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Journal articles on the topic 'Fixed Flexion deformity (FFD)'

Author: Grafiati

Published: 5 June 2025

Last updated: 2 August 2025

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1

Amit, Kumar, Kumari Neha, and Kumar Alok. "A Prospective Comparative Assessment of Functional Outcome of Primary Total Knee Replacement in Severe Flexion Deformity and without Flexion Deformity." International Journal of Toxicological and Pharmacological Research 12, no. 1 (2022): 65–70. https://doi.org/10.5281/zenodo.12540620.

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<strong>Aim:</strong> To know the functional outcome of Primary TKR in Severe fixed flexion deformity of knee compared with TKR in knees without fixed flexion deformity (FFD). <strong>Methodology:</strong> This is a prospective comparative study of the patients with and without severe flexion deformity of knees underwent primary TKR. Total of 100 knees were taken for the study with 52 with FFD of more than 30 degree and 48 were without FFD which were kept as a control. This study includes both inflammatory and non-inflammatory arthritis. We recorded the preoperative ROM, KSS-Pai

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Wignadasan, Warran, Ahmed Magan, Babar Kayani, et al. "Evaluation of changes in fixed flexion deformity following medial unicompartmental knee arthroplasty." Bone & Joint Open 5, no. 11 (2024): 992–98. http://dx.doi.org/10.1302/2633-1462.511.bjo-2024-0139.

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AimsWhile residual fixed flexion deformity (FFD) in unicompartmental knee arthroplasty (UKA) has been associated with worse functional outcomes, limited evidence exists regarding FFD changes. The objective of this study was to quantify FFD changes in patients with medial unicompartmental knee arthritis undergoing UKA, and investigate any correlation with clinical outcomes.MethodsThis study included 136 patients undergoing robotic arm-assisted medial UKA between January 2018 and December 2022. The study included 75 males (55.1%) and 61 (44.9%) females, with a mean age of 67.1 years (45 to 90).

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Agrawal, Arpit, J. K. Giri Raj, Abiramie Chellamuthu, and Sathish Kumar Jayaraman. "Radical Posterior Release for Severe Flexion Contracture of Knee Following Total Knee Arthroplasty: A Case Report." Journal of Orthopaedic Case Reports 14, no. 7 (2024): 145–49. http://dx.doi.org/10.13107/jocr.2024.v14.i07.4608.

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Introduction: Fixed flexion deformity (FFD) following total knee arthroplasty occurs in approximately 4% of patients undergoing primary total knee arthroplasty. Treatment modalities for significant disabling FFD post-arthroplasty encompass manipulation under anesthesia, osteophyte resection, soft tissue release, peroneal nerve decompression, and revision knee replacement. Case Report: A 43-year-old lady, a known case of rheumatoid arthritis and psoriasis, presented with fixed flexion contracture of the left knee following total knee arthroplasty. The range of motion (ROM) at the left knee was

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Sajid, Soha, Jan Herman Kuiper, and Edward T. Davis. "REVIEW OF THE RELATIONSHIP BETWEEN KNEE ALIGNMENT AND FIXED FLEXION DEFORMITY AND HOW THIS CAN INFLUENCE TOTAL KNEE ARTHROPLASTY: A RETROSPECTIVE COHORT STUDY." Journal of Musculoskeletal Research 20, no. 01 (2017): 1750001. http://dx.doi.org/10.1142/s0218957717500014.

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Total knee arthroplasty relies on accurate balancing of soft tissues and knee alignment to prevent post-operative pain and early loosening. Pre-existing fixed flexion deformity (FFD) and varus and valgus deformity add to the challenge of ligament balancing. This observational retrospective cohort study reviewed the relationship between FFD and valgus/varus knee. Data from computer-assisted knee replacement was collected and analyzed. The FFD and knee alignment were noted before making bone cuts. The results showed that as the valgus deformity increases, there is a trend for FFD to decrease but

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Kayani, Babar, Sujith Konan, Saman Horriat, Mazin S. Ibrahim, and Fares S. Haddad. "Posterior cruciate ligament resection in total knee arthroplasty." Bone & Joint Journal 101-B, no. 10 (2019): 1230–37. http://dx.doi.org/10.1302/0301-620x.101b10.bjj-2018-1428.r2.

