Stiffness of the knee after TKA
ESSKA Academy. BATAGA T. 11/08/19; 284371; epEKA-31 Topic: Joint Replacement
Prof. Dr. Tiberiu BATAGA
Prof. Dr. Tiberiu BATAGA
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Stiffness of the knee after TKA

ePoster - epEKA-31

Topic: TKA

Bataga T., Fodor P., Denes M., Ivanescu A., Bataga S., Solyom A.
University of Medicine, Pahrmacy, Science and Technology, Tg-Mures, Romania

Objectives: To establish which of the three commonly applied methods of mobilization show the best results: arthroscopic release (AR), manipulation under anesthesia (MUA), open surgical arthrolysis without component exchange (OSRWCE).
Material and methods: We divided the patients in three groups according to the procedure made, 87 of these procedures were performed between 2007-2017 and followed for at least 1 year: 34 are MUA, 19 AR and 34 OSRWCE . These groups were compared for this time period, except for TKT and mobilization procedure, where the time period was: 20 weeks for MUA, 40 weeks for AR and 85 weeks for OSRWCE. 12 of the patients had a gastroenterological disease during the study, and were investigated and treated during the hospitalization (Prof. Dr. Simona Bataga Gastroenetrology Unit). All the patients received the same medication and rehabilitation protocol.
Results: For 69 procedures there was an improvement in range of flexion, preoperative (mean 62,4) to follow-up mean ( 96,4) and decrease the in flessum deformity from 8,7 degree to 2,8 degree. After 1 year of the surgery follow-up there was a decrease in flexion -108,3 to 98,4 - and increase in the flessum deformity -1.5 to 2.4- The worst postoperative ROM were observed after 8 weeks after the procedure and the improvement was observed up to 7 months, but was not significant. The range of flexion was not improved beyond 6 months after the procedure. Comparing the results between the 3 procedures we did not find any significant difference. However, failures were more frequent in the MUA group beyond 7 weeks after TKR, and when AR were performed beyond 6 months after TKR.
Conclusions: Comparing the three group functional results we establish an algorithm for treatment of Stiffness knee after TKR like:
1. MUA until 6 weeks after TKR
2. AR between 8 weeks and 6 months after TKR
3. OSRWCE later than 6 months
We use this protocole in 2 clinical situation:
1. No infection
2. No component exchange
Stiffness of the knee after TKA

ePoster - epEKA-31

Topic: TKA

Bataga T., Fodor P., Denes M., Ivanescu A., Bataga S., Solyom A.
University of Medicine, Pahrmacy, Science and Technology, Tg-Mures, Romania

Objectives: To establish which of the three commonly applied methods of mobilization show the best results: arthroscopic release (AR), manipulation under anesthesia (MUA), open surgical arthrolysis without component exchange (OSRWCE).
Material and methods: We divided the patients in three groups according to the procedure made, 87 of these procedures were performed between 2007-2017 and followed for at least 1 year: 34 are MUA, 19 AR and 34 OSRWCE . These groups were compared for this time period, except for TKT and mobilization procedure, where the time period was: 20 weeks for MUA, 40 weeks for AR and 85 weeks for OSRWCE. 12 of the patients had a gastroenterological disease during the study, and were investigated and treated during the hospitalization (Prof. Dr. Simona Bataga Gastroenetrology Unit). All the patients received the same medication and rehabilitation protocol.
Results: For 69 procedures there was an improvement in range of flexion, preoperative (mean 62,4) to follow-up mean ( 96,4) and decrease the in flessum deformity from 8,7 degree to 2,8 degree. After 1 year of the surgery follow-up there was a decrease in flexion -108,3 to 98,4 - and increase in the flessum deformity -1.5 to 2.4- The worst postoperative ROM were observed after 8 weeks after the procedure and the improvement was observed up to 7 months, but was not significant. The range of flexion was not improved beyond 6 months after the procedure. Comparing the results between the 3 procedures we did not find any significant difference. However, failures were more frequent in the MUA group beyond 7 weeks after TKR, and when AR were performed beyond 6 months after TKR.
Conclusions: Comparing the three group functional results we establish an algorithm for treatment of Stiffness knee after TKR like:
1. MUA until 6 weeks after TKR
2. AR between 8 weeks and 6 months after TKR
3. OSRWCE later than 6 months
We use this protocole in 2 clinical situation:
1. No infection
2. No component exchange
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