The Journal of Bone and Joint Surgery (American). 2007;89:162-166.
doi:10.2106/JBJS.G.00482
© 2007 The Journal of Bone and Joint Surgery, Inc.
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Stress Over the Anterior Aspect of the Knee with Kneeling

Wayne M. Goldstein, MD, Alexander C. Gordon, MD, Jill Jasperson Branson, RN, BSN, Chris Simmons, BS and Kimberly A. Berland, CST, FA

Corresponding author:
Jill Jasperson Branson, RN, BSN
Illinois Bone and Joint Institute, 9000 Waukegan Road, Morton Grove, IL 60053

The first 150 words of the full text of this article appear below.


    Introduction
 
Many patients inquire if they will be able to kneel after total knee arthroplasty. We have cautioned patients regarding issues related to the patella that are associated with kneeling, yet, despite discomfort, many continue to kneel during various activities around the home or for religious reasons. While new high-flexion knee implant designs allow patients to get lower to the ground, the acts of cleaning a floor, gardening, exercising, and kneeling in prayer require bending down on both knees, and patients often state that they cannot kneel after total knee arthroplasty because of pain or that they do not attempt to kneel because the position feels awkward. Kneeling is part of daily life in certain cultures and, as elderly patients are more active, it is becoming an activity of increasing interest. Kneeling can be divided into three positions: kneeling at <90° (for example, while praying on a riser in a place . . . [Full Text of this Article]


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