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Aims The aim of this study was to assess the effect of posterior cruciate ligament (PCL) resection on flexion-extension gaps, mediolateral soft-tissue laxity, fixed flexion deformity (FFD), and limb alignment during posterior-stabilized (PS) total knee arthroplasty (TKA). Patients and Methods This prospective study included 110 patients with symptomatic osteoarthritis of the knee undergoing primary robot-assisted PS TKA. All operations were performed by a single surgeon using a standard medial parapatellar approach. Optical motion capture technology with fixed femoral and tibial registration p

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Silva, Amila, Sharon Tan, Adriel Tay, Hee Nee Pang, Ngai Nung Lo, and Seng Jin Yeo. "Risk factors for a post-operative neutrally aligned total knee arthroplasty in the sagittal plane developing fixed flexion deformity at 2 years follow up study." International Journal of Research in Orthopaedics 5, no. 2 (2019): 211. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20190792.

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<p class="abstract"><strong>Background:</strong> The incidence of fixed flexion deformity (FFD) following total knee arthroplasty (TKA) has been reported to be as high as 17%, increasing demand on the quadriceps and hindering mobility. The aim of this study is then to identify these predictors for the development of FFD.</p><p class="abstract"><strong>Methods:</strong> In this retrospective study, all patients who underwent primary TKA from January 2008 to June 2009 at a single institution were identified. All patients with neutral alignment in the sag

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7

Metwaly, Radwan G., and Zeiad M. Zakaria. "Total Knee Replacement in Nonambulant Patients: Osteoporosis, Severe Fixed Flexion Deformity, and Weak Extensor Mechanism “the Terrible Triad”." Journal of Arthroscopy and Joint Surgery 11, no. 2 (2023): 55–61. http://dx.doi.org/10.4103/jajs.jajs_25_23.

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Abstract Background: Knee osteoarthritis is among the most disabling disorders in elderly. With delay in proper management, muscular weakness, progressive flexion deformity (FD), and disuse osteoporosis “the terrible triad” are serious consequences, which could be major obstacles for the planned total knee replacements (TKRs). High risk for iatrogenic fractures, difficult gap balancing and failure to promote the patient activity are common expectations. Materials and Methods: A retrospective analysis of all TKRs that were done in a university specialized unit between January 2015 and January 2

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Sai Phanindra Malladi, Pamarthi Srinivas, and Raju Byshetty. "Evaluation of outcome in arc of motion of elbow after arthrolysis in post-traumatic stiff elbow through posterior triceps reflecting anconeus pedicle approach." Asian Journal of Medical Sciences 13, no. 11 (2022): 23–28. http://dx.doi.org/10.3126/ajms.v13i11.45216.

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Background: The elbow is a synovial hinge joint, with a high chance of stiffness. A stiff elbow is an elbow with a loss of extension of >30° and flexion of <120 which can result due to post-traumatic events around elbow. Surgical intervention is required if conservative treatment fails. The arthrolysis of the elbow by posterior approach has been reported less widely. Aims and Objectives: This study aims at reporting the arc of motion of the elbow after arthrolysis by posterior approach by TRAP approach. Material and Methods: This study was done on 26 patients with post-traumatic elbow st

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Barksfield, R. C., B. Bowden, and A. J. Chojnowski. "HEMI-HAMATE ARTHROPLASTY VERSUS TRANSARTICULAR KIRSCHNER WIRE FIXATION FOR UNSTABLE DORSAL FRACTURE-DISLOCATION OF THE PROXIMAL INTERPHALANGEAL JOINT IN THE HAND." Hand Surgery 20, no. 01 (2015): 115–19. http://dx.doi.org/10.1142/s0218810415500161.

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Following the introduction of the hemi-hamate arthroplasty (HHA) technique to our unit, we sought to evaluate the early clinical outcomes achieved with this method of fixation and compare these with simple trans-articular Kirschner wire (K-wire) fixation for dorsal fracture dislocations (DFD) of the proximal interphalangeal joint (PIPJ). Ninteen patients underwent fixation of these injuries with either K-wire fixation (12/19) or hemi-hamate bone grafting (7/19) between 2005 and 2011. At a mean follow-up of 14 weeks median arc of movement at the PIPJ was 65° (range 31° to 108°) following HHA an

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Thiyagarajan, Alagappan, S. Jeyakumar, K. Jeeva, and Oves Patni. "Rehabilitation success in ACL reconstruction and medial meniscus repair: A case of delayed recovery and optimized outcomes." IP Journal of Surgery and Allied Sciences 6, no. 4 (2025): 128–30. https://doi.org/10.18231/j.jsas.2024.029.

