scholarly journals Fabella Syndrome as an Uncommon Cause of Posterolateral Knee Pain after Total Knee Arthroplasty: A Case Report and Review of the Literature

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Eriko Okano ◽  
Tomokazu Yoshioka ◽  
Takaji Yanai ◽  
Sho Kohyama ◽  
Akihiro Kanamori ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Pain ◽  
Knee Arthroplasty ◽  
Knee Flexion ◽  
Case Reports ◽  
Osteoarthritic Change ◽  
First Choice ◽  
Total Knee ◽  
Posterolateral Knee Pain ◽  
Lateral Head

The fabella is a sesamoid bone that is located in the lateral head of the gastrocnemius muscle and has been identified on magnetic resonance imaging in 31% of Japanese people. In the present case, a 65-year-old woman experienced posterolateral knee pain, accompanied by a clicking “sound” during active knee flexion, after undergoing total knee arthroplasty for knee osteoarthritis. Eight months of conservative therapy failed to produce an improvement, with progressive osteoarthritic change of the fabella identified on plain radiography. Based on this evidence, a diagnosis of fabella syndrome was made and the patient underwent a fabellectomy. Fabellectomy provided immediate resolution of posterolateral knee pain and the clicking sound with knee flexion, with the patient remaining symptom-free 18 months after fabellectomy and with no limitations in knee function. Fabellectomy eliminated symptoms in all of five case reports that have been previously published and is regarded as an effective first choice for treating fabella syndrome after total knee arthroplasty.

scholarly journals A rare etiology of posterolateral pain subsequent to a total knee arthroplasty

2021 ◽  
Vol 2 (3) ◽  
Author(s):  
Olden Theresa Rebecca ◽  
◽  
Vallotton, Jacques ◽  
Keyword(s):  
Total Knee Arthroplasty ◽  
Differential Diagnosis ◽  
Case Report ◽  
Knee Pain ◽  
Knee Arthroplasty ◽  
Postoperative Outcome ◽  
Surgical Removal ◽  
Keywords Total Knee Arthroplasty ◽  
Total Knee ◽  
Posterolateral Knee Pain

This case report illustrates a very rare problematic after Total Knee Arthro-plasty (TKA), yet that you have to think of if posterolateral pain appears. The postoperative outcome of our patient was initially very good, but pain appeared after 6 weeks, in an atypical mode, that couldn’t be attributed to the most common differential diagnosis. The characteristics of the symptoms directed us to a mechanical cause and the solution finally came up by means of a radiography: the images showed an impingement between one of the tibial tuberosity fixation screw’s head and the fibular neck. What couldn’t be seen on the primary images was an irritating callus, that was detected at 3 months postoperatively. The pain disappeared after surgical removal of the screw. Keywords: Total knee arthroplasty; Posterolateral knee pain; Pain after total knee ar-throplasty; Tibial screw impingement.

Effect of Manipulation under Anesthesia of the First Knee in Staged Bilateral Total Knee Arthroplasty on Clinical Outcome and Satisfaction

2020 ◽  
Author(s):  
Jung-Won Lim ◽  
Yong-Beom Park ◽  
Dong-Hoon Lee ◽  
Han-Jun Lee
Keyword(s):  
Total Knee Arthroplasty ◽  
Patient Satisfaction ◽  
Clinical Outcome ◽  
Clinical Outcomes ◽  
Knee Arthroplasty ◽  
Knee Flexion ◽  
Functional Score ◽  
Manipulation Under Anesthesia ◽  
Total Knee

AbstractThis study aimed to evaluate whether manipulation under anesthesia (MUA) affect clinical outcome including range of motion (ROM) and patient satisfaction after total knee arthroplasty (TKA). It is hypothesized that MUA improves clinical outcomes and patient satisfaction after primary TKA. This retrospective study analyzed 97 patients who underwent staged bilateral primary TKA. MUA of knee flexion more than 120 degrees was performed a week after index surgery just before operation of the opposite site. The first knees with MUA were classified as the MUA group and the second knees without MUA as the control group. ROM, Knee Society Knee Score, Knee Society Functional Score, Western Ontario and McMaster Universities (WOMAC) score, and patient satisfaction were assessed. Postoperative flexion was significantly greater in the MUA group during 6 months follow-up (6 weeks: 111.6 vs. 99.8 degrees, p < 0.001; 3 months: 115.9 vs. 110.2 degrees, p = 0.001; 6 months: 120.2 vs. 117.0 degrees, p = 0.019). Clinical outcomes also showed similar results with knee flexion during 2 years follow-up. Patient satisfaction was significantly high in the MUA group during 12 months (3 months: 80.2 vs. 71.5, p < 0.001; 6 months: 85.8 vs. 79.8, p < 0.001; 12 months: 86.1 vs. 83.9, p < 0.001; 24 months: 86.6 vs. 85.5, p = 0.013). MUA yielded improvement of clinical outcomes including ROM, and patient satisfaction, especially in the early period after TKA. MUA in the first knee could be taken into account to obtain early recovery and to improve patient satisfaction in staged bilateral TKA.

