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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Total knee arthroplasty of the stiff knee: three hundred and four cases</title><author><name sortKey="Debette, Caroline" sort="Debette, Caroline" uniqKey="Debette C" first="Caroline" last="Debette">Caroline Debette</name><affiliation><nlm:aff id="Aff1">Department of Orthopaedic Surgery, Hôpital de la Croix-Rousse, Centre Albert Trillat, 103 Grande Rue de La Croix Rousse, 69004 Lyon, France</nlm:aff></affiliation></author><author><name sortKey="Lustig, Sebastien" sort="Lustig, Sebastien" uniqKey="Lustig S" first="Sébastien" last="Lustig">Sébastien Lustig</name><affiliation><nlm:aff id="Aff1">Department of Orthopaedic Surgery, Hôpital de la Croix-Rousse, Centre Albert Trillat, 103 Grande Rue de La Croix Rousse, 69004 Lyon, France</nlm:aff></affiliation></author><author><name sortKey="Servien, Elvire" sort="Servien, Elvire" uniqKey="Servien E" first="Elvire" last="Servien">Elvire Servien</name><affiliation><nlm:aff id="Aff1">Department of Orthopaedic Surgery, Hôpital de la Croix-Rousse, Centre Albert Trillat, 103 Grande Rue de La Croix Rousse, 69004 Lyon, France</nlm:aff></affiliation></author><author><name sortKey="Lording, Timothy" sort="Lording, Timothy" uniqKey="Lording T" first="Timothy" last="Lording">Timothy Lording</name><affiliation><nlm:aff id="Aff2">Frankston Hospital, Hastings Rd, Frankston, VIC 3199 Australia</nlm:aff></affiliation></author><author><name sortKey="Villa, Vincent" sort="Villa, Vincent" uniqKey="Villa V" first="Vincent" last="Villa">Vincent Villa</name><affiliation><nlm:aff id="Aff1">Department of Orthopaedic Surgery, Hôpital de la Croix-Rousse, Centre Albert Trillat, 103 Grande Rue de La Croix Rousse, 69004 Lyon, France</nlm:aff></affiliation></author><author><name sortKey="Demey, Guillaume" sort="Demey, Guillaume" uniqKey="Demey G" first="Guillaume" last="Demey">Guillaume Demey</name><affiliation><nlm:aff id="Aff3">Lyon Ortho Clinic, Clinique de la Sauvegarde, 29B avenue des sources, 69009 Lyon, France</nlm:aff></affiliation></author><author><name sortKey="Neyret, Philippe" sort="Neyret, Philippe" uniqKey="Neyret P" first="Philippe" last="Neyret">Philippe Neyret</name><affiliation><nlm:aff id="Aff1">Department of Orthopaedic Surgery, Hôpital de la Croix-Rousse, Centre Albert Trillat, 103 Grande Rue de La Croix Rousse, 69004 Lyon, France</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24363046</idno><idno type="pmc">3923940</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3923940</idno><idno type="RBID">PMC:3923940</idno><idno type="doi">10.1007/s00264-013-2252-3</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">000999</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000999</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Total knee arthroplasty of the stiff knee: three hundred and four cases</title><author><name sortKey="Debette, Caroline" sort="Debette, Caroline" uniqKey="Debette C" first="Caroline" last="Debette">Caroline Debette</name><affiliation><nlm:aff id="Aff1">Department of Orthopaedic Surgery, Hôpital de la Croix-Rousse, Centre Albert Trillat, 103 Grande Rue de La Croix Rousse, 69004 Lyon, France</nlm:aff></affiliation></author><author><name sortKey="Lustig, Sebastien" sort="Lustig, Sebastien" uniqKey="Lustig S" first="Sébastien" last="Lustig">Sébastien Lustig</name><affiliation><nlm:aff id="Aff1">Department of Orthopaedic Surgery, Hôpital de la Croix-Rousse, Centre Albert Trillat, 103 Grande Rue de La Croix Rousse, 69004 Lyon, France</nlm:aff></affiliation></author><author><name sortKey="Servien, Elvire" sort="Servien, Elvire" uniqKey="Servien E" first="Elvire" last="Servien">Elvire Servien</name><affiliation><nlm:aff id="Aff1">Department of Orthopaedic Surgery, Hôpital de la Croix-Rousse, Centre Albert Trillat, 103 Grande Rue de La Croix Rousse, 69004 Lyon, France</nlm:aff></affiliation></author><author><name