{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T15:10:57Z","timestamp":1778339457308,"version":"3.51.4"},"reference-count":0,"publisher":"Pakistan Journal of Medical Sciences","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pak J Med Sci"],"abstract":"<jats:p>Objective: This study aimed to compare knee flexion contracture before &amp; after Total knee arthroplasty (TKA) post-intraoperative soft tissue release, posterior osteophytes removal &amp; distal femoral additional cutting.\nMethodology: This descriptive study was conducted in the department of orthopedic &amp; spine Hayatabad Medical Complex, Peshawar from 1st February 2023 to 30th April 2025. The required sample size was 72. The inclusion criteria included all adult patients having age &gt; 45years &amp; having moderate to severe (Grade-II and III) flexion contracture who were undergoing primary total knee arthroplasty (TKA) and had either osteoarthritis or rheumatoid arthritis. Patients having mild flexion deformities such as Grade-I flexion contractures, and those with hip flexion contractures due to other conditions including psoriatic arthritis, haemophilic arthritis, or post-traumatic arthritis were excluded.\nResults: Out of 72 patients included in our study, 41(56.9%) were women &amp; 33(45.8%) were men. 49(68%) patients had age &lt;65years &amp; 23(31.9%) patients had age &gt;65years. The mean flexion contracture in pre-op patients was 16.9 degrees &amp; in post-op patients mean flexion contracture was 5.9 degrees at 1 month of follow up, 5.5 degree at 3 months &amp; 5.3 degree at 6 months of follow up.\nConclusion: Knee flexion contracture is one of the debilitated conditions associated with knee OA &amp; can be corrected in Total Knee Arthroplasty with soft tissue releases, posterior osteophytes removal &amp; capsular release in moderate flexion contracture cases while flexion contracture &gt;30\u00ba require additional resection of distal 2-3mm of distal femur.<\/jats:p>","DOI":"10.12669\/pjms.42.4.13311","type":"journal-article","created":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T04:27:27Z","timestamp":1776140847000},"page":"969-972","source":"Crossref","is-referenced-by-count":0,"title":["The effectiveness of surgical management in knee flexion contracture in primary total knee arthroplasty"],"prefix":"10.12669","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5583-7084","authenticated-orcid":false,"given":"Muhammad","family":"Aamir","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Noor Rahman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Faizan Shah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Waseem Khan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"4935","published-online":{"date-parts":[[2026,4,11]]},"container-title":["Pakistan Journal of Medical Sciences"],"original-title":[],"link":[{"URL":"https:\/\/pjms.org.pk\/index.php\/pjms\/article\/download\/13311\/3382","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/pjms.org.pk\/index.php\/pjms\/article\/download\/13311\/3382","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T14:46:52Z","timestamp":1778338012000},"score":1,"resource":{"primary":{"URL":"https:\/\/pjms.org.pk\/index.php\/pjms\/article\/view\/13311"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,11]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2026,4,11]]}},"URL":"https:\/\/doi.org\/10.12669\/pjms.42.4.13311","relation":{},"ISSN":["1681-715X","1682-024X"],"issn-type":[{"value":"1681-715X","type":"electronic"},{"value":"1682-024X","type":"print"}],"subject":[],"published":{"date-parts":[[2026,4,11]]}}}