Does knee instability relate to pain and function following total knee arthroplasty?

Physiotherapy ◽  
2015 ◽  
Vol 101 ◽  
pp. e532
Author(s):  
A. Alnagmoosh ◽  
A. Harmer ◽  
M. van der Esch ◽  
M. Simic ◽  
M. Fransen
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Knee Instability ◽  
Total Knee ◽  
And Function

scholarly journals Erratum to: Development of a clinical risk score for pain and function following total knee arthroplasty: results from the TRIO study

2021 ◽  
Vol 5 (3) ◽  
Author(s):  
Joanna Shim ◽  
David J Mclernon ◽  
David Hamilton ◽  
Hamish A Simpson ◽  
Marcus Beasley ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Risk Score ◽  
Knee Arthroplasty ◽  
Clinical Risk Score ◽  
Clinical Risk ◽  
Total Knee ◽  
And Function

scholarly journals Self-reported knee instability associated with pain, activity limitations, and poorer quality of life before and 1 year after total knee arthroplasty in patients with knee osteoarthritis

2018 ◽  
Vol 36 (10) ◽  
pp. 2671-2678 ◽  
Author(s):  
Claudia S. Leichtenberg ◽  
Thea P. M. Vliet Vlieland ◽  
Herman M. Kroon ◽  
Joost Dekker ◽  
Willem Jan Marijnissen ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Total Knee Arthroplasty ◽  
Knee Osteoarthritis ◽  
Knee Arthroplasty ◽  
Knee Instability ◽  
Activity Limitations ◽  
Total Knee

Prospective, Randomized Clinical Trial Comparing a Novel Motion-Assistive Device to Standard Physical Therapy for Initial Management of Knee Range of Motion after Primary Total Knee Arthroplasty

2021 ◽  
Author(s):  
James L. Cook ◽  
Kylee Rucinski ◽  
Cory R. Crecelius ◽  
Suzin Cunningham ◽  
Trent M. Guess
Keyword(s):  
Clinical Trial ◽  
Total Knee Arthroplasty ◽  
Patient Satisfaction ◽  
Physical Therapy ◽  
Knee Arthroplasty ◽  
Assistive Device ◽  
Initial Management ◽  
Prospective Randomized Clinical Trial ◽  
Total Knee ◽  
And Function

AbstractThis prospective randomized clinical trial assessed a novel device for initial management of knee range of motion (ROM), pain, and function after total knee arthroplasty (TKA). Primary TKA patients with preoperative ROM of at least 5° to 115° were randomized to initial knee motion management: Mizzou BioJoint Flex—novel motion-assistive device with prescribed physical therapy or standard physical therapy—prescribed physical therapy. ROM, pain score, and knee injury and osteoarthritis score for joint replacement (KOOSjr) were obtained preoperatively and 2 weeks, 6 weeks, and 3 months postoperatively. Patient satisfaction for both cohorts and subjective assessments of the MBF device were assessed at 3 months. Readmissions, reoperations, and complications were assessed through 1 year. Nineteen patients were randomized to each cohort, with no significant preoperative differences in demographics, pain score, KOOSjr score, or ROM. Six SPT (31.6%) and 3 MBF (15.8%) patients failed to regain preoperative ROM (p = 0.044). One SPT (5.3%) and eight MBF (42%) patients exceeded 125° ROM (p = 0.019) by 3 months. Total ROM (p = 0.039), pain (p = 0.0068), and function (p = 0.0027) were significantly better for MBF at 3 months. MBF patients reported significantly higher satisfaction (mean, 9.4 ± 1.1 vs. 8.0 ± 1.8, respectively; p = 0.0084). One patient in each group underwent manipulation under anesthesia. No other readmissions, reoperations, or complications were reported. A novel durable medical equipment device can provide a safe and effective patient-controlled method for initial management of knee ROM, pain, and function after primary TKA with potential clinically meaningful advantages over physical therapy alone. In conjunction with physical therapy, management with this novel knee flexion device more effectively restored knee ROM and early patient function when compared with therapy alone and was associated with higher proportions of patients regaining minimum (115°) and desired (125°) levels of knee ROM and clinically meaningful differences in pain scores, knee function, and patient satisfaction. This is a Level 1, prospective trial study.

