{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T03:43:34Z","timestamp":1785901414825,"version":"3.56.0"},"reference-count":27,"publisher":"SLACK, Inc.","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopedics"],"published-print":{"date-parts":[[2017,11]]},"abstract":"<jats:p>\n            A stiff total knee arthroplasty (TKA) can manifest as pain and decreased range of motion (ROM). When conservative management including physical therapy and manipulation under anesthesia fails, arthroscopic lysis of adhesions (LOA) is frequently pursued. The authors examined the efficacy of LOA for the stiff TKA. They retrospectively reviewed the records of 18 patients who underwent LOA for stiff TKA between April 2013 and June 2016 and who failed to meet 90\u00b0 ROM at 6 weeks postoperatively. They recorded patient demographics, ROM prior to TKA, and incidence of manipulation under anesthesia between initial TKA and LOA as well as pre- and postoperative outcomes of ROM, pain, and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores. The mean time from TKA to LOA was 117 days, with a mean follow-up of 449 days. Mean improvements in ROM flexion contracture, flexion, and arc were 6.11\u00b0 (\n            <jats:italic>P<\/jats:italic>\n            &lt;.05), 29.45\u00b0 (\n            <jats:italic>P<\/jats:italic>\n            &lt;.001), and 35.56\u00b0 (\n            <jats:italic>P<\/jats:italic>\n            &lt;.001), respectively. Range of motion improved for 17 of 18 patients. The WOMAC was completed by 15 of 18 patients, with a mean improvement in scores of 32.23% (\n            <jats:italic>P<\/jats:italic>\n            &lt;.001); all 15 patients with available WOMAC scores improved. Pain score improved by a mean of 2.17 (\n            <jats:italic>P<\/jats:italic>\n            &lt;.001), with 14 of 18 patients reporting decreased pain. Improvements in flexion contracture, flexion, ROM arc, WOMAC scores, and pain were all statistically significant (\n            <jats:italic>P<\/jats:italic>\n            &lt;.05). Age, weight, body mass index, and time to LOA were found to be statistically significant predictors of outcome. Finally, pre-TKA and pre-LOA ROM parameters were found to be statistically significant predictors of post-LOA ROM outcomes. [\n            <jats:italic>Orthopedics.<\/jats:italic>\n            2017; 40(6):e1062\u2013e1068.]\n          <\/jats:p>","DOI":"10.3928\/01477447-20171012-06","type":"journal-article","created":{"date-parts":[[2017,10,23]],"date-time":"2017-10-23T12:51:27Z","timestamp":1508763087000},"source":"Crossref","is-referenced-by-count":26,"title":["Outcomes and Predictors of Success for Arthroscopic Lysis of Adhesions for the Stiff Total Knee Arthroplasty"],"prefix":"10.3928","volume":"40","author":[{"given":"Blake M.","family":"Bodendorfer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua A.","family":"Kotler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William D.","family":"Zelenty","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kareem","family":"Termanini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rafael","family":"Sanchez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evan H.","family":"Argintar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2308","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20140430-60"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199274070-00004"},{"key":"e_1_3_1_4_2","first-page":"136","article-title":"Long-term survival analysis of a posterior cruciate-retaining total condylar total knee arthroplasty","volume":"309","author":"Ritter MA","year":"1994","unstructured":"Ritter MA, Herbst SA, Keating EM, Faris PM, Meding JB. Long-term survival analysis of a posterior cruciate-retaining total condylar total knee arthroplasty. Clin Orthop Relat Res. 1994; 309:136\u2013145.","journal-title":"Clin Orthop Relat Res"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200407000-00017"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-009-0878-x"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2005.10.001"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-006-0099-5"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.1054\/arth.2002.32105"},{"issue":"3","key":"e_1_3_1_10_2","first-page":"35","article-title":"Factors influencing the postoperative range of motion in total knee arthroplasty","volume":"53","author":"Ryu J","year":"1993","unstructured":"Ryu J, Saito S, Yamamoto K, Sano S. Factors influencing the postoperative range of motion in total knee arthroplasty. Bull Hosp Jt Dis. 1993; 53(3):35\u201340.","journal-title":"Bull Hosp Jt Dis"},{"key":"e_1_3_1_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2014.07.001"},{"key":"e_1_3_1_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(97)90150-X"},{"key":"e_1_3_1_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10195-009-0054-6"},{"key":"e_1_3_1_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-010-1230-y"},{"key":"e_1_3_1_15_2","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20131120-20"},{"key":"e_1_3_1_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199610000-00026"},{"issue":"12","key":"e_1_3_1_17_2","first-page":"2473","article-title":"WOMAC: a 20-year experiential review of a patient-centered self-reported health status questionnaire","volume":"29","author":"Bellamy N","year":"2002","unstructured":"Bellamy N. WOMAC: a 20-year experiential review of a patient-centered self-reported health status questionnaire. J Rheumatol. 2002; 29(12):2473\u20132476.","journal-title":"J Rheumatol"},{"key":"e_1_3_1_18_2","doi-asserted-by":"publisher","DOI":"10.1002\/acr.20632"},{"key":"e_1_3_1_19_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.89B1.17790"},{"key":"e_1_3_1_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2009.01.005"},{"key":"e_1_3_1_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1297-319X(03)00112-X"},{"key":"e_1_3_1_22_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200307000-00014"},{"key":"e_1_3_1_23_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11420-007-9053-4"},{"key":"e_1_3_1_24_2","first-page":"221","article-title":"Manipulation with prolonged epidural analgesia for treatment of TKA complicated by arthrofibrosis","volume":"15","author":"Pariente GM","year":"2006","unstructured":"Pariente GM, Lombardi AV, Berend KR, Mallory TH, Adams JB. Manipulation with prolonged epidural analgesia for treatment of TKA complicated by arthrofibrosis. Surg Technol Int. 2006; 15:221\u2013224.","journal-title":"Surg Technol Int"},{"key":"e_1_3_1_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2005.03.012"},{"key":"e_1_3_1_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2014.08.009"},{"key":"e_1_3_1_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2012.02.010"},{"issue":"1","key":"e_1_3_1_28_2","first-page":"27","article-title":"Management of stiffness after total knee arthroplasty: indication for different mobility management in 62 cases","volume":"89","author":"Tirveilliot F","year":"2003","unstructured":"Tirveilliot F, Migaud H, Gougeon F, Laffargue P, Maynou C, Fontaine C. Management of stiffness after total knee arthroplasty: indication for different mobility management in 62 cases. Rev Chir Orthop Reparatrice Appar Mot. 2003; 89(1):27\u201334.","journal-title":"Rev Chir Orthop Reparatrice Appar Mot"}],"container-title":["Orthopedics"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.healio.com\/doiresolver?doi=10.3928\/01477447-20171012-06","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,3]],"date-time":"2023-05-03T12:18:58Z","timestamp":1683116338000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.healio.com\/doi\/10.3928\/01477447-20171012-06"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,11]]},"references-count":27,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2017,11]]}},"alternative-id":["10.3928\/01477447-20171012-06"],"URL":"https:\/\/doi.org\/10.3928\/01477447-20171012-06","relation":{},"ISSN":["0147-7447","1938-2367"],"issn-type":[{"value":"0147-7447","type":"print"},{"value":"1938-2367","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,11]]}}}