{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T05:27:29Z","timestamp":1793683649224,"version":"4.5.1"},"reference-count":10,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"11_Supple_A","license":[{"start":{"date-parts":[[2012,11,1]],"date-time":"2012-11-01T00:00:00Z","timestamp":1351728000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2012,11]]},"abstract":"<jats:p>Fixed flexion deformities are common in osteoarthritic knees that are indicated for total knee arthroplasty. The lack of full extension at the knee results in a greater force of quadriceps contracture and energy expenditure. It also results in slower walking velocity and abnormal gait mechanics, overloading the contralateral limb. Residual flexion contractures after TKA have been associated with poorer functional scores and outcomes.<\/jats:p>\n                  <jats:p>Although some flexion contractures may resolve with time after surgery, a substantial percentage will become permanent. Therefore, it is essential to correct fixed flexion deformities at the time of TKA, and be vigilant in the post-operative course to maintain the correction.<\/jats:p>\n                  <jats:p>Surgical techniques to address pre-operative flexion contractures include: adequate bone resection, ligament releases, removal of posterior osteophytes, and posterior capsular releases. Post-operatively, extension can be maintained with focused physiotherapy, a specially modified continuous passive motion machine, a contralateral heel lift, and splinting.<\/jats:p>","DOI":"10.1302\/0301-620x.94b11.30512","type":"journal-article","created":{"date-parts":[[2012,11,1]],"date-time":"2012-11-01T08:38:47Z","timestamp":1351759127000},"page":"112-115","source":"Crossref","is-referenced-by-count":69,"title":["Fixed flexion deformity and total knee arthroplasty"],"prefix":"10.1302","volume":"94-B","author":[{"given":"E. P.","family":"Su","sequence":"first","affiliation":[{"name":"Hospital for Special Surgery, 535\rEast 70th Street, New York, New York\r10021, US."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","reference":[{"key":"r1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197557070-00014"},{"key":"r2","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2008.07.003"},{"key":"r3","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2008.05.008"},{"key":"r4","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2009.02.003"},{"key":"r5","doi-asserted-by":"crossref","unstructured":"Quah C, Swamy G, Lewis J, Kendrew J, Badhe N.\n                      Fixed flexion deformity following total knee arthroplasty: a prospective study of the natural history.\n                      Knee\n                      2011; (Epub ahead of print).","DOI":"10.1016\/j.knee.2011.09.003"},{"key":"r6","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2010.04.023"},{"key":"r7","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2006.11.009"},{"key":"r8","doi-asserted-by":"crossref","first-page":"855","DOI":"10.3928\/01477447-20111021-18","volume":"34","author":"Goudie ST","year":"2011","journal-title":"Orthopedics"},{"key":"r9","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20090915-54"},{"key":"r10","doi-asserted-by":"crossref","unstructured":"Lustig S, Scholes CJ, Stegeman TJ, et al.\n                      Sagittal placement of the femoral component in total knee arthroplasty predicts knee flexion contracture at one-year follow-up.\n                      Int Orthop\n                      2012;(Epub ahead of print).","DOI":"10.1007\/s00264-012-1580-z"}],"container-title":["The Journal of Bone and Joint Surgery. British volume"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.94B11.30512","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/full-xml\/10.1302\/0301-620X.94B11.30512","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.94B11.30512","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T14:58:18Z","timestamp":1629125898000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.94B11.30512"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,11]]},"references-count":10,"journal-issue":{"issue":"11_Supple_A","published-print":{"date-parts":[[2012,11]]}},"alternative-id":["10.1302\/0301-620X.94B11.30512"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.94b11.30512","relation":{},"ISSN":["0301-620X","2044-5377"],"issn-type":[{"value":"0301-620X","type":"print"},{"value":"2044-5377","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,11]]}}}