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Regarding extensor lag
Hello sir /Mam
I have been operated for removal of giant cell tumor from distal femur region of my right knee 4 months back. The surgery has been done with extended curettage cementing and plating. After 4 months my flexion range is 115 degrees but my active extension range is having 25 degrees lag. I am regularly doing physiotherapy still i am experiencing around 20-25 degrees lag. Will this get better with physiotherapy in the coming months or will I need to go for surgery for correcting this. Latest x ray is attached
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Hi, this is Dr. Praveen Podali. Happy to help you.
No need to worry, keep doing Physiotherapy on regular basis.
Static quads, hamstrings and hip abductors strengthening exercises and knee ROM exercises.
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Avoid sternous exercises for another 6-8weeks
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It will recover with Physiotherapy exercises no further surgery is advisable you will be fully functional knee joint
Consult me search browse on goggle patacto website Dr Rajinder Sharma Senior ortho neuro spine surgeon 42 years expertise at chandigarh ——Sarhind Orthopaedic Multispeciality medical centre sco 23 sector 33 d Chandigarh Retd Govt chandigarh health department Multispeciality Hospital sector 16 chandigarh.
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Dr. Anton Job Romesh Prasad
Orthopedist
24 yrs exp
Chennai
It's not acceptable that you have only 115 degree flexion 4 months after initial surgery. Since you are young I would suggest you go back to your surgeon and discuss about mobilisation under anaesthesia to get flexion. I would get the help of a good physio therapist to get full extension. There are several active techniques to stimulate Quadriceps to get it functioning.
The more the delay the more chance that you may not recover full movement. The xray isn't clear however I can see the joint surfaces are good so get some active intervention to get the movement. Please don't delay.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.