Surgical Release of Severe Flexion Contracture for Oncologic Knee Arthroplasty
Vincent Y. Ng1, *, Philip Louie2, Stephanie Punt3, Ernest U. Conrad3
1 University of Maryland Medical Center - Orthopaedics 110 S. Paca St, 6th Floor, Baltimore, Maryland 21201, United States
2 Rush University - Orthopaedics, Chicago, United States
3 University of Washington - Orthopedics and Sports Medicine 1959 NE Pacific Street , Seattle, Washington 98195, United States
Severe postoperative knee contractures after arthroplasty or megaprosthesis reconstruction occur rarely, but are devastating complications. Management of preoperative flexion contractures is well-described, but there is a paucity of literature for surgical treatment of postoperative contractures.
A retrospective chart review was performed for a single surgeon of cases between 1996 and 2014.
Nine patients (5 of 66 for pediatrics; 4 of 95 for adults) underwent surgical release for severe stiffness after implantation of knee megaprosthesis. The total arc of motion was improved from a preoperative mean of 34° (range, 10° to 70°) to a postoperative mean 89° (63° to 125°). The amount of extension improved by a mean of 27° (range, -3° to +70°) and the amount of flexion improved by a mean of 28° (range, -10° to +75°).
Surgical release of severe postoperative knee contracture is a challenging procedure, but in most cases, the amount of extension and flexion can be improved, yielding a greater total arc of motion.
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* Address correspondence to this author at the University of Maryland Medical Center - Orthopaedics 110 S. Paca St, 6th Floor, Baltimore, Maryland 21201, United States, Tel: +443-462-5903; Email: firstname.lastname@example.org