Medial rather than lateral knee instability correlates with inferior patient satisfaction and knee function after total knee arthroplasty

The Knee ◽  
2017 ◽  
Vol 24 (6) ◽  
pp. 1478-1484 ◽  
Author(s):  
Hiroyuki Tsukiyama ◽  
Shinichi Kuriyama ◽  
Masahiko Kobayashi ◽  
Shinichiro Nakamura ◽  
Moritoshi Furu ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Patient Satisfaction ◽  
Knee Arthroplasty ◽  
Knee Function ◽  
Knee Instability ◽  
Total Knee

scholarly journals Preoperative Pain and Function: Profiles of Patients Selected for Total Knee Arthroplasty

2016 ◽  
Vol 31 (11) ◽  
pp. 2402-2407.e2 ◽  
Author(s):  
Uyen-Sa D.T. Nguyen ◽  
David C. Ayers ◽  
Wenjun Li ◽  
Leslie R. Harrold ◽  
Patricia D. Franklin
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Preoperative Pain ◽  
Total Knee ◽  
And Function

scholarly journals Oxidized Zirconium Total Knee Arthroplasty Implant Failure in a Patient With Knee Instability

2020 ◽  
Vol 6 (3) ◽  
pp. 552-555 ◽  
Author(s):  
Lydia Kore ◽  
Taylor Bates ◽  
Gavin Mills ◽  
Dustin Lybeck
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Implant Failure ◽  
Knee Instability ◽  
Oxidized Zirconium ◽  
Total Knee

Total Knee Arthroplasty in Patients With Prior Ipsilateral Hip Fusion: A Surgical Technique

2021 ◽  
pp. 155633162110392
Author(s):  
Carlos A. Encinas-Ullán ◽  
Primitivo Gómez-Cardero ◽  
E. Carlos Rodríguez-Merchán
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Knee Arthroscopy ◽  
Knee Instability ◽  
Posttraumatic Arthritis ◽  
Congenital Dislocation ◽  
Hip Arthrodesis ◽  
Rotating Hinge ◽  
Total Knee ◽  
Hip Fusion

Background: In patients with severe osteoarthritis of the knee with prior ipsilateral hip fusion who require total knee arthroplasty (TKA), a controversial issue is whether to first convert the hip fusion to a total hip arthroplasty (THA) or to perform TKA without reconstruction of the hip. Also, immobility of the ipsilateral, fused hip adds significant technical challenge because the usual positioning of the leg requires modification in order to gain access needed for the TKA. Technique: In such cases, we position the patient with the knee suspended, similar to how we perform knee arthroscopy. In our experience, the ipsilateral knee has significant deformity and is best addressed with a constrained, hinged TKA. Results: In 3 patients with severe knee osteoarthritis with prior ipsilateral hip fusion—a 72-year-old man and a 79-year-old woman with hip arthrodesis due to posttraumatic arthritis and an 81-year-old woman with hip arthrodesis due to congenital dislocation of the hip—rotating-hinge knee prostheses were implanted due to severe knee instability. All 3 patients had satisfactory results, without complications, after follow-up of 1 to 5 years. Conclusions: We obtained satisfactory results in the short and medium term without previously converting the hip arthrodesis to THA by positioning patients with the knee suspended, in a way similar to when knee arthroscopy is performed, and implanting rotating hinge TKAs due to severe preoperative knee instability.

The Effect of Tourniquet Application on the Morphology and Function of Quadriceps in Patients Undergoing Total Knee Arthroplasty: A Study Protocol for a Single Blind Randomized Controlled Trial

2021 ◽  
Author(s):  
Ziyang Dong ◽  
Yang Li ◽  
Liyuan Tao ◽  
Hua Tian
Keyword(s):  
Total Knee Arthroplasty ◽  
Blood Loss ◽  
Knee Arthroplasty ◽  
Controlled Trial ◽  
Intraoperative Blood Loss ◽  
High Quality ◽  
Randomized Controlled ◽  
Total Knee ◽  
And Function ◽  
Single Blind

Abstract Background:Tourniquet is currently widely used in total knee arthroplasty to reduce intraoperative blood loss. Academic view of tourniquet application in TKA is now in dispute. Some scholars argue that tourniquet may cause quadriceps injury and bring extra side effects so they oppose the application of tourniquet. Others find that tourniquet application has no significant adverse impact on TKA patients. Regarding its advantages in reducing intraoperative blood loss, they advocate regular application of tourniquet in TKA. Quadriceps injury is considered the main cause of tourniquet side effects. There are now many high-quality trials about tourniquet application in TKA but few of them concentrate on quadriceps morphology and function.Methods:A prospective, single blind, randomized controlled trail will be adopted. The target sample is 130. Patients who meet the eligibility criteria will be randomly allocated to tourniquet group and non-tourniquet group. Primary outcomes are thickness, stiffness and function of quadriceps, which will be evaluated by ultrasound and rehabilitation tests. Secondary outcomes consist of circumference of thigh, VAS score, opioid consumption, knee function score, postoperative satisfaction score, operation time, intraoperative blood loss, perioperative blood loss, blood transfusion rate, D-Dimer, C-reactive protein, and complications. Discussion:This proposed study will contribute to improve evidence of tourniquet application in total knee arthroplasty. This will be a high-quality single blind randomized controlled trial with sufficient sample size and strict study design. It will investigate the effects of tourniquet application especially on the morphology and function of quadriceps in patients undergoing total knee arthroplasty and offer advice for tourniquet application in clinical practice.Trial registration:Chinese clinical trial registry, ChiCTR2000035097. Registered 31 July 2020, http://www.chictr.org.cn/showproj.aspx?proj=57093

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