How much preoperative ROM and FC is a predictor for poor result after total knee arthroplasty in hemophilic arthropathy?
AimWe aimed to explore the threshold of preoperative range of motion (ROM) and flxion contacture (FC) as a predictor of Poor knee function after TKA.MethodA retrospective analysis was conducted on 84 Patients with haemophilia (PWH) (113 knees) who underwent knee arthroplasty in our hospital from Jan...
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Frontiers Media S.A.
2025-02-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2025.1550166/full |
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| author | Hongyu Jiang Hongyu Jiang Hongyu Jiang Xueke Chang Xueke Chang Fubin Yu Wei Li Naihan Fang Naihan Fang Jianzhi Man Jianzhi Man Kangshu Guo Kangshu Guo Hongzheng Meng Hongzheng Meng Wenqiang Zhang |
| author_facet | Hongyu Jiang Hongyu Jiang Hongyu Jiang Xueke Chang Xueke Chang Fubin Yu Wei Li Naihan Fang Naihan Fang Jianzhi Man Jianzhi Man Kangshu Guo Kangshu Guo Hongzheng Meng Hongzheng Meng Wenqiang Zhang |
| author_sort | Hongyu Jiang |
| collection | DOAJ |
| description | AimWe aimed to explore the threshold of preoperative range of motion (ROM) and flxion contacture (FC) as a predictor of Poor knee function after TKA.MethodA retrospective analysis was conducted on 84 Patients with haemophilia (PWH) (113 knees) who underwent knee arthroplasty in our hospital from January 2010 to December 2020 (mean follow-up 70.7 ± 22.4 months). General information, hemophilia information, surgical information, follow-up information were collected. Knees were divided into two groups: Group poor (41 knees) and Group excellent (72 knees). In the clinical evaluation, the FC, ROM and American Society Knee clinical Score (KSC), American Society Knee functional Score (KSF), Hospital for Special Surgery (HSS) scores were used preoperatively and at the final follow-up visit. Receiver operating characteristics (ROC) analysis was used to analyze the threshold of preoperative ROM and FC as a predictor of Poor knee function after TKA.ResultPostoperative knee joint KSC, KSF, and HSS scores, as well as ROM and reduction in FC deformities at the last follow-up, improved significantly compared to preoperative levels. A notable correlation was observed between ROM and FC and the outcome of knee arthroplasty. The cutoff value of preoperative fexion contracture and ROM for poor knee function at last-follow up was 16.5° and 61.5°.ConclusionThe study concludes that the efficacy of knee joint replacement surgery in hemophilia patients is influenced by the pre-ROM and Pre-FC. The better the pre- ROM, the better the knee efficacy. The greater the pre- flexion contracture degree, the worse the knee efficacy. |
| format | Article |
| id | doaj-art-b2592f4dbcc942658304d8559f088501 |
| institution | Kabale University |
| issn | 2296-875X |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj-art-b2592f4dbcc942658304d8559f0885012025-02-11T06:59:31ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2025-02-011210.3389/fsurg.2025.15501661550166How much preoperative ROM and FC is a predictor for poor result after total knee arthroplasty in hemophilic arthropathy?Hongyu Jiang0Hongyu Jiang1Hongyu Jiang2Xueke Chang3Xueke Chang4Fubin Yu5Wei Li6Naihan Fang7Naihan Fang8Jianzhi Man9Jianzhi Man10Kangshu Guo11Kangshu Guo12Hongzheng Meng13Hongzheng Meng14Wenqiang Zhang15Innovative Institute of Chinese Medicine and Pharmacy, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, ChinaDepartment of Bone and Joint Surgery, First Affiliated Hospital of Shandong First Medical University, Jinan, Shandong, ChinaDepartment of Bone and Joint Surgery, Zhangqiu District People’s Hospital, Jinan, Shandong, ChinaDepartment of Bone and Joint Surgery, First Affiliated Hospital of Shandong First Medical University, Jinan, Shandong, ChinaDepartment of Bone and Joint Surgery, Zhangqiu District People’s Hospital, Jinan, Shandong, ChinaPostgraduate Department, Shandong First Medical University, Jinan, Shandong, ChinaPostgraduate Department, Shandong First Medical University, Jinan, Shandong, ChinaDepartment of Bone and Joint Surgery, First Affiliated Hospital of Shandong First Medical