scholarly journals A Dutch Survey on Circumpatellar Electrocautery in Total Knee Arthroplasty

2010 ◽  
Vol 4 (1) ◽  
pp. 201-203 ◽  
Author(s):  
Hans-Peter W. van Jonbergen ◽  
Alexander F.W. Barnaart ◽  
Cees C.P.M. Verheyen
Keyword(s):  
Total Knee Arthroplasty ◽  
The Netherlands ◽  
Knee Pain ◽  
Knee Arthroplasty ◽  
Anterior Knee Pain ◽  
Patellar Resurfacing ◽  
Orthopedic Surgeons ◽  
Unicompartmental Knee Arthroplasties ◽  
Total Knee ◽  
Anterior Knee

Introduction: Anterior knee pain following total knee arthroplasty is estimated to occur in 4-49% of patients. Some orthopedic surgeons use circumpatellar electrocautery (diathermy) to reduce the prevalence of postsurgical anterior knee pain; however, the extent of its use is unknown. Materials and Methodology: In April 2009, a postal questionnaire was sent to all 98 departments of orthopedic surgery in The Netherlands. The questions focused on the frequency of total knee arthroplasties, patellar resurfacing, and the use of circumpatellar electrocautery. Results: The response rate was 92%. A total of 18,876 TKAs, 2,096 unicompartmental knee arthroplasties, and 215 patellofemoral arthroplasties are performed yearly in The Netherlands by the responding orthopedic surgeons. Of the orthopedic surgeons performing TKA, 13% always use patellar resurfacing in total knee arthroplasty for osteoarthritis, 49% use selective patellar resurfacing, and 38% never use it. Fifty-six percent of orthopedic surgeons use circumpatellar electrocautery when not resurfacing the patella, and 32% use electrocautery when resurfacing the patella. Conclusion: There is no consensus among Dutch orthopedic surgeons on the use of patellar resurfacing or circumpatellar electrocautery in total knee replacement performed for osteoarthritis. A prospective clinical trial is currently underway to fully evaluate the effect of circumpatellar electrocautery on the prevalence of anterior knee pain following total knee arthroplasty.

Post-operative blood loss in total knee arthroplasty: knee flexion versus pharmacological techniques

2013 ◽  
Vol 22 (11) ◽  
pp. 2756-2762 ◽  
Author(s):  
Pierluigi Antinolfi ◽  
Bernardo Innocenti ◽  
Auro Caraffa ◽  
Giuseppe Peretti ◽  
Giuliano Cerulli
Keyword(s):  
Total Knee Arthroplasty ◽  
Blood Loss ◽  
Knee Arthroplasty ◽  
Knee Flexion ◽  
Operative Blood Loss ◽  
Total Knee

Modern femoral component design in total knee arthroplasty shows a lower patellar contact force during knee flexion compared with its predecessor

The Knee ◽  
2021 ◽  
Vol 30 ◽  
pp. 1-8
Author(s):  
Naoki Nakano ◽  
Yuichi Kuroda ◽  
Toshihisa Maeda ◽  
Koji Takayama ◽  
Shingo Hashimoto ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Femoral Component ◽  
Contact Force ◽  
Knee Arthroplasty ◽  
Knee Flexion ◽  
Component Design ◽  
Total Knee

Failure to Resurface the Patella during Total Knee Arthroplasty May Result in More Knee Pain and Secondary Surgery

2005 ◽  
Vol &NA; (438) ◽  
pp. 191-196 ◽  
Author(s):  
Javad Parvizi ◽  
Venkat R Rapuri ◽  
Khaled J Saleh ◽  
Michael A Kuskowski ◽  
Peter F Sharkey ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Pain ◽  
Knee Arthroplasty ◽  
Secondary Surgery ◽  
Total Knee

Biomechanical Effects of Kneeling With Posterior Cruciate Retaining and Posterior Cruciate Substituting Total Knee Arthroplasty

2009 ◽  
Author(s):  
Jason K. Hofer ◽  
Ryuichi Gejo ◽  
Michelle H. McGarry ◽  
Thay Q. Lee
Keyword(s):  
Total Knee Arthroplasty ◽  
Activities Of Daily Living ◽  
Knee Arthroplasty ◽  
Knee Flexion ◽  
Daily Living ◽  
Middle Eastern ◽  
Large Role ◽  
Asian Countries ◽  
Cruciate Retaining ◽  
Total Knee

Kneeling is an activity that is important in certain occupations and recreational activities. Culturally, kneeling plays a large role in Middle Eastern and Asian countries, where activities of daily living require the ability to kneel and achieve deep knee flexion.

Selective Denervation for Persistent Knee Pain After Total Knee Arthroplasty: A Report of 50 Cases

2017 ◽  
Vol 32 (3) ◽  
pp. 968-973 ◽  
Author(s):  
Shao-Min Shi ◽  
David W. Meister ◽  
Kelly C. Graner ◽  
James T. Ninomiya
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Pain ◽  
Knee Arthroplasty ◽  
Total Knee
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