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This case report highlights the rehabilitation process of a 23-year-old male who underwent anterior cruciate ligament (ACL) reconstruction with medial meniscus repair. Early rehabilitation is critical to prevent complications, but this patient experienced a significant delay, resulting in functional deficits such as a 10-degree fixed flexion deformity (FFD) and quadriceps lag at post-operative day 14. A structured rehabilitation protocol was initiated at day 14 post-operation. Progress was tracked using the Knee Injury and Osteoarthritis Outcome Score (KOOS) and Single Leg Balance Scale (SLBS)

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Singh, Talvinder, Roshenka Jayawardhana, Michael Craigen, and Vaikunthan Rajaratnam. "Volar Buttress Plating for Unstable Dorsal Fracture-Dislocations of the Proximal Interphalangeal Joint." Journal of Hand and Microsurgery 11, no. 02 (2019): 106–10. http://dx.doi.org/10.1055/s-0038-1677319.

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AbstractThe authors present a series of 11 patients. All of them sustained an unstable dorsal fracture-dislocation of the proximal interphalangeal joint (PIPJ). These were managed with open reduction and internal fixation (ORIF) by use of an eight-hole, 1.3-mm oblique-angled strut plate, cut to shape to produce a four-hole plate, acting as a buttress plate. The operations were performed by orthopaedic surgeons with a special interest in hand surgery. Range of motion (ROM) and fixed flexion deformity (FFD) were measured postoperatively. Outcomes were assessed using the Quick Disabilities of the

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Young, Nicole, Nichola Terrington, Diana Francis, and Luke S. Robinson. "Orthotic management of fixed flexion deformity of the proximal interphalangeal joint following traumatic injury: A systematic review." Hong Kong Journal of Occupational Therapy 31, no. 1 (2018): 3–13. http://dx.doi.org/10.1177/1569186118764067.

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Background/objective Fixed flexion deformity of the proximal interphalangeal joint can commonly occur following a traumatic injury impacting on hand function and occupational performance. Numerous interventions have been proposed for fixed flexion deformity resolution. This paper investigates the efficacy of static or dynamic orthoses in reducing fixed flexion deformity contracture following traumatic proximal interphalangeal joint injury. Methods A multi-database search of three databases (CINAHL, EMBASE, MEDLINE) was conducted. Data extracted for each study were design, patient descriptions,

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13

Lam, Li On, Sharon Swift, and David Shakespeare. "Fixed flexion deformity and flexion after knee arthroplasty." Knee 10, no. 2 (2003): 181–85. http://dx.doi.org/10.1016/s0968-0160(02)00102-3.

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EL Ghafar, KhaledAbd, and Ramy A. Diab. "Supracondylar femoral dome extension osteotomy in treatment of knee flexion deformity." Egyptian Orthopaedic Journal 56, no. 1 (2021): 48–55. http://dx.doi.org/10.4103/eoj.eoj_82_21.

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Background Flexion contracture of the knee can happen by different etiologies such as burns and scars, inflammatory conditions such as juvenile rheumatoid arthritis, and neuromuscular disorders such as cerebral palsy, poliomyelitis, and many others. Supracondylar femoral extension osteotomy is widely used in treatment of such type of deformities with good results. Dome osteotomy is a circular-shaped osteotomy. The authors conducted this study to assess the effectiveness of supracondylar femoral dome extension osteotomy (SCDEO) in management of sagital plane deformity in the form of fixed-flexi

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Gopalakrishna, KadarapuraNanjundaiah, Shetty Prajwal, Kamath Sriganesh, and BhumireddySuneel Reddy. "Fixed cervical flexion deformity: Difficult airway." Saudi Journal of Anaesthesia 12, no. 2 (2018): 362. http://dx.doi.org/10.4103/sja.sja_676_17.

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S, Rajesh, Supreeth D R, and Hemant K. Kalyan. "Total Knee Arthroplasty in Bilateral Severe Fixed Flexion Deformity: A Case Report." Journal of Karnataka Orthopaedic Association 10, no. 1 (2022): 22–25. http://dx.doi.org/10.13107/jkoa.2022.v10i01.047.