sortKey="Lording, Timothy" sort="Lording, Timothy" uniqKey="Lording T" first="Timothy" last="Lording">Timothy Lording</name><affiliation><nlm:aff id="Aff2">Frankston Hospital, Hastings Rd, Frankston, VIC 3199 Australia</nlm:aff></affiliation></author><author><name sortKey="Villa, Vincent" sort="Villa, Vincent" uniqKey="Villa V" first="Vincent" last="Villa">Vincent Villa</name><affiliation><nlm:aff id="Aff1">Department of Orthopaedic Surgery, Hôpital de la Croix-Rousse, Centre Albert Trillat, 103 Grande Rue de La Croix Rousse, 69004 Lyon, France</nlm:aff></affiliation></author><author><name sortKey="Demey, Guillaume" sort="Demey, Guillaume" uniqKey="Demey G" first="Guillaume" last="Demey">Guillaume Demey</name><affiliation><nlm:aff id="Aff3">Lyon Ortho Clinic, Clinique de la Sauvegarde, 29B avenue des sources, 69009 Lyon, France</nlm:aff></affiliation></author><author><name sortKey="Neyret, Philippe" sort="Neyret, Philippe" uniqKey="Neyret P" first="Philippe" last="Neyret">Philippe Neyret</name><affiliation><nlm:aff id="Aff1">Department of Orthopaedic Surgery, Hôpital de la Croix-Rousse, Centre Albert Trillat, 103 Grande Rue de La Croix Rousse, 69004 Lyon, France</nlm:aff></affiliation></author></analytic><series><title level="j">International Orthopaedics</title><idno type="ISSN">0341-2695</idno><idno type="eISSN">1432-5195</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Purpose</title><p>The purpose of this study was to analyse the results of total knee arthroplasty (TKA) in stiff knees (flexion ≤90° and/or flexion contracture ≥20°). Our hypothesis was that despite having poorer results than those obtained in a “standard” population and a high rate of complications, TKA was a satisfactory treatment in patients with osteoarthritis of the knee associated with significant stiffness.</p></sec><sec><title>Methods</title><p>Three hundred and four consecutive primary HLS TKAs (Tornier), whose data were prospectively collected between October 1987 and October 2012, were retrospectively analysed at a mean of 60 months (range, 12–239) postoperatively. Two groups, those with a “flexion contracture” and those with a “flexion deficit”, were assessed for postoperative range of motion (as integrated to the Knee Society score [KSS]), physical activity level and patient satisfaction.</p></sec><sec><title>Results</title><p>At the latest follow-up, range of motion was significantly improved, as was the KSS. Ninety-four percent of patients were satisfied or very satisfied, and activity levels were increased after surgery. The complication rate, however, was high in patients with a preoperative flexion deficit (17 %). Pain and residual stiffness were the most common complications.</p></sec><sec><title>Conclusion</title><p>TKA provides satisfactory results in patients with knee osteoarthritis associated with significant pre-operative stiffness. The surgical plan should be adapted to anticipate complications, which are particularly frequent in the presence of a flexion deficit.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Int Orthop</journal-id><journal-id journal-id-type="iso-abbrev">Int Orthop</journal-id><journal-title-group><journal-title>International Orthopaedics</journal-title></journal-title-group><issn pub-type="ppub">0341-2695</issn><issn pub-type="epub">1432-5195</issn><publisher><publisher-name>Springer Berlin Heidelberg</publisher-name><publisher-loc>Berlin/Heidelberg</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">24363046</article-id><article-id pub-id-type="pmc">3923940</article-id><article-id pub-id-type="publisher-id">2252</article-id><article-id pub-id-type="doi">10.1007/s00264-013-2252-3</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Paper</subject></subj-group></article-categories><title-group><article-title>Total knee arthroplasty of the stiff knee: three hundred and four