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      Range of motion and function are similar in patients undergoing TKA with posterior stabilised and high-flexion inserts.

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          Abstract

          It is debatable whether high-flexion (HF) total knee arthroplasty (TKA) designs will improve postoperative flexion and function or will diminish the need for manipulation under anaesthesia (MUA). We retrospectively analysed range of motion (ROM), flexion, Knee Society Score (KSS), and rate of MUA in a consecutive group of patients who underwent TKA with a conventional posterior stabilised (PS) insert or an HF insert using identical surgical technique, implant design, and postoperative care. Fifty TKAs with a standard PS insert were matched for patient's age, gender, preoperative ROM, and KSS with 50 TKA performed with an HF insert. The patient's ROM and KSS were evaluated at six weeks, four months, and one year postoperatively. The outcome variables (flexion, ROM, KSS, and manipulation rate) in both groups were compared using the generalised estimating equations method. A second analysis of patients with preoperative flexion ≥120° was performed. The ROM, flexion, and patient-reported KSS was similar in both groups at each time period. The rate of MUA was also similar. Patients with a preoperative ROM of at least 120° showed similar results. Our study found that one year after surgery, patients who underwent TKA with a PS or an HF insert achieved similar flexion, ROM, and function.

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          Author and article information

          Journal
          Int Orthop
          International orthopaedics
          1432-5195
          0341-2695
          Oct 2010
          : 34
          : 7
          Affiliations
          [1 ] Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, USA.
          Article
          10.1007/s00264-009-0865-3
          2989050
          19841920
          c2b927fb-9206-4096-a2c8-bd05c75f3dcf
          History

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