Static and Dynamic Bracing for Loss of Motion Following Total Knee Arthroplasty

Todd P.  Pierce; Jeffery J.  Cherian; Michael A. Mont

doi:10.1615/JLongTermEffMedImplants.2015013409

Journal of Long-Term Effects of Medical Implants

Editor-in-Chief: Subrata Saha (open in a new tab)

Published 4 issues per year

ISSN Print: 1050-6934

ISSN Online: 1940-4379

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Static and Dynamic Bracing for Loss of Motion Following Total Knee Arthroplasty

Volume 25, Issue 4, 2015, pp. 337-343

DOI: 10.1615/JLongTermEffMedImplants.2015013409

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Todd P. Pierce
Center for Joint Preservation and Replacement, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, Maryland

Jeffery J. Cherian
Center for Joint Preservation and Replacement, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, Maryland

Michael A. Mont
Center for Joint Preservation and Replacement, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, Maryland

ABSTRACT

Pain and dysfunction leading to decreased range-of-motion following total knee arthroplasty (TKA) is a common complication that may require treatment beyond standard rehabilitation efforts. In this review, we discuss the use of static and dynamic stretch devices to treat these range-of-motion dysfunctions. There are two mechanisms by which these devices work: dynamic stretch applies a constant low force, which allows for a variable soft-tissue displacement as they stretch, and static progressive stretch increases displacement, which allows for a constant displacement at a variable force leading to tissue stress relaxation. The uses of both devices have been reported to be effective in treating range-of-motion dysfunction after TKA. These devices are excellent options for the treatment of TKA stiffness, but they may undergo even further refinement in the future, as more information about exact indications and device modification emerge.

KEY WORDS: total knee arthroplasty, stiffness, arthrofibrosis, bracing

CITED BY

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
Panayiotou Charalambous Charalambos, External Devices for Disorders of the Knee, in The Knee Made Easy, 2022. Crossref
Panayiotou Charalambous Charalambos, Knee Stiffness, in The Knee Made Easy, 2022. Crossref
Aspinall Sara K., Bamber Zoe A., Hignett Sue M., Godsiff Steven P., Wheeler Patrick C., Fong Daniel T.P., Medical stretching devices are effective in the treatment of knee arthrofibrosis: A systematic review, Journal of Orthopaedic Translation, 27, 2021. Crossref
Cook James L., Rucinski Kylee, Crecelius Cory R., Cunningham Suzin, Guess Trent M., Prospective, Randomized Clinical Trial Comparing a Novel Motion-Assistive Device to Standard Physical Therapy for Initial Management of Knee Range of Motion after Primary Total Knee Arthroplasty, The Journal of Knee Surgery, 2021. Crossref
Rahyussalim Ahmad Jabir, Zufar Muhammad Luqman Labib, Kurniwati Tri, A holistic approach for severe flexion contracture of bilateral hip, knee, and ankle joints in a neglected patient with prolonged knee–chest positioning on extreme undernourishment: a case report and review of the literature, Journal of Medical Case Reports, 16, 1, 2022. Crossref
Muertizha Mieralimu, Cai XinTian, Ji Baochao, Aimaiti Abudousaimi, Cao Li, Factors contributing to 1-year dissatisfaction after total knee arthroplasty: a nomogram prediction model, Journal of Orthopaedic Surgery and Research, 17, 1, 2022. Crossref

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