Increase In Functional Ability Research Articles

ACTIVE STRETCHING HAS AN EFFECT ON FUNCTIONAL ABILITY IN ONLINE MOTORCYCLE TAXI DRIVERS EXPERIENCING CARPAL TUNNEL SYNDROME

Carpal Tunnel Syndrome (CTS) is a common medical condition that occurs when the median nerve is pinched or compressed as it passes through the wrist due to continuous long-term movement. The research aims to determine the effect of Active Stretching on the functional ability of the hands in online motorcycle taxi drivers who experience Carpal Tunnel Syndrome. The type of research is quasi-experimental with sample collection techniques using the purposive sampling method. The research was carried out in May-June 2023, with a population of 35 people and a sample size of 10 people who were given intervention 9 times. Measurements in this study used the Wrist/Hand Disability Index (WHDI). The results of research on Active Stretching showed that the average functional ability of the hand before the intervention was 58 and after the intervention was given it was 43,2. The p value = 0.0005 means there is an increase in functional ability. The results of the research can be concluded that there is an influence of Active Stretching exercises on increasing the functional abilities of the hands in online motorcycle taxi drivers who experience Carpal Tunnel Syndrome.

The Efficacy of Bone Marrow Stem Cell Therapy in Hip Osteoarthritis: A Scoping Review.

Hip osteoarthritis (HOA) is a prevalent degenerative joint disease with various treatment approaches. Biological agents, such as bone-marrow derived stem cells (BM-MSC) therapy, have recently been proposed as a treatment option in the management of HOA. We sought to further analyze the use of BM-MSC therapy by investigating the following questions. What is the standard preparation and practice? Does a dose response exist between stem cell therapy and clinical outcome? Does BM-MSC therapy alone produce effective clinical outcomes? We conducted a scoping review using the Methodological Expectations of Cochrane Intervention Reviews Manual and the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines for scoping reviews. A comprehensive search of PubMed, Embase, Cochrane CENTRAL, Scopus, SPORTDiscus, Cumulative Index to Nursing and Allied Health Literature, and Web of Science Core Collection was performed in June 2023 of studies using exclusively BM-MSC injections for the treatment of HOA. Study characteristic, injection preparation and dosage, clinical outcome measures, and adverse effect data were extracted and interpreted by 3 reviewers. Seven studies with a total of 72 patients met the inclusion criteria. Clinical outcome following intra-articular injection of BM-MSCs was measured using the numerical pain scale, the Western Ontario and McMaster Universities Osteoarthritis Index, the visual analogue scale, and other scores, all of which showed reduction in pain and increase in functional ability across studies. This scoping review found that the efficacy of BM-MSC therapy alone in the treatment of HOA appeared beneficial, improving clinical outcomes in each study. All 7 studies used "low-dose" injections with variable follow-up times; thus, a clear dose-response relationship cannot be drawn. Future studies using high doses and analyzing long-term effects of BM-MSC injections in HOA are needed.

Effects of Manual Therapy in Management of Diastasis Recti - A Case Study

ABSTRACT: Background: The patient was a 32 years old postpartum female with complaint of back pain which was radiating to abdominal area, she was functional limitations and abdominal muscle weakness. Methods and Measures: patient was treated 8 sessions over a period of 4 weeks. Study: Case study Intervention: Intervention included KT for rectus abdominis muscle and PF strengthening exercises to stabilize and strengthen the weakened muscles and to reduce IRD. Results: Following treatment, the patient demonstrated in an increase in functional ability and resolution of functional limitations. Statistical analysis of the data showed significant differences from pre to post intervention from session 1 to session 8. There was clinical and statistical significance found in PFS and IRD. Conclusion: Findings suggest that KT and PF strengthening exercises are more effective in reducing IRD and improving function in patient with Diastasis Recti Key words: Inter-Recti Distance(IRD), Rectus Abdominis (RA), Rectus Diastasis (RD), Diastasis Recti Abdominis(DRA), Ultrasound (Usd), Kinesio taping (KT), Physical Function Scale (PFS),Pelvic Floor (PF), Rate of Perceived Exertion (RPE), Linea Alba (LA).

