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DR. GAJANAN BHALERAO (PT) MPTh Neuro, MIACP, MIFNR, MIAP SENIOR LECTURE Masters in physiotherapy, Neurosciences Sancheti Institute College of physiotherapy, Shivajinagar, Pune. Mobile : 9822623701 Email:Gajanan_bhalerao@yahoo.com, gajanan.neurophysio@gmail.com PUBLICATIONS:- Comparison of Motor Relearning program versus Bobath Approach in acute stroke rehabilitation: Journal of Orthopedics And Rehabilitation, India, 2011 RESEARCH PAPER PRESENTATIONS & AWARDS:- INTERNATIONAL 1.Winner Of Young Presenters Scholarship From Epilepsy Foundation India, in the conference of“International congress on neurology and rehabilitation Goa April 2010”, STATE LEVEL: 1. Winner of best paper award in engeering and technology category In Avishkar 201o of Maharashtra university of health sciences (MUHS), Nashik India. 2.WINNER OF BEST PAPER FOR scientific paper presentation in AVISHKAR 2010 of Maharashtra University of Health Sciences (MUHS), AURANGABAD, India. REESOURCE PERSON/COURSE INSTRUCTOR:- I have conducted Conducted workshop on 1. 2D & 3D Gait Analysis and its Management 2. MOTOR RELEARNING PROGRAM- for stroke rehab 3.Spinal Cord Injury Rehabilitation

Sunday 4 December 2011

What are causes of Fixed Flexion deformity {FFD} in patient is B/L total knee replacement{TKR} and it not always the Hamstrigs tightness.

Post operative Flexion deformity {FFD} in patient is B/L total knee replacement{TKR}is very common. most of the patient land up with 20 -30 degrees of flexion deformity.
what is hte cause of deformity.
1. Hamstring tightness is not always the cause of knee felxion deformity.
2. Post operative they have hug swelling around  the knee. Swelling is the part of recovery it helps in healing. But the swelling causes distension of the joint capsule and reduces the osteokinetic movement of the joint.
3. Stiffness of knee joint: there is severe stiffness because of swelling, immobility, reduced joint play.
4. We may find 10 to 20 degrees of loss of full extension in supine lying examination.But in standing and walking patients shows flexion up 20-40 degrees.
5. Change in the angle of Pull of quadriceps: Swelling causes change the angle pull of quadriceps that also make it to extend the knee completely.
6. Weakness of quadriceps: early stages knee extensors show extension lag, due weakness.
7. Change in Muscle set Point of quadriceps. because of swelling, change in angle of pull and weakness, quadriceps are never able to work in outer range. because of this muscle set point changes and it is not able work in outer range.
8. This cause knee flexion increase in standing & walking {Weight Bearing}  compared to supine or sitting examination.


2 comments:

  1. Good physiotherapy sessions can be effective.

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  2. This is an informative post. I was suffering from knee pain and got chiropractic treatment. The chiropractor in Mississauga treated me so well that felt really good after the very first session. Since then, I am a big fan of this therapy.

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