ArticleMusculoskeletal surgery2019
Recovery of knee range of motion after total knee arthroplasty in the first postoperative weeks: poor recovery can be detected early.
Article in Musculoskeletal surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The safety and efficacy of peri-operative nefopam for analgesia in hip and knee arthroplasty: A systematic review and meta-analysis.European journal of clinical pharmacology · 2026Pooled it
- Efficacy of kinesiotaping during rehabilitation following total knee arthroplasty: a prospective randomised controlled trial.Journal of rehabilitation medicine · 2026Trial
- Efficacy of Active Exercises to Improve Range of Motion in Knee Joint After Total Knee Arthroplasty. A Randomized Controlled Trial.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2026Trial
- Effectiveness of kinesiotaping for lymphatic drainage after bilateral total knee arthroplasty: A randomized controlled trial.Medicine · 2025Trial
- Review
- Prediction of Range of Motion in Patients After Total Knee Arthroplasty by Shear Wave Elastography.Bioengineering (Basel, Switzerland) · 2025Article
- No Difference in Early Range of Motion Between CORI Robotic-TKA and Conventional-TKA: A Single-Surgeon Series.Arthroplasty today · 2025Article
- Comparison of functional recovery of the knee following total knee arthroplasty in patients with and without ankle symptoms.World journal of orthopedics · 2025Article
- The Intrarater and Interrater Reliability and Validity of Universal Goniometer, Digital Inclinometer, and Smartphone Application Measuring Range of Motion in Patients with Total Knee Arthroplasty.Indian journal of orthopaedics · 2024Article
- Comparison the Effect of Rehabilitation at Home and Outpatient Physiotherapy after Total Knee Arthroplasty Surgery on Quality of Life and Knee Function: A Clinical Trial Study.Advanced biomedical research · 2024Article
- Postoperative Supine Sleeping Position Following Total Knee Arthroplasty Decreases Knee Flexion Contractures.Spartan medical research journal · 2024Article
- Comparison of short-time functional outcomes after TKA between Multigen Plus CR and Physica KR prostheses.Musculoskeletal surgery · 2023Article
- Machine Learning Algorithm to Predict Worsening of Flexion Range of Motion After Total Knee Arthroplasty.Arthroplasty today · 2022Article
- Cryoneurolysis Is a Safe, Effective Modality to Improve Rehabilitation after Total Knee Arthroplasty.Life (Basel, Switzerland) · 2022Article
- Effect of patellar resurfacing surgery on bleeding in total knee arthroplasty.Revista da Associacao Medica Brasileira (1992) · 2022Article
- Retrospective Comparison of Postoperative Fascia Iliaca Block and Multimodal Drug Injection on Early Function of the Knee in Femoral Fractures Using Retrograde Intramedullary Nailing.Pain research & management · 2022Article
- Traditional Chinese Acupressure Massage of the Quadriceps Femoris Can Relieve Flexion Pain after Undergoing Total Knee Arthroplasty.Evidence-based complementary and alternative medicine : eCAM · 2022Article
- Observational
- Effects of Elastic Resistance Exercise on Postoperative Outcomes Linked to the ICF Core Sets for Osteoarthritis after Total Knee Replacement in Overweight and Obese Older Women with Sarcopenia Risk: A Randomized Controlled Trial.Journal of clinical medicine · 2020Article
- Sensor Positioning Influences the Accuracy of Knee Rom Data of an E-Rehabilitation System: A Preliminary Study with Healthy Subjects.Sensors (Basel, Switzerland) · 2020Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe aim of this study was to analyze in detail how knee flexion and extension progress in the first 8 weeks after primary total knee arthroplasty (TKA). The secondary goal was to compare knee range of motion (ROM) recovery patterns between patients with normal and delayed ROM recovery 8 weeks after TKA.
methodsThis prospective clinical trial included all patients who underwent a primary unilateral TKA between February and December 2016 with weekly ROM data documented by the treating outpatient physical therapists (n = 137). Goniometry was used to measure knee ROM preoperatively, postoperatively on day 1 and weekly until follow-up at the orthopedic clinic 8 weeks after surgery. ROM recovery patterns were compared between patients with sufficient (≥ 90°) or insufficient (< 90°) knee flexion 8 weeks after TKA.
resultsKnee flexion recovered from a median of 80° in the first postoperative week to 110° 8 weeks after surgery and knee extension from a mean of - 10.7° to - 3.2°. Recovery was nonlinear, with greatest improvements in the first 4 weeks for knee flexion. In contrast to patients with sufficient knee flexion 8 weeks postoperatively, the insufficient group (n = 8, 5.8%) had poor knee flexion on the first postoperative day and from week 4 to week 8 almost no improvement or even worsening of knee flexion.
conclusionsBoth knee flexion and extension recover in a nonlinear manner after TKA surgery. Poor postoperative knee function can be detected early, using ROM data from the first postoperative day up to the fourth week.
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