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Background: Severe bilateral Fixed flexion deformity of the knees resulting from irreversible joint damage is a disabling complication of long-standing rheumatoid arthritis, associated with loss of ambulatory ability. While Total knee Arthroplasty is an effective treatment for such patients, it poses significant intra-operative technical demands and challenges with post-operative rehabilitation. Method: We report a case of Severe Fixed flexion deformity of both knees in a 46-year-old male with long-standing rheumatoid arthritis, non-ambulatory since 5 years, treated by sequential total knee ar

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Salam, Abdus, Md Ashraful Islam, Muhammad Zakir Hossain Khan, et al. "Total knee arthroplasty in patients with fixed flexion deformity." KYAMC Journal 8, no. 2 (2018): 2–7. http://dx.doi.org/10.3329/kyamcj.v8i2.35695.

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Background: Fixed flexion deformity is a common accompaniment in advanced arthritis of the knee joint. Complete correction of fixed flexion deformity at the time of surgery remains challenging and technically demanding.Objectives: The purpose of our study was to assess the result of total knee replacement using a preset algorithm to assess the effect that a preoperative flexion deformity has on postoperative correction.Materials & Methods: This retrospective study reviewed severe flexion contracture of patients who underwent primary TKA and soft tissue balancing from June 2010 to July 2016

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Kyriakidis, Theofylaktos, Nikolaos Tasios, Bruno Vandekerckhove, Peter Verdonk, Michiel Cromheecke, and René Verdonk. "Mid-term outcomes of posterior capsular release for fixed flexed deformity after total knee arthroplasty." Acta Orthopaedica Belgica 88, no. 2 (2022): 329–34. http://dx.doi.org/10.52628/88.2.10276.

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Fixed flexion deformity also called flexion contracture is relatively rare, but a very demanding functional limitation that both surgeons and patients may have to deal with. The purpose of the present study was to evaluate the functional outcomes after posteromedial capsular release in case of fixed flexed deformity > 15 o . Between June 2011 and November 2018, 15 patients (6 males and 9 females) were treated with open posterior capsular release through medial approach for fixed flexion deformity of the knee > 15 o and prospectively followed with a minimum follow-up of 2 years. Primary o

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Klatt, Joshua, and Peter M. Stevens. "Guided Growth for Fixed Knee Flexion Deformity." Journal of Pediatric Orthopaedics 28, no. 6 (2008): 626–31. http://dx.doi.org/10.1097/bpo.0b013e318183d573.

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Su, E. P. "Fixed flexion deformity and total knee arthroplasty." Journal of Bone and Joint Surgery. British volume 94-B, no. 11_Supple_A (2012): 112–15. http://dx.doi.org/10.1302/0301-620x.94b11.30512.

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Morrey, B. F. "Fixed flexion deformity and total knee arthroplasty." Yearbook of Orthopedics 2013 (2013): 140–41. https://doi.org/10.1016/j.yort.2013.02.036.

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Nakasone, Motoko, Satoshi Nakasone, Masaki Kinjo, Tsuyoshi Murase, and Fuminori Kanaya. "Three-dimensional analysis of deformities of the radius and ulna in congenital proximal radioulnar synostosis." Journal of Hand Surgery (European Volume) 43, no. 7 (2018): 739–43. http://dx.doi.org/10.1177/1753193417753261.

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We reconstructed three-dimensional images of radius and ulna in 38 forearms of 25 patients with congenital proximal radioulnar synostosis from their computed tomographic studies. We also analysed correlations between the deformities of radius and ulna and degrees of fixed pronation of these forearms. The average ulnar deviation, flexion and internal rotation deformities of the radius were 6°, 3° and 18°, respectively. The average radial deviation, extension and internal rotation deformities of the ulna were 3°, 4° and 30°, respectively. The flexion deformity of the radius and the internal rota

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Duff, Sarah E., Paul L. Grundy, and Steven S. Gill. "New approach to cervical flexion deformity in ankylosing spondylitis." Journal of Neurosurgery: Spine 93, no. 2 (2000): 283–86. http://dx.doi.org/10.3171/spi.2000.93.2.0283.