cases</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Debette</surname><given-names>Caroline</given-names></name><address><phone>+33-00664249207</phone><email>carodebette@yahoo.fr</email></address><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Lustig</surname><given-names>Sébastien</given-names></name><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Servien</surname><given-names>Elvire</given-names></name><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Lording</surname><given-names>Timothy</given-names></name><xref ref-type="aff" rid="Aff2"></xref></contrib><contrib contrib-type="author"><name><surname>Villa</surname><given-names>Vincent</given-names></name><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Demey</surname><given-names>Guillaume</given-names></name><xref ref-type="aff" rid="Aff3"></xref></contrib><contrib contrib-type="author"><name><surname>Neyret</surname><given-names>Philippe</given-names></name><xref ref-type="aff" rid="Aff1"></xref></contrib><aff id="Aff1"><label></label>Department of Orthopaedic Surgery, Hôpital de la Croix-Rousse, Centre Albert Trillat, 103 Grande Rue de La Croix Rousse, 69004 Lyon, France</aff><aff id="Aff2"><label></label>Frankston Hospital, Hastings Rd, Frankston, VIC 3199 Australia</aff><aff id="Aff3"><label></label>Lyon Ortho Clinic, Clinique de la Sauvegarde, 29B avenue des sources, 69009 Lyon, France</aff></contrib-group><pub-date pub-type="epub"><day>21</day><month>12</month><year>2013</year></pub-date><pub-date pub-type="ppub"><month>2</month><year>2014</year></pub-date><volume>38</volume><issue>2</issue><fpage>285</fpage><lpage>289</lpage><history><date date-type="received"><day>2</day><month>12</month><year>2013</year></date><date date-type="accepted"><day>4</day><month>12</month><year>2013</year></date></history><permissions><copyright-statement>© Springer-Verlag Berlin Heidelberg 2013</copyright-statement></permissions><abstract id="Abs1"><sec><title>Purpose</title><p>The purpose of this study was to analyse the results of total knee arthroplasty (TKA) in stiff knees (flexion ≤90° and/or flexion contracture ≥20°). Our hypothesis was that despite having poorer results than those obtained in a “standard” population and a high rate of complications, TKA was a satisfactory treatment in patients with osteoarthritis of the knee associated with significant stiffness.</p></sec><sec><title>Methods</title><p>Three hundred and four consecutive primary HLS TKAs (Tornier), whose data were prospectively collected between October 1987 and October 2012, were retrospectively analysed at a mean of 60 months (range, 12–239) postoperatively. Two groups, those with a “flexion contracture” and those with a “flexion deficit”, were assessed for postoperative range of motion (as integrated to the Knee Society score [KSS]), physical activity level and patient satisfaction.</p></sec><sec><title>Results</title><p>At the latest follow-up, range of motion was significantly improved, as was the KSS. Ninety-four percent of patients were satisfied or very satisfied, and activity levels were increased after surgery. The complication rate, however, was high in patients with a preoperative flexion deficit (17 %). Pain and residual stiffness were the most common complications.</p></sec><sec><title>Conclusion</title><p>TKA provides satisfactory results in patients with knee osteoarthritis associated with significant pre-operative stiffness. The surgical plan should be adapted to anticipate complications, which are particularly frequent in the presence of a flexion deficit.</p></sec></abstract><kwd-group xml:lang="en"><title>Keywords</title><kwd>Total knee arthroplasty</kwd><kwd>Stiffness</kwd><kwd>KSS</kwd><kwd>Surgical strategy</kwd></kwd-group><custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© Springer-Verlag Berlin Heidelberg 2014</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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