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Functional Problems and Treatment Solutions After Total Hip and Knee Joint Arthroplasty
by Anil Bhave, Michael Mont, Scott Tennis, Michele Nickey, Roland Starr, and Gracia Etienne
J Bone Joint Surg AmVolume 87(suppl 2):9-21
December 1, 2005
©2005 by The Journal of Bone and Joint Surgery, Inc.
The percentages of the total number of functional problems (n = 76) after total hip arthroplasty(THA).
Anil Bhave et al. J Bone Joint Surg Am 2005;87:9-21
©2005 by The Journal of Bone and Joint Surgery, Inc.
Anteroposterior standing radiograph showing an apparent limb-length difference caused by an abduction contracture.
Anil Bhave et al. J Bone Joint Surg Am 2005;87:9-21
©2005 by The Journal of Bone and Joint Surgery, Inc.
The percentages of the total number of functional problems (n = 68) after total knee arthroplasty (TKA).
Anil Bhave et al. J Bone Joint Surg Am 2005;87:9-21
©2005 by The Journal of Bone and Joint Surgery, Inc.
A 25° knee flexion contracture seen five weeks following a primary total knee arthroplasty in a sixty-nine-year-old woman.
Anil Bhave et al. J Bone Joint Surg Am 2005;87:9-21
©2005 by The Journal of Bone and Joint Surgery, Inc.
Iliopsoas stretching with the patient stabilizing the lumbar spine and pelvis by maintaining a “back-flat” posture.
Anil Bhave et al. J Bone Joint Surg Am 2005;87:9-21
©2005 by The Journal of Bone and Joint Surgery, Inc.
Image-intensifier-guided injection into the iliopsoas tendon just above the lesser trochanter.
Anil Bhave et al. J Bone Joint Surg Am 2005;87:9-21
©2005 by The Journal of Bone and Joint Surgery, Inc.
Stretching of the tensor fasciae latae with the contralateral hip positioned in 90° of flexion.
Anil Bhave et al. J Bone Joint Surg Am 2005;87:9-21
©2005 by The Journal of Bone and Joint Surgery, Inc.
Neuromuscular electrical stimulation to strengthen the gluteus medius.
Anil Bhave et al. J Bone Joint Surg Am 2005;87:9-21
©2005 by The Journal of Bone and Joint Surgery, Inc.
The customized knee device was used to increase the range of knee extension and to eliminate a knee flexion contracture.
Anil Bhave et al. J Bone Joint Surg Am 2005;87:9-21
©2005 by The Journal of Bone and Joint Surgery, Inc.
Closed-chain exercise for improving concentric and eccentric quadriceps strength.
Anil Bhave et al. J Bone Joint Surg Am 2005;87:9-21
©2005 by The Journal of Bone and Joint Surgery, Inc.
The custom knee device that is used to improve knee flexion.
Anil Bhave et al. J Bone Joint Surg Am 2005;87:9-21
©2005 by The Journal of Bone and Joint Surgery, Inc.
The joint mobilization technique to improve knee flexion.
Anil Bhave et al. J Bone Joint Surg Am 2005;87:9-21
©2005 by The Journal of Bone and Joint Surgery, Inc.
Rectus femoris stretch with inferior patellar mobilization.
Anil Bhave et al. J Bone Joint Surg Am 2005;87:9-21
©2005 by The Journal of Bone and Joint Surgery, Inc.