The Effects of Mulligan Technique and Ultrasound on Pain and Functional Ability in Shoulder Impingement Condition at EMC Sentul Hospital

Shoulder impingement is a painful shoulder condition caused by injuries to the structures in the subacromial space. The research aims to analyze the effects of the Mulligan Technique and Ultrasound on pain and functional ability in shoulder impingement conditions at EMC Sentul Hospital. The research method used is a quasi-experimental design with pre and post-test control groups. Thirty participants were divided into two groups: an intervention group receiving the Mulligan Technique and Ultrasound (15 participants) and a control group receiving TENS and conventional exercise therapy (15 participants). Each participant underwent six sessions per week, twice a week. Before and after the treatment, each participant's pain level was measured using the Numeric Rating Scale (NRS), and functional ability was assessed using the Shoulder Pain and Disability Index (SPADI). The analysis of the data showed that both treatments in the two groups reduced pain and improved functional ability in shoulder impingement conditions. However, there was a significant difference in the group receiving the Mulligan Technique and Ultrasound, with an average pain reduction from 6.6 NRS to 1.3 NRS and an increase in functional ability from 62.6% to 11.85%. The group receiving TENS and conventional exercise therapy showed an average pain reduction from 3.6 NRS to 6.13 NRS and an increase in functional ability from 61.3% to 40.2%. In conclusion, the study suggests that the application of the Mulligan Technique and Ultrasound is more effective in reducing pain and improving functional abil-ity compared to TENS and conventional exercise therapy in shoulder impingement conditions.

PEMBERIAN TRAMPOLIN BASED SSC DAN CORE STABILITY DALAM PENINGKATAN KEMAMPUAN FUNGSIONAL ANAK DOWN SYNDROME

Background: Down syndrome (DS) is a common condition caused by trisomy of human chromosome 21. Clinical manifestations include hypotonia, poor posture control, abnormal movement, heart abnormalities, and respiratory function, which hinder functional ability. Down syndrome management interventions can use Trampolin based SSC and core stability exercise. Method: This case study uses a pre- and post-test research design by comparing assessments before and after Trampolin based SSC and core stability exercise interventions, then observed and evaluated for 4 meetings. Results: There was an increase in functional ability measured using GMFM from dimension C to dimension D. Conclusion: This case study concludes that physiotherapy intervention has an influence on the functional ability of patients with Down syndrome.

Profile of child development in Kebon Pala, east Jakarta 2021

Background: Development is the increase in functional abilities that are more complex in aspects of gross, fine motor, language, speech and social independence. According to UNICEF in 2012, the prevalence of children with growth retardation was as high as 3 million or 27.5% of Indonesian children. Objective of this study was to find out the description of the development of children aged 0-72 months in Kebon Pala village, Makasar district, east Jakarta through early detection of development using the developmental pre-screening questionnaire (KPSP) form. Methods: This research belongs to the type of descriptive research design, which is a research method that serves to provide an overview of an object that is examined through samples collected without being analyzed and made general conclusions in September 2021-January 2022 located in the RW 011 Kebon village, Pala, Makassar district, east Jakarta. Results: Of the 96 children involved in the examination, 77 children (80.2%) with appropriate results, 12 children (12.5%) were suspected delayed development and 7 children (7.3%) facing delayed development. Conclusions: The development of children in RW 11, Kelurahan Kebon Pala, Makasar district, east Jakarta is dominated by the normal category, but still, the suspected and confirmed delayed development children were considerably high.

Scapula Mobilization For Improving Functional Ability In Frozen Shoulder Conditions: Case Study

Background: Frozen Shoulder is characterized by progressive pain resulting in stiffness and limited active and passive motion in the shoulder joint. The primary or idiopathic cause of frozen shoulder is not known with certainty, while secondary causes are usually due to trauma, thyroid disease, and rheumatoid arthritis.Objective: This study aims to determine the effect of scapula mobilization to improve functional ability in frozen shoulder conditions.Method: This study used the case study method which was conducted on frozen shoulder patients at Condong Catur Hospital Yogyakarta in November 2022. Shoulder Pain and Disability Index (SPADI) to measure functional ability. SPADI is a quality of life questionnaire consisting of 13 items to evaluate 5 items for pain and 8 items for disability.Results: After 3 times of physiotherapy, the results showed reduced pain, increased muscle strength, increased ROM, and increased functional ability.Conclusion: Scapula mobilization is effective in reducing pain, increasing muscle strength, and increasing ROM so that there is also an increase in functional ability.

