Total Knee Arthroplasty in Bilateral Severe Fixed Flexion Deformity: A Case Report

Vol. 10 | Issue 1 | January-February 2022 | Page: 22-25 | Rajesh S, Supreeth D R, Hemant K. Kalyan


Authors: Rajesh S [1], Supreeth D R [1], Hemant K. Kalyan [1]

[1] Department of Orthopaedic Surgery, Manipal Hospital, Bengaluru, Karnataka, India

Address of Correspondence

Dr. Supreeth D R,
Department of Orthopaedic Surgery, Manipal Hospital, Bengaluru, Karnataka, India.


Background: Severe bilateral Fixed flexion deformity of the knees resulting from irreversible joint damage is a disabling complication of long-standing rheumatoid arthritis, associated with loss of ambulatory ability. While Total knee Arthroplasty is an effective treatment for such patients, it poses significant intra-operative technical demands and challenges with post-operative rehabilitation.
Method: We report a case of Severe Fixed flexion deformity of both knees in a 46-year-old male with long-standing rheumatoid arthritis, non-ambulatory since 5 years, treated by sequential total knee arthroplasty.
Results: Treating Severe bilateral Fixed flexion deformities in a non-ambulatory patient by sequential total knee Arthroplasty using standard implants yielded complete deformity correction and pain-free restoration of active range of motion in both knees with stable independent ambulation and complete restoration of lower limb function within 3 months of surgery.
Conclusion: Our case is particularly remarkable for complete restoration of stable, pain-free restoration of ambulation within 3months in a patient with severe bilateral knee fixed flexion deformities who had been non-ambulatory for 5 years preceding his bilateral sequential total knee arthroplasty.
Keywords: Fixed flexion deformity, Total knee arthroplasty, Common peroneal nerve, Rheumatoid arthritis.


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How to Cite this article:  Rajesh S, Supreeth DR, Kalyan HK | Total Knee Arthroplasty in Bilateral Severe Fixed Flexion Deformity: A Case Report | Journal of Karnataka Orthopaedic Association | January-February 2022; 10(1): 22-25.



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