Function and quality of life in patients with recurvatum deformity after primary total knee arthroplasty: a review of our joint registry

J Arthroplasty. 2012 Jun;27(6):1106-10. doi: 10.1016/j.arth.2011.10.013. Epub 2011 Dec 9.

Abstract

The aim of this paper is to assess function and quality of life in patients with recurvatum at 2 years after primary total knee arthroplasty. This prospective study involves 2587 total knee arthroplasty from 2004 to 2008 with 2-year follow-up. Patients' demographics, diagnosis, implants, range of motion, laxity, and knee and SF-36 scores were recorded. Recurvatum deformity of 0°, 1° to 5°, 6° to 10°, and more than 10° were classified as grades 0, 1, 2, and 3, respectively. Grade 1 had similar functional scores to grade 0 but significantly better SF1, SF4, SF5, and SF8 when compared with grades 2 and 3. Patients with mediolateral translation of more than 5 mm were more likely to have grades 2 and 3 recurvatum (P = .01), indicating global laxity. Postoperative recurvatum of more than 5° significantly impacts function and quality of life of patients.

MeSH terms

  • Aged
  • Arthroplasty, Replacement, Knee / instrumentation
  • Arthroplasty, Replacement, Knee / methods*
  • Bone Malalignment / classification
  • Bone Malalignment / physiopathology
  • Bone Malalignment / surgery*
  • Cohort Studies
  • Female
  • Femur / physiology
  • Femur / surgery
  • Follow-Up Studies
  • Humans
  • Knee Joint / abnormalities*
  • Knee Joint / physiology
  • Knee Joint / surgery*
  • Knee Prosthesis
  • Male
  • Middle Aged
  • Osteoarthritis, Knee / surgery
  • Postoperative Period
  • Prospective Studies
  • Quality of Life*
  • Range of Motion, Articular / physiology*
  • Registries*
  • Retrospective Studies
  • Singapore
  • Tibia / physiology
  • Tibia / surgery
  • Time Factors
  • Treatment Outcome