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native stiff knee. The term ‘arthrofibrosis’ has often been interchangeably employed with the term ‘stiff knee’, even if they are two different conditions. Knee stiffness has been described as a knee range of motion (ROM) of less than 50° ( 5
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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
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) or patella tendon rupture ( Fig. 2 ) or avulsion which can occur either intraoperatively or postoperatively. Intraoperative failure of the extensor mechanism is usually related to gaining exposure to a stiff knee or over resection of the patella
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that the equinus can be masked by a knee recurvatum. The jump gait pattern is characterised by equinus at the ankle, flexion at knee and hip, anterior tilt and increased lumbar lordosis. Within this pattern, the stiff knee pattern described by
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. Lateral view radiographs indicate patellar height (low patella in stiff knee), tibial slope and entry point of the reamer in antero-posterior position. Patellar axial view shows patellar tracking and any dislocation/ tilt. Pre
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obese patients with body mass index (BMI) > 40 kg/m, 2 , 45 patients with significantly valgus knees 47 and patients with fixed flexion deformities and stiff knees. 48 Only 7/20 studies in this review excluded patients based on raised BMI
Ortoklinik & Cankaya Orthopedics, Ankara, Turkey
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Avcilar Hospital, Istanbul, Turkey
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Ortoklinik & Cankaya Orthopedics, Ankara, Turkey
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-resection of the patella, joint line elevation causing impingement of the tendon and multiple revisions may worsen this situation ( 52 , 53 ). Manipulation under anesthesia for stiff knees is another risk factor, especially if performed later than 3 months
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Petruccelli D Winemaker M Adili A . Predictive risk factors for stiff knees in total knee arthroplasty . J Arthroplasty 2006 ; 21 : 46 – 52 . 18. Gollwitzer H Burgkart R Diehl P Gradinger R
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patients. Good results were achieved in eight patients. However, the benefits declined with time. The conclusion was that to avoid the potential complications of MUA and open arthrotomy, arthroscopic surgery is an option for treating a painful, stiff knee
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: 1534 - 1536 . 42 Mont MA , Seyler TM , Marulanda GA , Delanois RE , Bhave A . Surgical treatment and customized rehabilitation for stiff knee arthroplasties . Clin Orthop Relat Res 2006 ; 446 : 193