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✓ The treatment of cervical fixed flexion deformity in ankylosing spondylitis presents a challenging problem that is traditionally managed by a corrective cervicothoracic osteotomy. The authors report a new approach to this problem that involves performing a two-level osteotomy at the level of maximum spinal curvature, thereby achieving complete anatomical correction in a one-stage procedure. This 48-year-old woman with ankylosing spondylitis presented with a 30-year history of progressive neck deformity that left her unable to see ahead and caused her to experience difficulty eating, drinking

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Lee, Sanglim, Jae-Ha Yu, and Suk Ha Jeon. "Fixed Lunate Flexion Deformity in Distal Radius Fractures." Clinics in Orthopedic Surgery 8, no. 2 (2016): 228. http://dx.doi.org/10.4055/cios.2016.8.2.228.

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LE VIET, D., I. TSIONOS, M. BOULOUEDNINE, and D. HANNOUCHE. "Trigger Finger Treatment by Ulnar Superficialis Slip Resection (U.S.S.R.)." Journal of Hand Surgery 29, no. 4 (2004): 368–73. http://dx.doi.org/10.1016/j.jhsb.2004.03.004.

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Surgical release of the A1 pulley for treatment of trigger finger normally produces excellent results. However, in patients with long-standing disease, there may be a persistent fixed flexion deformity of the proximal interphalangeal joint. This is sometimes due to a degenerative thickening of the flexor tendons and may be treated by resection of the ulnar slip of flexor digitorum superficialis tendon. One hundred seventy-two patients (228 fingers) who had undergone this procedure were reviewed at a mean follow-up of 66 months. Mean pre-operative fixed flexion deformity of the proximal interph

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Ali, Md Muztaba, Md Sohel, Shihat Ahmed, et al. "A case report on Total Knee Arthroplasty in an young adult with Post-Traumatic Secondary Osteoarthritis with Fixed Flexion Deformity (ROM 0-5) and six months outcome." Pulse 16, no. 2 (2025): 31–34. https://doi.org/10.3329/pulse.v16i2.81684.

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This case report presents the management of a young adult with post-traumatic secondary osteoarthritis and a fixed flexion deformity ROM (0-5) of the knee, treated with total knee replacement (TKR). The patient, a 24-year-old male, sustained a complex intra-articular fracture of the knee following a high-energy trauma, which was initially managed by spanning external fixator and dislocation correction along with soft tissue repair. Despite surgical intervention, the patient developed progressive osteoarthritis and a fixed flexion deformity, leading to significant pain, functional impairment, a

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RITCHIE, J. F. S., K. M. VENU, K. PILLAI, and D. H. YANNI. "Proximal Interphalangeal Joint Release in Dupuytren’s Disease of the Little Finger." Journal of Hand Surgery 29, no. 1 (2004): 15–17. http://dx.doi.org/10.1016/j.jhsb.2003.08.005.

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We present a prospective study, with 3-year follow-up, of the role and outcome of fasciectomy plus sequential surgical release of structures of the proximal interphalangeal joint in Dupuytren’s contracture of the little finger. Our treatment programme involves fasciectomy for all patients followed by sequential release of the accessory collateral ligament and volar plate as necessary. Of the 19 fingers in the study, eight achieved a full correction by fasciectomy alone, and in these cases there was a fixed flexion deformity of 6° at 3 months and 8° at 3 years. The remaining 11 fingers (initial

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Veeraraghavan, Raghav Ravi, Pravin Kumar Vanchi, and Mohan Kumar M. "Pre-operative fixed flexion deformity a curse to the knee arthroplasty surgeon?" International Journal of Research in Orthopaedics 4, no. 6 (2018): 854. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20184208.

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<p class="abstract"><strong>Background:</strong> The aim of the study was to study the effect of preoperative flexion deformity on the postoperative knee range of motion following total knee arthroplasty.</p><p class="abstract"><strong>Methods:</strong> A total of 28 knees were studied out of which twenty were osteoarthritis and eight were rheumatoid arthritis. Cruciate substituting and cruciate retaining implants were used. Patients above the age of 45 years with a minimum follow up period of two years from April 2010 were studied.<strong></s

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Jain, Jitesh Kumar, Rajeev K. Sharma, and Saurabh Agarwal. "Total knee arthroplasty in patients with fixed flexion deformity." Current Orthopaedic Practice 24, no. 6 (2013): 659–64. http://dx.doi.org/10.1097/bco.0000000000000031.