Physiotherapy Management in Spina Bifida Cases

Spina bifida or neural tube defect (NTD) is a spinal disorder that does not close completely, resulting in disability or developmental failure of the spinal cord. The cause of spina bifida has no definite reason, but there are several factors that are considered to increase the risk, namely folic acid deficiency, family history of spina bifida, and history of taking drugs. Patients with spina bifida will experience weakness in the lower extremity muscles, decreased ability to control urination, and decreased ability to carry out daily activities. The study used a case report study conducted at YPAC Surakarta for boys aged 15 years with spina bifida disorder. Physiotherapy plays a role in optimizing muscle strength, active movement of children, and improving functional abilities by using interventional stretching exercises, myofacial release, strengthening exercises, and a combination of Kegel Exercises and bridging exercises. After being treated for 6 times T1-T6 there was an increase in muscle strength as measured by manual muscle testing (MMT), changes in the range of motion of the joints (LGS) as measured by the goniometer, an increase in functional ability as measured by the Barthel Index. Keywords: Spina Bifida, Physiotherapy, MMT, LGS, Index Barthel

EFFECTIVENESS OF EARLY POSTOPERATIVE EXERCISE PROGRAM IN POST HIP ARTHROPLASTY PATIENTS

Background: Patients after undergoing arthroplasty surgery will experience several changes in carrying out functional activities and daily routines. This is due to altered joint and muscle function due to decreased strength and limited range of motion after arthroplasty surgery. Post-hip arthroplasty conditions require comprehensive treatment so as not to cause impairment/disability that will interfere with function and gait. How effective is the early postoperative exercise program in preventing further decline in ability and speeding recovery? Methods: This exercise program is given since the patient has finished surgery and is gradually progressing to standing and walking exercises. This research was conducted on patients in the inpatient room of RS Ortopedi Prof. Dr. R. Soeharso Surakarta. Assessment and evaluation of post-hip arthroplasty results using the Harris Hip Score functional index before and after being given an exercise program. Results: The statistical test showed that the data was not normally distributed (p<0.05) and the results of the influence test using the Wilcoxon Test showed that there was an effect of early postoperative exercise on reducing pain (p=0.005) and increasing the Harris Hip Score (HHS) index. The result of the action is that there is an increase in functional ability in post-hip arthroplasty patients. Conclusion: Based on this study, it can be concluded that the program of giving exercise therapy as early as possible in post-hip arthroplasty patients can accelerate recovery and improve functional ability.

Efficacy of Aquatic Therapy and VMO Strengthening in Patellofemoral Arthritis

Background: Arthritis is inflammation of joints which leads to pain and stiffness that worsens with age. Patellofemoral arthritis affects the underside of the patella and the channel-like groove in the femur that the patella rests in. PFPS is an overuse injury in which anterior knee pain is present. The patient with patellofemoral arthritis has kneecap pain, stiffness and often swelling in the front part of the knee that typically worsens when walking on inclined terrain, climbing stairs, squatting. The patients with patellofemoral arthritis have reduced functional ability due to pain. It is important to increase the strength of Vastus Medialis Oblique Muscle which helps in stabilizing the patella during knee joint movements in order to reduce the pain. Aquatic physical therapy is considered as a safe and effective treatment program for managing knee OA as it contribute to the increase in the pain threshold and it also decreases the joint overload and pain symptoms and improves functionality and quality of life. Objective: To compare the effect of aquatic therapy and Vastus Medialis Oblique strengthening on pain and functional ability in patellofemoral arthritis (PFA). Materials and methods: An experimental study was conducted on total of 30 subjects on the basis of inclusion and exclusion criteria with 15 subjects in group A for VMO strengthening and 15 subjects in group B for aquatic therapy exercise. Outcome measures used were Visual Analogue Scale (VAS) and Anterior Knee Pain Scale (AKPS). The protocol was conducted for 5 weeks, 3 days a week. Results: A total of 30 patients between the age of 40-65 years were included. Statistically it shows that there was extremely significant difference (p<0.0001) between pre intervention assessment and post intervention assessment. But the subjects treated with aquatic therapy shows more significant difference than the subjects treated with VMO strengthening program. Conclusion: The present study concludes that the aquatic therapy program is more effective than the VMO strengthening program which showed more reduction in pain and increase in functional ability in PFA. KEY WORDS: Patellofemoral arthritis, Patellofemoral pain syndrome, knee pain, VMO strengthening, Aquatic therapy, Visual Analogue Scale, Anterior Knee Pain Scale.