University, Jinan, Shandong, ChinaDepartment of Bone and Joint Surgery, Zhangqiu District People’s Hospital, Jinan, Shandong, ChinaDepartment of Bone and Joint Surgery, First Affiliated Hospital of Shandong First Medical University, Jinan, Shandong, ChinaDepartment of Bone and Joint Surgery, Zhangqiu District People’s Hospital, Jinan, Shandong, ChinaDepartment of Bone and Joint Surgery, First Affiliated Hospital of Shandong First Medical University, Jinan, Shandong, ChinaDepartment of Bone and Joint Surgery, Zhangqiu District People’s Hospital, Jinan, Shandong, ChinaInnovative Institute of Chinese Medicine and Pharmacy, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, ChinaDepartment of Bone and Joint Surgery, First Affiliated Hospital of Shandong First Medical University, Jinan, Shandong, ChinaDepartment of Bone and Joint Surgery, First Affiliated Hospital of Shandong First Medical University, Jinan, Shandong, ChinaAimWe aimed to explore the threshold of preoperative range of motion (ROM) and flxion contacture (FC) as a predictor of Poor knee function after TKA.MethodA retrospective analysis was conducted on 84 Patients with haemophilia (PWH) (113 knees) who underwent knee arthroplasty in our hospital from January 2010 to December 2020 (mean follow-up 70.7 ± 22.4 months). General information, hemophilia information, surgical information, follow-up information were collected. Knees were divided into two groups: Group poor (41 knees) and Group excellent (72 knees). In the clinical evaluation, the FC, ROM and American Society Knee clinical Score (KSC), American Society Knee functional Score (KSF), Hospital for Special Surgery (HSS) scores were used preoperatively and at the final follow-up visit. Receiver operating characteristics (ROC) analysis was used to analyze the threshold of preoperative ROM and FC as a predictor of Poor knee function after TKA.ResultPostoperative knee joint KSC, KSF, and HSS scores, as well as ROM and reduction in FC deformities at the last follow-up, improved significantly compared to preoperative levels. A notable correlation was observed between ROM and FC and the outcome of knee arthroplasty. The cutoff value of preoperative fexion contracture and ROM for poor knee function at last-follow up was 16.5° and 61.5°.ConclusionThe study concludes that the efficacy of knee joint replacement surgery in hemophilia patients is influenced by the pre-ROM and Pre-FC. The better the pre- ROM, the better the knee efficacy. The greater the pre- flexion contracture degree, the worse the knee efficacy.https://www.frontiersin.org/articles/10.3389/fsurg.2025.1550166/fullpatients with haemophiliarange of motionflexion contracturetotal knee arthroplastyknee function |
| spellingShingle | Hongyu Jiang Hongyu Jiang Hongyu Jiang Xueke Chang Xueke Chang Fubin Yu Wei Li Naihan Fang Naihan Fang Jianzhi Man Jianzhi Man Kangshu Guo Kangshu Guo Hongzheng Meng Hongzheng Meng Wenqiang Zhang How much preoperative ROM and FC is a predictor for poor result after total knee arthroplasty in hemophilic arthropathy? Frontiers in Surgery patients with haemophilia range of motion flexion contracture total knee arthroplasty knee function |
| title | How much preoperative ROM and FC is a predictor for poor result after total knee arthroplasty in hemophilic arthropathy? |
| title_full | How much preoperative ROM and FC is a predictor for poor result after total knee arthroplasty in hemophilic arthropathy? |
| title_fullStr | How much preoperative ROM and FC is a predictor for poor result after total knee arthroplasty in hemophilic arthropathy? |
| title_full_unstemmed | How much preoperative ROM and FC is a predictor for poor result after total knee arthroplasty in hemophilic arthropathy? |
| title_short | How much preoperative ROM and FC is a predictor for poor result after total knee arthroplasty in hemophilic arthropathy? |
| title_sort | how much preoperative rom and fc is a predictor for poor result after total knee arthroplasty in hemophilic arthropathy |
| topic | patients with haemophilia range of motion flexion contracture total knee arthroplasty knee function |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2025.1550166/full |
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