplasty (TKA) or anterior cruciate ligament (ACL) reconstruction ( 1 , 2 , 3 , 4 ). However, less is known about
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Introduction Total knee arthroplasty (TKA) remains the most reliable and efficacious treatment for patients with osteoarthritis resistant to conservative therapies. The stiff knee is a postoperative complication occurring in 4–16% of patients
Faculty of Medicine, Universidad Francisco de Vitoria, Madrid, Spain
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Osteoarticular Surgery Research, Hospital La Paz Institute for Health Research – IdiPAZ (La Paz University Hospital – Autonomous University of Madrid), Madrid, Spain
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. Knee stiffness Acute infection Chronic infection (osteomyelitis) Malunion Non-union Post-traumatic osteoarthritis Residual knee instability secondary to ligaments damage that was not addressed initially, during
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outpatient TKA than inpatient TKA, including component failure, surgical site infection, knee stiffness and deep vein thrombosis. 14 According to Gogineni et al, outpatient total hip arthroplasty (THA) and TKA in a well-selected patient is feasible in
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; incorrect tensioning can potentially lead to joint stiffness or instability. 3 Soft-tissue imbalance contributes to several of the foremost reasons for revision following primary TKA, including instability, stiffness, and aseptic loosening. 4
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, knee stiffness requiring manipulation under anaesthesia, post-operative infection and deep vein thrombosis were also analysed. The following additional information was recorded: study setting; population; participant demographics; follow-up rates and
Department of Orthopaedics, Golden Jubilee National Hospital, Clydebank, UK
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Department of Orthopaedics, Golden Jubilee National Hospital, Clydebank, UK
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factors with potential association to instability have been examined such as joint laxity, muscle strength, proprioception, knee joint stiffness, disease severity and gait parameters, finding several significant associations. 2 , 6 - 9 This is of
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loss, choice of implant and level of constraint. During clinical examination, the surgeon must evaluate skin temperature, redness, swelling, deformity both at rest and during weight-bearing, peripheral pulses, range of motion (particularly stiffness 4
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a rise in the incidence of revision TKA. In the current literature, the most common reasons for revision TKA are aseptic loosening, usually as a result of wear, and infection. 2 , 5 - 8 These, together with instability and stiffness, account for
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headaches, gastrointestinal disturbance, malaise and stiffness of the neck and back, with or without paralysis, may occur. The ratio of unapparent to paralytic infections may be as high as 1000 to 1 in children and 75 to 1 in adults, depending on the viral