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Rutz, Erich, Mark S. Gaston, Oren Tirosh, and Reinald Brunner. "Hip Flexion Deformity Improves without Psoas-Lengthening after Surgical Correction of Fixed Knee Flexion Deformity in Spastic Diplegia." HIP International 22, no. 4 (2012): 379–86. http://dx.doi.org/10.5301/hip.2012.9453.

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Nihal, Syed, Pugazhendhi G, Subramanya Gandhi, and Prithivi Selvan. "A Case of Complex Deformity of Knee Corrected by Ilizarov Fixation in a Teenage Patient." Journal of Orthopaedic Case Reports 14, no. 12 (2024): 164–69. https://doi.org/10.13107/jocr.2024.v14.i12.5060.

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Introduction: After the spine, the knee is the second most common location for skeletal tuberculosis. An unusual complication of tuberculosis infection is triple knee deformity. The combination of knee flexion, posterolateral tibial subluxation, and external tibial rotation over femoral condyles manifests as a severe deformity. Currently, a variety of surgical intervention techniques are recommended for knee deformity correction, including the use of an Ilizarov ring fixator or limb reconstruction system, total knee arthroplasty, and arthrodesis with synovectomy. Case Report: A 17-year-old ado

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Das, P., A. Basak, D. Ghorai, P. P. Pan, and D. K. Khatua. "A Patient with Fixed Flexion Deformity of Hip and Knee." Indian Journal of Physical Medicine and Rehabilitation 23, no. 1 (2012): 25–28. http://dx.doi.org/10.5005/ijopmr-23-1-25.

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Abstract A 17 years old female patient presented to PMR OPD with fixed flexion deformity of left hip and knee and cachexia. Five years back a severe pain was suddenly developed in her left knee and thigh which was investigated for juvenile inflammatory arthropathy and rheumatic arthritis. At that time all the serological markers (ANA, RF, ASO titre) and x-ray of knee were normal. Subsequently left hip pain and restricted ROM were developed which made it clear that the knee pain was actually referred from hip. A plain x-ray of hip was done to rule out Perthe's disease which was reported as avas

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Aderinto, J., I. J. Brenkel, and P. Chan. "Natural history of fixed flexion deformity following total knee replacement." Journal of Bone and Joint Surgery. British volume 87-B, no. 7 (2005): 934–36. http://dx.doi.org/10.1302/0301-620x.87b7.15586.

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Ismaeil, Ahmad Gamal, Francesco Traina, Muhammad A. Quolquela, Mohammed Hossam Nagy, and Osama Ahmed Amin. "Total knee replacement in knee arthritis with fixed flexion deformity." International Journal of Orthopaedics Sciences 9, no. 1 (2023): 361–65. http://dx.doi.org/10.22271/ortho.2023.v9.i1f.3317.

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Siow, Y. S., T. S. Ahmad, and S. Y. Goh. "USE OF A NEW EXTERNAL FIXATOR FOR THE CORRECTION OF FIXED FLEXION DEFORMITY OF THE FINGERS." Hand Surgery 04, no. 02 (1999): 167–74. http://dx.doi.org/10.1142/s0218810499000307.

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Three patients with severe fixed flexion deformity of the fingers caused by trauma were reported. As an alternative treatment, a new mini external fixator was used to correct the deformities. The use of this device has made treatment of contractures simpler and more predictable. Gradual distraction and straightening was applied to loosen and extend the joints, followed by a period of mobilisation while still on the device. In all the three patients, this experimental device and approach led to improvement of the fixed flexion deformities. With use of this device, surgical release may not be ne

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HUNTER, E., J. LAVERTY, R. POLLOCK, and R. BIRCH. "Nonoperative Treatment of Fixed Flexion Deformity of the Proximal Interphalangeal Joint." Journal of Hand Surgery 24, no. 3 (1999): 281–83. http://dx.doi.org/10.1054/jhsb.1999.0111.

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Sixty-one stiff, stable proximal interphalangeal joints were treated by exercise and splinting. The average range of movement was 24° to 67° before treatment; this increased to 8° to 98° after treatment. The indications and technique are described.

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Spiro, Alexander S., Peggy Stenger, Michael Hoffmann, et al. "Treatment of fixed knee flexion deformity by anterior distal femoral stapling." Knee Surgery, Sports Traumatology, Arthroscopy 20, no. 12 (2012): 2413–18. http://dx.doi.org/10.1007/s00167-012-1915-8.

