scholarly journals Variations in the Knee Extensor Muscle Strength of Patients with Severe Bilateral Knee Osteoarthritis in the 3 Years after Total Knee Arthroplasty

2020 ◽  
Vol 35 (1) ◽  
pp. 57-61
Author(s):  
Yutaro SANADA ◽  
Kazuaki KINOSHITA ◽  
Yuta NAKA ◽  
Wataru ABE ◽  
Kazunari ISHIDA ◽  
...  
2018 ◽  
Vol 126 (3) ◽  
pp. 1019-1027 ◽  
Author(s):  
Nicolas Rousseau-Saine ◽  
Stephan R. Williams ◽  
François Girard ◽  
Luc J. Hébert ◽  
Florian Robin ◽  
...  

2020 ◽  
Vol 27 (11) ◽  
pp. 2326-2329
Author(s):  
Irfan Qadir ◽  
Saad Ilyas ◽  
Umair Nadeem ◽  
Ashfaq Ahmad ◽  
Shahzad Javed ◽  
...  

Objectives: There is currently no clear consensus on the benefits of performing simultaneous bilateral total knee arthroplasty (SBTKA) for patients with bilateral knee osteoarthritis. The purpose of this study was to analyze whether SBTKA provides equivalent reduction in pain and functional outcome as comparable with unilateral surger­ies (UTKA). Study Design: Cross sectional study. Setting: Ghurki Trust Teaching Hospital, Lahore, Pakistan. Period: January 2013 and July 2016. Material & Methods. 637 TKAs in 386 consecutive patients, who underwent total knee arthroplasty for bilateral knee osteoarthritis between Patients were split into 2 groups: those who underwent unilateral TKA (n=135) and those who underwent si­multaneous bilateral TKA (n=251). Knee range of motion, Knee Society Scores (KSS) and knee function scores were obtained pre­operatively and 2 or more years postop­eratively. Results: Mean±SD flexion was 111.6°± 8.6° for patients in the bilater­al group and 110.8°± 9.02° for patients in the unilateral group (p=0.34). Mean±SD KSS was 86.4 ± 9.3 in the bilateral group and 85.34 ± 10.5 in the unilateral group (p=0.236). Mean±SD function score was 83.4± 5.4 in the bilateral group and 80.90 ± 7.2 in the unilat­eral group (p<0.0001). Conclusion: In properly selected patients deemed fit for bilateral knee surgery, SBTKA provides significantly better functional outcomes compared to UTKA.


2019 ◽  
Vol 8 (11) ◽  
pp. 1902 ◽  
Author(s):  
Yu-Hsuan Hsiao ◽  
Song-Hsiung Chien ◽  
Hung-Pin Tu ◽  
Jimmy Chun-Ming Fu ◽  
Shih-Ting Tsai ◽  
...  

(1) Background: Knee osteoarthritis causes pain, weakness, muscle atrophy, and disability. The application of whole-body vibration in patients with knee osteoarthritis can improve strength, balance, and functional activities. The purpose of the study is to evaluate the effects of early whole-body vibration intervention in patients after total knee arthroplasty. (2) Method: A single-blinded randomized control trial. Fifty-two patients with knee osteoarthritis post total knee replacement from a medical center in southern Taiwan were randomly assigned to either a whole-body vibration group or control group. Main outcome measures included pain severity, leg circumference, knee range of motion, knee extensor strength, a five-times sit to stand test, and a timed up and go test. (3) Results: Immediately post treatment, the patients in the vibration group showed a significant increase in knee extensor strength and improvement in calf swelling compared to the control group. A trend toward decrease in pain severity and improvement in functional performance were observed in both groups without a significant difference between the groups. There was no significant difference in knee range of motion (ROM) and functional performance between the groups. (4) Conclusions: The whole-body vibration intervention in patients early post total knee arthroplasty showed significant immediate effect in increasing knee extensor strength and decreasing calf swelling.


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