Ghent University Academic Bibliography

Advanced

Flexion contracture in total knee arthroplasty

Johan Bellemans, Hilde Vandenneucker, Jan Victor UGent and Johan Vanlauwe (2006) CLINICAL ORTHOPAEDICS AND RELATED RESEARCH. 452. p.78-82
abstract
We retrospectively evaluated a surgical algorithm for treating flexion contracture in total knee arthroplasty using a prospectively collected database of 2898 knees. We asked how many steps were required to obtain correction with increasing severity of the flexion contracture. We further wanted to know whether correction was maintained at two years after surgery, and which complications occurred in relation to the algorithm. Our algorithm consisted of four steps executed until full extension was achieved: (1) mediolateral ligament balancing with resection of all osteophytes and overresection of the distal femur by 2 mm; (2) progressive posterior capsular release and gastrocnemius release; (3) additional resection of the distal femur up to a maximum of 4 mm; (4) hamstring tenotomy. A flexion contracture between 5 degrees and 15 degrees occurred in 794 cases, between 15 degrees and 30 degrees in 95 cases, and greater than 30 degrees in 35 cases. The data suggest 98.6% of the cases with flexion contracture less than 30 degrees could be corrected with Steps 1 and 2. Even in the 35 flexion contractures greater than 30 degrees, additional resection of the distal femur and hamstring tenotomy was performed in only 28.6% and 22.9% of cases, respectively.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (proceedingsPaper)
publication status
published
subject
keyword
NATURAL-HISTORY, RHEUMATOID-ARTHRITIS, DEFORMITY
journal title
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH
Clin. Orthop. Rel. Res.
volume
452
pages
78 - 82
conference name
2006 Meeting of the Knee Society
conference location
Chicago, IL, USA
conference start
2006-03-25
conference end
2006-03-25
Web of Science type
Article; Proceedings Paper
Web of Science id
000243021400015
JCR category
ORTHOPEDICS
JCR impact factor
2.161 (2006)
JCR rank
6/43 (2006)
JCR quartile
1 (2006)
ISSN
0009-921X
DOI
10.1097/01.blo.0000238791.36725.c5
language
English
UGent publication?
no
classification
A1
id
1967734
handle
http://hdl.handle.net/1854/LU-1967734
date created
2011-12-15 10:49:49
date last changed
2018-06-21 10:22:40
@article{1967734,
  abstract     = {We retrospectively evaluated a surgical algorithm for treating flexion contracture in total knee arthroplasty using a prospectively collected database of 2898 knees. We asked how many steps were required to obtain correction with increasing severity of the flexion contracture. We further wanted to know whether correction was maintained at two years after surgery, and which complications occurred in relation to the algorithm. Our algorithm consisted of four steps executed until full extension was achieved: (1) mediolateral ligament balancing with resection of all osteophytes and overresection of the distal femur by 2 mm; (2) progressive posterior capsular release and gastrocnemius release; (3) additional resection of the distal femur up to a maximum of 4 mm; (4) hamstring tenotomy. A flexion contracture between 5 degrees and 15 degrees occurred in 794 cases, between 15 degrees and 30 degrees in 95 cases, and greater than 30 degrees in 35 cases. The data suggest 98.6\% of the cases with flexion contracture less than 30 degrees could be corrected with Steps 1 and 2. Even in the 35 flexion contractures greater than 30 degrees, additional resection of the distal femur and hamstring tenotomy was performed in only 28.6\% and 22.9\% of cases, respectively.},
  author       = {Bellemans, Johan and Vandenneucker, Hilde and Victor, Jan and Vanlauwe, Johan},
  issn         = {0009-921X},
  journal      = {CLINICAL ORTHOPAEDICS AND RELATED RESEARCH},
  keyword      = {NATURAL-HISTORY,RHEUMATOID-ARTHRITIS,DEFORMITY},
  language     = {eng},
  location     = {Chicago, IL, USA},
  pages        = {78--82},
  title        = {Flexion contracture in total knee arthroplasty},
  url          = {http://dx.doi.org/10.1097/01.blo.0000238791.36725.c5},
  volume       = {452},
  year         = {2006},
}

Chicago
Bellemans, Johan, Hilde Vandenneucker, Jan Victor, and Johan Vanlauwe. 2006. “Flexion Contracture in Total Knee Arthroplasty.” Clinical Orthopaedics and Related Research 452: 78–82.
APA
Bellemans, J., Vandenneucker, H., Victor, J., & Vanlauwe, J. (2006). Flexion contracture in total knee arthroplasty. CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 452, 78–82. Presented at the 2006 Meeting of the Knee Society.
Vancouver
1.
Bellemans J, Vandenneucker H, Victor J, Vanlauwe J. Flexion contracture in total knee arthroplasty. CLINICAL ORTHOPAEDICS AND RELATED RESEARCH. 2006;452:78–82.
MLA
Bellemans, Johan, Hilde Vandenneucker, Jan Victor, et al. “Flexion Contracture in Total Knee Arthroplasty.” CLINICAL ORTHOPAEDICS AND RELATED RESEARCH 452 (2006): 78–82. Print.