@article{ATM19889,
author = {Tanner L. McGinn and Jennifer I. Etcheson and Chukwuweike U. Gwam and Nicole E. George and Nequesha S. Mohamed and Jaydev B. Mistry and Ugochi Ananaba and Anil Bhave},
title = {Short-term outcomes for total knee arthroplasty patients with active extension lag},
journal = {Annals of Translational Medicine},
volume = {6},
number = {11},
year = {2018},
keywords = {},
abstract = {Background: Despite the success of total knee arthroplasty (TKA), quadriceps strength can fail to recover. Active extension lag [quadriceps lag (Q-lag)] is a function of quadriceps weakness. Q-lag presents itself in patients who maintain a full passive range of motion (ROM), but are limited in active extension ROM. Few studies have evaluated the outcomes of post-TKA patients in the presence of post-operative Q-lag. Thus, this study aims to compare: (I) pain scores; and (II) rates of readmission to physical therapy (PT) in TKA patients with Q-lag of ≥15 degrees to patients without Q-lag.
Methods: A retrospective review of primary TKA patients between 2013 and 2015 was performed. A total of 150 patients (mean age 63.0 years) with a mean follow-up of 30.7 months were analyzed. All patients received an evidence-based protocol for PT at our institution. Patient readmission to PT was recorded if the orthopedic surgeon wrote an additional prescription for PT intervention following the standard of care following TKA. An independent samples t-test and chi-square analysis was conducted to assess the continuous and categorical variables, respectively.
Results: Fifty-one patients had Q-lag ≥15 degrees and 97 patients had Q-lag },
issn = {2305-5847}, url = {https://atm.amegroups.org/article/view/19889}
}