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Factors affecting range of motion after total knee arthroplasty in patients with more than 120 degrees of preoperative flexion angle.

Abstract：

PURPOSE:The postoperative flexion angle reportedly shows a positive correlation with the preoperative flexion angle, but in some cases, the postoperative flexion angle decreases in patients with a large preoperative flexion angle. The purpose of this study was to investigate factors affecting the range of motion after total knee arthroplasty (TKA) in patients with a large preoperative flexion angle. METHODS:The study evaluated 120 knees with more than 120 degrees of preoperative flexion angle that underwent NexGen LPS-Flex mobile bearing. The groups with and without a reduction in the postoperative flexion angle were compared. Also, a logistic regression analysis was performed, where the presence or absence of a reduction in the postoperative flexion angle was the dependent variable and age, sex, body mass index (BMI), preoperative femorotibial angle (FTA), γ angle, δ angle, pre/postoperative change amount in posterior condylar offset (PCO), pre/postoperative change amount in joint line, and pre/postoperative change amount in patellar thickness were independent variables. RESULTS:Those with preoperative FTA of 186° or larger did not have a reduction in the postoperative flexion angle, compared with the angle of 185° or smaller. Those with δ angle of 83° or smaller also did not have a reduction in the postoperative flexion angle, compared with the angle of 84° or larger. CONCLUSIONS:Our results showed that preoperative FTA and δ angle had an impact on a reduction in the postoperative flexion angle. The installation angle of the tibial component in the sagittal plane is important.

journal_name

Int Orthop

journal_title

International orthopaedics

authors

Sugitani K,Arai Y,Takamiya H,Terauchi R,Nakagawa S,Ueshima K,Kubo T

doi

10.1007/s00264-015-2710-1

subject

Has Abstract

pub_date

2015-08-01 00:00:00

pages

1535-40

issue

8

eissn

0341-2695

issn

1432-5195

journal_volume

39

pub_type

杂志文章

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