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Journal of Long-Term Effects of Medical Implants

Erscheint 4 Ausgaben pro Jahr

ISSN Druckformat: 1050-6934

ISSN Online: 1940-4379

SJR: 0.184 SNIP: 0.485 CiteScore™:: 1.1 H-Index: 39

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Astym® Therapy for the Management of Recalcitrant Knee Joint Stiffness after Total Knee Arthroplasty

Volumen 26, Ausgabe 2, 2016, pp. 151-159
DOI: 10.1615/JLongTermEffMedImplants.2016012530
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ABSTRAKT

Knee stiffness is a common complication after total knee arthroplasty (TKA). Despite studies published on the surgical management of reduced range of motion (ROM) after TKA, there is limited evidence on the nonoperative management of joint and soft tissue imbalances possibly contributing to reduced knee ROM. This report assesses changes in ROM, pain, function, and patellar tendon length after Astym® joint mobilization use. A 38-year-old male professional skier had a right TKA 3 months before presentation with 2 subsequent manipulations under anesthesia secondary to persistent knee stiffness. He had patellar baja on radiograph, a reduced arc of ROM, reduced patellar mobility and muscular extensibility, and pain to palpation along the patellar tendon. He had 12 visits of physical therapy with the use of Astym®, patellar mobilization, and tibio-femoral mobilizations with movement. The patient also used a customized knee device at home for prolonged knee extension stretching. The patient was treated for 12 visits, along with home use of customized bracing for knee extension. Significant improvements were seen in pain, function, and ROM. He returned to work full-time, ambulated prolonged distances, and negotiated stairs pain-free. He also demonstrated resolution of patellar baja radiographically. Conservative management of recalcitrant knee joint stiffness after primary TKA can be effective in restoring knee mobility and reducing pain and activity limitation. A multimodal approach using Astym® treatment, customized knee bracing, and targeted joint mobilization can be effective in resolving knee joint stiffness.

SCHLÜSSELWÖRTER: Astym®, mobilization, bracing, stiffness
REFERENZIERT VON
  1. Rodriguez-Merchan E. Carlos, De La Corte-Rodriguez Hortensia, Roman-Belmonte Juan M., The current role of Astym therapy in the treatment of musculoskeletal disorders, Postgraduate Medicine, 132, 1, 2020. Crossref

  2. Yuan Ding, Zhang Quan-San, Zhang Kun, Cao Yan-Wei, Chen Guan-Hong, Ling Zong-Zhun, Xu Hui, Total Knee Arthroplasty Using a Medial Pivot or Posterior Cruciate-Stabilizing Prosthesis in Chinese Patients, The Journal of Knee Surgery, 33, 09, 2020. Crossref

  3. Gashaw Moges, Aragaw Fantu Mamo, Zemed Ashenafi, Endalew Mastewal, Tsega Nuhamin Tesfa, Asratie Melaku Hunie, Belay Daniel Gashaneh, Distal and/or Proximal Joint Stiffness Among Post-Fracture Patients Treated in University of Gondar Comprehensive Specialized Hospital, Gondar, Ethiopia, Orthopedic Research and Reviews, Volume 14, 2022. Crossref

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