PENATALAKSANAAN FISIOTERAPI PADA KONDISI DELAY DEVELOPMENT (DD) DENGAN MODALITAS NEURO SENSO MOTOR REFLEK DEVELOPMENT AND SYNCHRONIZATION (NSMRD & S) DAN MASSAGE ORAL DI YPAC SURAKARTA

Delay Development is a delay in two areas/more development of rough motors, smooth motors, languages, personal/social and daily activities. Problematics delay development is decreased growth of flowers, sensory disorders, reflec disorders, muscular strength disorders and decreased functional ability. Physiotherapy examination includes the growth of DDST with Blanko, sensory with sensory Blanko, Reflec with Blanko Reflec, muscle strength with XOTR and functional ability with Blanko GMFM. Its intervention technology is NSMRD & S and Oral Massage. Research aims to determine the influence of physiotherapy management in the condition of delay development with the modalities NSMRD & S and Massage Oral. Research was conducted at YPAC Surakarta with the design of analytical descriptive research. His research draft is case study draft. Research subjects are patients with delay development modalities of NSMRD & S and Oral Massage. The method of collecting data in this study uses the Heteroanamnesis method. Research instruments in the form of DDST, Blanko Sensoris, Blanko Reflek, XOTR, and GMFM. The results of the study 6 times the following therapy: (1) Increased growth of flowers, (2) improvement of the vestibular sensory enhancement, (3) child reflecs found at age 7-9 months, (4) Increased muscle strength, (5) No increase in functional ability. Because of the research that the modalities of NSMRD & S and Oral Massage can reduce problems in the condition of delay development.

Strength and balance deficits affecting patient satisfaction with total knee replacements

PurposePatient satisfaction with total knee replacement has been commonly assessed with self-reported surveys. Up to 19% of patients were dissatisfied with total knee replacement outcomes; however, very little is known about their objective physical abilities. Restoring knee strength is crucial for an increase in functional abilities. Improved balance is an essentialmeasure of total knee replacement success. However, it is unknown how dissatisfied patients differ from satisfied ones with respect to strength and balance abilities. The purpose of this study was to examine how knee flexor and extensor strength and balance abilities differed for dissatisfied total knee replacement patients compared with satisfied patients and healthy controls.MethodsThe study involved 9 dissatisfied and 15 satisfied total knee replacement patients and 15 healthy controls. Participants performed isokinetic knee flexion and extension tests at 60°/s and 180°/s using an isokinetic dynamometer. Bilateral and unilateral static and dynamic balance trials employed a Biodex Balance System. Stair ascent/descent tests and a chair rise test served to examine speed of activity.ResultsDissatisfied patients showed reduced peak extension (180°/s) and flexion (60°/s) torque compared with satisfied patients. No balance differences were evident, although an increased percentage of dissatisfied patients were unable to complete the static and dynamic unilateral balance tests. Stair ascent and descent times and pain levels were increased in the dissatisfied group.ConclusionsStrength increase may provide a more symmetrical movement pattern and better function. The inability to balance and longer functional test times indicate reduced functional ability and continuous pain.

PENGARUH GRASTON TECHNIQUE DAN CLOSED KINETIC CHAIN EXERCISE PADA OSTEOARTHRITIS KNEE DEXTRA

Background : The prevalence of osteoarthritis in Indonesia increases with age. The highest prevalence is at age <75 years. The incidence of osteoarthritis in Indonesia from 1990 to 2010 has increased. Per 100,000 men and women reach their peak at the 80 years old. Women reached a peak at 1,327.4 compared to men who were only 907.7. Osteoarthritis of the knee has problems such as pain, decreased ROM, edema, and decreased muscle strength, to overcome the problems in the case of knee osteoarthritis can be given physiotherapy treatment such as Graston Technique and Closed Kinetic Chain Exercise. Objective : The purpose of this study was to determine the effect of graston technique and closed kinetic chain exercise on knee dextra osteoarthritis to overcome body and function. Results : After being given physiotherapy management with a combination of graston technique and closed kinetic chain exercise in patients with knee osteoarthritis, there was a decrease in pain so that the increase in functional ability is known from the reduction of the diagram from the results of filling the WOMAC index form pre treatment with the score being post treatment in six meetings. Conclusion : The combination of graston technique and closed kinetic chain exercise has effect on reducing pain so that it can improve the functional abilities of patients with knee osteoarthritis.

