Seminars in Arthroplasty
Volume 21, Issue 2 , Pages 108-109, June 2010

Revision of the Stiff Total Knee Arthroplasty: An Operation to Try to Avoid

  • Michael Berend, MD

      Affiliations

    • Corresponding Author InformationAddress reprint requests to Michael Berend, MD, Center for Hip and Knee Surgery, Joint Replacement Surgeons of Indiana Research Foundation, St. Francis Hospital Mooresville, 1199 Hadley Rd., Mooresville, IN 46158

Center for Hip and Knee Surgery, Joint Replacement Surgeons of Indiana Research Foundation, St. Francis Hospital Mooresville, Mooresville, IN, USA

Stiffness after total knee arthroplasty, with limitations in range of motion, is present in approximately 2% of knees. In patients with increased risk for motion loss, appropriate patient education is important. Early in the postoperative period, manipulation under anesthesia is successful in 90% of cases. Revision for stiffness is more successful if an etiology can be identified and if pain is combined with the loss of motion.

Keywords: total knee arthroplasty, range of motion, rotational malalignment

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 No funds were received directly for this paper. Dr. Berend receives royalties for Intellectual Property from Biomet, the Joint Replacement surgeons of Indiana Research Foundation receives research support from Biomet, St. Francis Hospital, MCS, ERMI, and Javelin Pharmaceuticals for clinical trials, clinical database, and basic science research.

PII: S1045-4527(09)00084-4

doi:10.1053/j.sart.2009.12.001

Seminars in Arthroplasty
Volume 21, Issue 2 , Pages 108-109, June 2010