Journal article
Hinged cast brace for persistent flexion contracture following total knee replacement
The Iowa orthopaedic journal, Vol.31, pp.69-72
2011
PMCID: PMC3215117
PMID: 22096423
Appears in Diamond Open Access
Abstract
The reported incidence of persistent knee flexion contracture following total knee arthroplasty (TKA) has varied from 1-15 percent Various treatment modalities have been described in attempts to manage this often difficult problem. This paper describes a novel method of treatment by using a hinged cast brace (previously reported for treatment of femur fractures and knee contractures secondary to hemophilia and cerebral palsy) for use in patients with symptomatic knee flexion contractures. Application of this cast brace with frequent adjustment (every three to four days, initially) toward full extension can often improve knee extension, after physical therapy and other modalities such as extension-assist braces have failed. Care must be taken in the application and use of this device which utilizes frequent manipulations to reduce and maintain the knee flexion angle. We report two clinical cases in which this protocol was effectively used in decreasing symptomatic knee flexion contractures.
Details
- Title: Subtitle
- Hinged cast brace for persistent flexion contracture following total knee replacement
- Creators
- Matthew D Karam - Hennepin County Medical Center, Minneapolis, MN, USAAndrew PugelyJohn J CallaghanDonald Shurr
- Resource Type
- Journal article
- Publication Details
- The Iowa orthopaedic journal, Vol.31, pp.69-72
- Publisher
- Dept. of Orthopaedics, The University of Iowa; United States
- PMID
- 22096423
- PMCID
- PMC3215117
- ISSN
- 1541-5457
- eISSN
- 1555-1377
- Language
- English
- Date published
- 2011
- Academic Unit
- Roy J. Carver Department of Biomedical Engineering; Orthopedics and Rehabilitation
- Record Identifier
- 9984040315702771
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