Stiffness and Ankylosis in Primary Total Knee Arthroplasty

Michael A. Kelly, Henry D. Clarke

Research output: Contribution to journalArticlepeer-review

26 Scopus citations


To do a successful total knee arthroplasty (TKA), adequate exposure of the tibial plateau and distal femur is required. Difficulty with exposure often is encountered in the patient with a stiff or anky-losed knee. This can lead to complications including component malpositioning and extensor mechanism problems, such as patellar tendon rupture. In these cases where the knee has limited motion preoperatively, knowledge of advanced techniques for soft tissue treatment, and for optimizing exposure are required. Numerous such techniques have been described, including the quadriceps snip, V-Y quadriceps turndown, tibial tubercle osteotomy, and femoral peel. A systematic review of these techniques, including indications and results, based on published reports and our experiences, is presented.

Original languageEnglish (US)
Pages (from-to)68-73
Number of pages6
JournalClinical orthopaedics and related research
StatePublished - Nov 2003

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine


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