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Review Question - QID 5985

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QID 5985 (Type "5985" in App Search)
Stiffness can occur following total knee arthroplasty. What is the most appropriate management for a patient who has deteriorating arc of motion after undergoing a revision knee arthroplasty 9 months ago?

Aggressive physical therapy

15%

138/941

Manipulation under anesthesia

16%

154/941

Investigation for periprosthetic infection

62%

580/941

Revision knee arthroplasty

5%

51/941

Resection arthroplasty

1%

10/941

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Stiffness following total knee arthroplasty can be a disabling condition. There are many reasons for loss of knee motion following total knee arthroplasty. Technical errors, such as overstuffing of the patella, malpositioning of the components, and ligamentous imbalance, are all known to result in stiffness following total knee arthroplasty. In some patients with a possible genetic predisposition, aggressive arthrofibrosis may develop and result in loss of knee motion. In any patient who has deteriorating knee motion, particularly after revision arthroplasty, deep infection should be ruled out. Although on occasion surgical intervention may be required to address knee stiffness, the outcome of revision surgery is poor if no reason for stiffness can be determined.

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