Page Liked · May 18 ·
Flexion contractures (an extension gap issue) can be addressed by resecting osteophytes, resecting the posterior capsule/gastrocnemius, resecting additional distal femur, and tenotomizing the hamstrings. Downsizing the femoral component would only change the flexion gap and have no impact on a flexion contracture (an extension gap issue.) Downsizing the femoral component means decreasing the size of the implant in the anterior-posterior dimension only. There is no change in the proximal-distal dimension, and thus changing the size of the femoral implant only affects the flexion gap, and not the extension gap or a flexion contracture.
