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Erschienen in: MUSCULOSKELETAL SURGERY 3/2019

09.01.2019 | Original Article

Recovery of knee range of motion after total knee arthroplasty in the first postoperative weeks: poor recovery can be detected early

verfasst von: A. Kornuijt, G. J. L. de Kort, D. Das, A. F. Lenssen, W. van der Weegen

Erschienen in: MUSCULOSKELETAL SURGERY | Ausgabe 3/2019

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Abstract

Purpose

The aim of this study was to analyze in detail how knee flexion and extension progress in the first 8 weeks after primary total knee arthroplasty (TKA). The secondary goal was to compare knee range of motion (ROM) recovery patterns between patients with normal and delayed ROM recovery 8 weeks after TKA.

Methods

This prospective clinical trial included all patients who underwent a primary unilateral TKA between February and December 2016 with weekly ROM data documented by the treating outpatient physical therapists (n = 137). Goniometry was used to measure knee ROM preoperatively, postoperatively on day 1 and weekly until follow-up at the orthopedic clinic 8 weeks after surgery. ROM recovery patterns were compared between patients with sufficient (≥ 90°) or insufficient (< 90°) knee flexion 8 weeks after TKA.

Results

Knee flexion recovered from a median of 80° in the first postoperative week to 110° 8 weeks after surgery and knee extension from a mean of − 10.7° to − 3.2°. Recovery was nonlinear, with greatest improvements in the first 4 weeks for knee flexion. In contrast to patients with sufficient knee flexion 8 weeks postoperatively, the insufficient group (n = 8, 5.8%) had poor knee flexion on the first postoperative day and from week 4 to week 8 almost no improvement or even worsening of knee flexion.

Conclusions

Both knee flexion and extension recover in a nonlinear manner after TKA surgery. Poor postoperative knee function can be detected early, using ROM data from the first postoperative day up to the fourth week.
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Metadaten
Titel
Recovery of knee range of motion after total knee arthroplasty in the first postoperative weeks: poor recovery can be detected early
verfasst von
A. Kornuijt
G. J. L. de Kort
D. Das
A. F. Lenssen
W. van der Weegen
Publikationsdatum
09.01.2019
Verlag
Springer Milan
Erschienen in
MUSCULOSKELETAL SURGERY / Ausgabe 3/2019
Print ISSN: 2035-5106
Elektronische ISSN: 2035-5114
DOI
https://doi.org/10.1007/s12306-019-00588-0

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