The effectiveness of scapular taping on pain and function in people with subacromial impingement syndrome: A systematic review

Background: Shoulder taping is commonly used to improve muscular dysfunction and glenohumeral alignment in patients with subacromial impingement syndrome (SIS). However, the implications of taping on the reduction of pain and increase in functional ability are yet to be established.Objectives: The objective of this systematic review is to synthesise the current available evidence on the effectiveness of shoulder taping on pain and function in patients with SIS.Data sources: Medline, AMED, EMBASE, and CINAHL were searched (April 2014) using keywords adapted for each database.Study selection: Three reviewers screened titles and abstracts for eligibility. Two reviewers independently selected relevant studies. Studies examining the effect of shoulder taping on pain and/or function in adults with SIS were reviewed.Data synthesis: Risk of bias was assessed using a 12-item quality scale. Qualitative synthesis was carried out using a 5-level rating system for best evidence synthesis.Results: Five studies were inc...

Effect of core stabilization exercises on functional disability in patients with chronic low back pain

Introduction: The aim of this study was to assess core stabilization exercise effects in reducing functional disability in patients with chronic low back pain (CLBP).Methods: This study included total of 90 patients aged 40 to 60 years. After a ten-day rehabilitation program the patients from an examination group (n = 30) performed home exercise program five times a week, patients from a first control group (n = 30) three times a week, while patients from a second control group (n = 30) did not perform the exercises at all. The patients performed core stabilization exercises of moderate intensity once a day in 30 minutes sessions. The patient's functional disability was estimated using the Oswestry Disability Index (ODI).Results: After two months of rehabilitation there was a statistically significant increase in functional ability in patients who performed the core stabilization exercises five times a week(p = 0.0001) and in patients who performed the core stabilization exercises three times per week (p = 0.0001). A statistically significant difference in functional ability was not recorded in patients who did not perform the exercises. The analysis of the average values of the ODI differences at the beginning and after two months of rehabilitation showed a statistically significant difference between the group who did not perform the exercises and the group who performed the core stabilization exercises three times a week (p = 0.0001), and between the group who did not perform the exercises and the group who performed the core stabilization exercises five times a week (p = 0.0001).Conclusions: The implementation of the core stabilization exercises leads to a reduction of functional disability in patients with CLBP.

The efficacy of traditional Thai massage in decreasing spasticity in elderly stroke patients.

PurposeTo study the efficacy of traditional Thai massage (TTM) versus conventional physical therapy (PT) programs in treating muscle spasticity, functional ability, anxiety, depression, and quality of life (QoL) in Thai stroke patients.MethodsThis randomized controlled trial with a blinded assessor was carried out at the Department of Rehabilitation Medicine, Siriraj Hospital (Bangkok, Thailand). The study included 50 stroke (onset ≥3 months) outpatients experiencing spasticity at the elbow or knee muscles at a grade of ≥1+ on the modified Ashworth Scale who were ≥50 years old and able to communicate. The subjects were randomly allocated to the treatment group receiving TTM (24 subjects) or the control group receiving the PT program (26 subjects). Both groups received treatment (either TTM or PT) twice a week for 6 weeks. Spasticity grade, functional ability, anxiety, depression, and QoL were measured at Week 0 and Week 6.ResultsAt Week 6, the percentage of patients whose modified Ashworth Scale score had decreased by at least one grade was not statistically significant between the two groups. Both TTM and PT groups experienced a significant increase in functional ability and QoL, but no difference was found between the groups. Anxiety and depression scores showed a decreasing trend in the TTM group.ConclusionThis preliminary report showed no evidence that TTM differed from the PT program in decreasing spasticity. However, both interventions may relieve spasticity, increase functional ability, and improve QoL after 6 weeks. Only TTM can decrease anxiety and depression scores. Further studies with adequate sample size are necessary.

