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- W4285304302 abstract "Stiff and ankylosed knee causes significant disability. Modern technology of customised surgical exposure, reconstruction techniques and modern constraints TKA implants offer optimum improvement in functional outcomes with implant longevity. In presence of flexion deformity, quadricep are not tight and it is possible to achieve 90° of flexion which is the minimum flexion required for better placement of implant avoiding malposition. In inflammatory knee arthritis unlike OA knee, residual flexion deformity up to 40°may get corrected with a push knee brace or traction methods over a period of 6 weeks. While in presence of extension deformity quadricep are usually tight and need a special technique to expose the knee with 90° of flexion using either quadricep snip, Tibial Tuberosity Osteotomy or V-Y quadricep turn down surgical technique. Reconstruction of metaphyseal bone columns support is very important factor to prevent progressive collapse of weak bone support resulting in progressive malalignment of even the highest constraint implant resulting in cut out of the extension stem tip. Pre-operative planning provides variable options while intraoperative decision makes final decision of selection of implant constraint. Restoration of stable metaphyseal bone support, good soft tissue balance, selection of appropriate constraint and good surgical technique provides better knee stability, effective functional output and implant longevity. Surgical technique must permit post-op early weight-bearing and active mobilisation of knee joint which improves osteopenia and remodelling of bone quality by biology of stress transfer effect described by Wolf’s law. Hence, stable bone reconstruction and implant selection is the most important key factor." @default.
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- W4285304302 date "2022-01-01" @default.
- W4285304302 modified "2023-09-27" @default.
- W4285304302 title "Total Knee Arthroplasty in Stiff/Ankylosed Knees" @default.
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- W4285304302 doi "https://doi.org/10.1007/978-981-16-8591-0_10" @default.
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