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Lee, Wu Chean, Yu Heng Kwan, and Seng Jin Yeo. "Severe Bilateral Fixed Flexion Deformity—Simultaneous or Staged Total Knee Arthroplasty?" Journal of Arthroplasty 31, no. 1 (2016): 128–31. http://dx.doi.org/10.1016/j.arth.2015.08.022.

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Lee, Thay Q., Michele M. Schulz, and Patrick J. McMahon. "EFFECTS OF SIMULATED FIXED FEMORAL ROTATION ON THE PATELLOFEMORAL JOINT: IN VITRO AND IN VIVO BIOMECHANICAL ASSESSMENT IN CANINES." Journal of Musculoskeletal Research 04, no. 02 (2000): 97–105. http://dx.doi.org/10.1142/s0218957700000124.

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The quantitative effects of fixed femoral rotation on the patellofemoral joint were assessed in canines in vitro and in vivo. For the in vitro study, ten canine knees were examined in neutral and 30 degrees of internal and external fixed femoral rotations. Fuji film was inserted into the patellofemoral joint and quadriceps loading was simulated at 60 and 90 degrees of knee flexion. There was significant increase in patellofemoral contact pressures on the contralateral facets of the patella with 30 degrees of fixed femoral rotation at both knee flexion angles (p < 0.05). For the in vivo stud

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GORDON, A., R. PAGE, and M. SALEH. "Index Finger Lengthening by Gradual Distraction and Bone Grafting." Journal of Hand Surgery 23, no. 6 (1998): 785–87. http://dx.doi.org/10.1016/s0266-7681(98)80097-1.

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We present the case of an 18-year-old woman with a shortened right index finger. The digit was stabilized and lengthened a total of 18 mm by external fixation and iliac bone grafting. A distal interphalangeal fixed flexion deformity of 60° was corrected with external fixation and intermedullary wiring.

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Wyndell, H. Merritt. "A Novel Management Technique for Acute and Chronic Boutonniere Deformity that Permits Immediate Active Motion and Functional Hand use." International Journal of Physical Medicine & Rehabilitation 12, no. 2 (2024): 4. https://doi.org/10.35248/2329-9096.24.12.720.

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Introduction: Conventional management of acute boutonniere deformity usually involves immobilization and typically results in two to four months out of work. Chronic fixed boutonniere often defies any acceptable correction with surgical or nonsurgical efforts. This is likely due to the delicately balanced interwoven but moveable shroud of supportive dense connective tissue at the extrinsic-intrinsic interface, which can adhere to the underlying bony phalanges during immobilization. We propose a safe method for early motion and hand use that can reduce adherence. Methods: An understanding of th

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Sappey-Marinier, Elliot, Andréa Fernandez, Jobe Shatrov, et al. "Management of fixed flexion contracture in primary total knee arthroplasty: recent systematic review." SICOT-J 10 (2024): 11. http://dx.doi.org/10.1051/sicotj/2024007.

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Introduction: This study aimed to systematically review the literature and identify the surgical management strategy for fixed flexion contracture in primary total knee arthroplasty (TKA) surgery, pre-, intra-, and post-operatively. Secondary endpoints were etiologies and factors favoring flexion contracture. Materials and methods: Searches were carried out in November 2023 in several databases (Pubmed, Scopus, Cochrane, and Google Scholar) using the following keywords: “flexion contracture AND TKA”, “fixed flexion deformity AND TKA”, “posterior capsular release AND TKA”, “posterior capsulotom

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Rahman, Mushfiqur, and Md Khalilur Rahman. "Successful Anaesthetic Management of a Patient with Post Burn Contracture and Difficult Airway: A Case Report." Journal of the Bangladesh Society of Anaesthesiologists 33, no. 2 (2020): 107–10. http://dx.doi.org/10.3329/jbsa.v33i2.67532.

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The Anaesthetic management of patients with post burn contracture release poses many problems toanaesthesiologist. Airway management in such cases is still challenging to anaesthesiologist as thecontracture and deformity due to fibrous tissue resulting in non-alignment of oral, pharyngeal andlaryngeal planes, makes laryngoscopy and endotracheal intubation very difficult or impossible and thiscan result in many life threatening and serious complications. We report the successful airway managementof a patient with restricted neck extension and fixed flexion deformity by Laryngeal mask airway (LM

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Tawy, Gwenllian, Michael McNicholas, and Leela Biant. "LONG-TERM BIOMECHANICAL OUTCOMES OF A HIGH FLEXION DESIGN TOTAL KNEE ARTHROPLASTY." Orthopaedic Proceedings 105-B, SUPP_13 (2023): 64. http://dx.doi.org/10.1302/1358-992x.2023.13.064.

