Releasing fixed flexion contractures during total knee arthroplasty has significant risks that increase with increasing deformity. The most serious ones include nerve and vascular injury. When recognized the knee should be immediately flexed and allowed to resume part of the preoperative deformity. Clayton reported that 2 of 20 patients with rheumatoid arthritis who had significant preopera-tive flexion contractures developed a peroneal nerve palsy.5 Other soft tissue problems include poor wound healing, recurrent deformity, ligament instability, and residual laxity in flexion.

The possibility of posterior subluxation from instability in flexion is a mechanical problem that should be recognized intra-operatively and corrected with appropriate bone resections or prosthetic choice. if the imbalance persists, then a total condylar iii style prosthesis should be selected to prevent subluxation.

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Treating Rheumatoid Arthritis With Herbs Spices Roots

Treating Rheumatoid Arthritis With Herbs Spices Roots

Did You Know That Herbs and Spices Have Been Used to Treat Rheumatoid Arthritis Successfully for Thousands of Years Do you suffer with rheumatoid arthritis Would you like to know which herbs and spices naturally reduce inflammation and pain 'Treating Rheumatoid Arthritis with Herbs, Spices and Roots' is a short report which shows you where to start.

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