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[10] report an improvement of flexion contracture from 11.3 to 3.2° and flexion improvement from 65.8 to 85.4°.
In a Sofcot series, flexion and extension gains were 20 and 18°, respectively [41]; Hutchinson reported an increase from 55 to 91° 6 months after open arthrolysis [42]; and Pretzsch showed an increase in knee flexion from 46 to 90° and a decrease in flexion contracture from 11 to 7° [43].
94 Successful functional repositioning of a joint after the development of a contracture from HO was reported in the case of one child.
Following multiple injections in different joints given in treatment period 2, the mean reduction in contracture from baseline was 30.3 ± 10.9 degrees in the MP joints, and 22.1 ± 4.9 degrees in the PIP joints.
In this scenario, the estimated utility improvements associated with reducing the MCP's degree of contracture from 50 to 12 degrees with the joint and Tubiana models were + 0.022 and + 0.027, respectively, for a dominant hand; +0.019 and +0.023 for a non-dominant hand; and +0.016 and +0.019 for an ambidextrous person.
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The pathology of the development of joint contractures from immobilization has been studied for many decades and has produced many divided results.
In the Tubiana stage model, reducing the degree of contracture of the MCP joint of a little finger from 89 degrees to 12 degrees would be associated with the same utility gain as reducing the contractures from 50 degrees to 12 degrees.
The PIP joint contracture ranged from 110° to 50° of flexion contracture with a mean of 65°.
The mean preoperative hip flexion contracture decreased from 16° (range, 0 35) to 3.25° (range, 0 10°) post-operatively.
In this series, the mean preoperative hip flexion contracture decreased from 16° (range, 0 35) to 3.25° (range, 0 10°) post-operatively.
The residual contracture ranged from 15° to 5° with a mean of 7° at the PIP joint level after 1 year of follow-up.
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