QEEG Guided Neurofeedback to Treat Schizophrenia: A Case Study

The subject in this case study was a 21-year-old man who had to leave college at the beginning of his senior year after being diagnosed with adult onset schizophrenia, undifferentiated type. For 18 months, the only interventions the subject utilized were varying doses of aripiprazole and intensive neurofeedback training. Data derived from five serial quantitative EEGs identified statistically significant coherence abnormalities that appeared as the schizophrenia progressed. Neurofeedback training to enhance cortical stability and normalize neural connectivity was directed by the convergence of data from each quantitative EEG and clinical assessment. Results showed a dramatic increase in functional abilities and a decreased need for medication. The subject resumed his challenging college curriculum and graduated. However, he then stopped neurofeedback and, in spite of increased medication, became floridly psychotic. This study supports other research showing neurofeedback training may be a useful treatment...

Increase in functional abilities following a residential educational and neurorehabilitation programme in young adults with acquired brain injury

To characterize and determine the pre-injury and injury-related variables that are linked to the extent of functional recovery following rehabilitation at a mixed therapy and educational residential programme and whether these variables differ for traumatic brain injury (TBI) and non traumatic brain injury (nonTBI). 106 young adults (age 16-36 years) with moderate-to-severe TBI who had attended and been discharged from the centre since 2002 were included. Clients received 5 hours of education and/or therapy each day. Functional level was assessed using the FIM + FAM. Regression analysis was used to determine possible predictors of functional independence at discharge. Clients with TBI and nonTBI made clinically and statistically significant improvements in their functional abilities during their neurorehabilitation. For the combined TBI and nonTBI group, FIM + FAM scores at discharge were predicted by FIM + FAM at admission and length of stay. These two predictors explained 80% of the variance in the FIM + FAM score at discharge. Both clients with TBI and nonTBI benefited from a mixed inpatient neurorehabilitation programme. This benefit was predicted by their functional abilities at admission and the length of stay. These findings are of importance as it becomes increasingly necessary to demonstrate who will benefit from residential intensive neurorehabilitation as opposed to community therapy.

Arthroscopic Repair for Traumatic Peripheral Tear of Triangular Fibrocartilage Complex

Purpose: To assess the results of an arthroscopic repair for traumatic peripheral tears of triangular fibrocartilage complex (TFCC, Palmer type Ib). Materials and Methods: 10 patients with traumatic peripheral TFCC tear were treated with outside-in technique with arthroscope and evaluated with an average follow-up of 19 months (range, 15 to 28 months). The clinical outcomes were assessed with investigation of pain, range of motion, grip strength, return to job and patient's satisfaction. Results: The arthroscopic repair of traumatic peripheral TFCC tear resulted in significant pain relief and increase in functional ability of wrist, that is, 8 excellent, 1 good and 1 fair results. At last follow-up, the average of flexion was 79 (range 76∼86), average of extension was 78° (range 70∼84), average pronation was 85 (range 75∼91) and average supination was 87 (range 79∼92). Nine patients except one were back to their original job. Conclusion: Arthroscopic repair of traumatic peripheral TFCC tear could be used for pain relief and increase in functional ability of wrist.

Importance of Full Flexion After Total Knee Replacement in Muslims’ Daily Lifestyle

Previous studies show that total knee replacement (TKR) patients have difficulty performing certain tasks involving deep knee flexion which are part of activities of daily living (ADL). Muslims’ lifestyles heavily depend on the ability to fully flex the knee, and many daily activities, such as praying, social encounters (attending the Sheikh’s majlis), dining or even using the hole bathroom, are carried out on the ground. The LPS Flex implant has been designed to accommodate this by giving up to 165 degrees of flexion. One-thousand and thirty-two (1032) TKRs were performed on patients diagnosed with osteoarthritis using the LPS Flex mobile bearing implant over a five year period with a minimum of 1 year post-operative follow up. The results were then compared to a series obtained from the Zimmer Feedback database which is managed independently by the Audit and Research Office, Department of Orthopaedic and Trauma Surgery, University of Dundee, Dundee, Scotland, United Kingdom. 44% of pre-op cases had full flexion as per our set criteria. There were no apparent differences in patello-femoral pain levels, complications or Knee Society score despite the fact that our patients had, on average, an increase in maximum flexion along with an increase in functional ability. The knee score failed to assess this improved functionality of patients who had full flexion; a new diagnostic method is therefore needed. The results indicate that the implant allows patients to maintain a high degree of flexion and function post-operatively, with few complications.