The Effect of Distal Femoral Resection on Fixed Flexion Deformity in Total Knee Arthroplasty

David W. Liu*, James F. Reidy, Elaine M. Beller

*Corresponding author for this work

Research output: Contribution to journalArticleResearchpeer-review

3 Citations (Scopus)


This study aims to quantify the relationship between distal femoral bone resection and correction of fixed flexion in total knee arthroplasty (TKA). Two previous studies have reported conflicting results. Spacers attached to the trial femoral component simulated additional distal femoral resection and the degree of knee flexion was recorded using computer navigation. The 2-mm augment produced an average of 3.37° of flexion deformity, 4-mm augment 6.68°, and 6-mm augment 11.38°. The amount of pre-resection flexion contracture significantly impacted on the effect of each augment. From our results, an additional 3.55 mm of distal femoral bone resection is required to correct 10° fixed flexion and produced less correction of flexion deformity as traditionally believed in TKA.

Original languageEnglish
Pages (from-to)98-102
Number of pages5
JournalJournal of Arthroplasty
Issue number1
Publication statusPublished - 1 Jan 2016


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