Abstract

Purpose: Restoration of range of motion (ROM) after total knee arthroplasty (TKA) greatly affects post-operative results. We analyzed various factors, including implant systems, to identify those factors affecting ROM in TKA. Materials and Methods: 645 knees of 418 patients who received TKA from the same operator between June 1990 and May 1999 were analyzed. Knees were sorted according to patient (age, sex, body mass index, symptom duration, pre-operative ROM, and deformity), disease (osteoarthritis, rheumatoid arthritis, and osteonecrosis), implant (implant system, and thickness of spacer), operation (preservation or resection of the posterior cruciate ligament (PCL), and lateral release or not). Post-operative ROM was evaluated with a minimum 3 years of follow-up. Results: Within 1 year after TKA, BMI, symptom duration, pre-opeative deformity, pre-operative ROM, and lateral release were found to significantly (p-value

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