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AbstractIntroductionThis study compared biomechanical and functional parameters of a total knee arthroplasty (TKA) implant (Cemented Zimmer Hi-Flex) against healthy older adults to determine whether knee biomechanics was restored in this patient population.MethodologyPatients with a primary TKA and healthy adults >55 years old with no musculoskeletal deficits or arthritis participated. Bilateral knee range of motion (RoM) was assessed with a goniometer, then gait patterns were analysed with a 3D motion-capture system. An arthrometer then quantified anterior-posterior laxity of each knee. St

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Kayani, Babar, Sujith Konan, Syed S. Ahmed, Justin S. Chang, Atif Ayuob, and Fares S. Haddad. "The effect of anterior cruciate ligament resection on knee biomechanics." Bone & Joint Journal 102-B, no. 4 (2020): 442–48. http://dx.doi.org/10.1302/0301-620x.102b4.bjj-2019-1238.r2.

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Aims The objectives of this study were to assess the effect of anterior cruciate ligament (ACL) resection on flexion-extension gaps, mediolateral soft tissue laxity, maximum knee extension, and limb alignment during primary total knee arthroplasty (TKA). Methods This prospective study included 140 patients with symptomatic knee osteoarthritis undergoing primary robotic-arm assisted TKA. All operative procedures were performed by a single surgeon using a standard medial parapatellar approach. Optical motion capture technology with fixed femoral and tibial registration pins was used to assess st

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&NA;. "ANTERIOR RELEASE FOR FIXED FLEXION DEFORMITY OF THE HIP IN SPINA BIFIDA." Journal of Pediatric Orthopaedics 16, no. 5 (1996): 693. http://dx.doi.org/10.1097/01241398-199609000-00047.

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Frawley, P. A., N. S. Broughton, and M. B. Menelaus. "ANTERIOR RELEASE FOR FIXED FLEXION DEFORMITY OF THE HIP IN SPINA BIFIDA." Journal of Bone and Joint Surgery. British volume 78-B, no. 2 (1996): 299–302. http://dx.doi.org/10.1302/0301-620x.78b2.0780299.

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Chen, Jerry Yongqiang, Bryan Loh, Yew Lok Woo, Shi-Lu Chia, Ngai Nung Lo, and Seng Jin Yeo. "Fixed Flexion Deformity After Unicompartmental Knee Arthroplasty: How Much Is Too Much." Journal of Arthroplasty 31, no. 6 (2016): 1313–16. http://dx.doi.org/10.1016/j.arth.2015.12.003.

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Galani, Kamlesh, Bhargav Trivedi, and Jaivik Vaghela. "A rare case presentation of hydatid cyst in ilio-psoas muscle." International Journal of Research in Medical Sciences 6, no. 9 (2018): 3182. http://dx.doi.org/10.18203/2320-6012.ijrms20183667.

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We report a rare case of hydatid cyst in iliopsoas muscle in 35-year-old male patient. Where, patient presented with pain and swelling in right groin and fixed flexion deformity of right lower limb with constitutional symptoms. CECT abdomen revealed hydatis cyst with daughter cyst. We performed excision by retroperitoneal approach through lumber incision. Cyst was completely removed with daughter cysts.

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George, Jacob. "Heterotopic Ossification of Brachialis Muscle." Scientific World JOURNAL 5 (2005): 834. http://dx.doi.org/10.1100/tsw.2005.104.

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A 13-year-old girl with seizure disorder presented with 90º fixed flexion deformity of right elbow. She had history of encephalitis, 2 years ago, from which she recovered completely except for the deformity of the elbow. Plain X-ray revealed extensive ossification of the brachialis muscle from its origin at the lower anterior aspect of the humerus to its insertion at the coronoid process of the ulna. The alkaline phosphatase value was 500 IU. The middle segment of the ossified mass was surgically excised. The mobility of the elbow was restored and she achieved a range of movement between 45–12

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