scholarly journals Study of factors affecting range of motion after total knee arthroplasty in Indian patients

2021 ◽  
Vol 9 (2) ◽  
pp. 56-63
Author(s):  
Ravindra GR ◽  
Kulkarni M ◽  
Patil S
Keyword(s):  
Total Knee Arthroplasty ◽  
Range Of Motion ◽  
Knee Arthroplasty ◽  
Age Groups ◽  
Important Indicator ◽  
Factors Affecting ◽  
Total Knee Replacements ◽  
Knee Replacements ◽  
Total Knee

Background: Range of motion is an important indicator of the success of total knee arthroplasty. To our knowledge there are no studies assessing the factors affecting the range of motion after total knee arthroplasty on Indian population which prompted us to undertake this study. Method: The present prospective study for all those patients with advanced arthritis of knee satisfying inclusion criteria, between August 2009 to June 2011. A total of 430 total knee replacements were done among 327 patients during this period out of which 354 primary total knee replacements among 254 patients were included in the study. Follow ups were done at 3 months, 6 months, one year and 2 years following procedure. Result: The average age was 63.8 years with a range of 50 – 80 years. 66.1% of the patients were female and 33.9% were male. The preoperative diagnosis was osteoarthritis in 81.1% of patients and 18.9% had rheumatoid arthritis. All poly implant was used in 83.1% of patients and in 16.9% of patients metal backed was used. The posterior tibial slope had no correlation with the postoperative range of motion at all the points of follow up. The preoperative range of motion had a statistical correlation with the postoperative range of motion at all the points of follow up and in all the age groups, p <0.0001. Conclusion: A more keen watch has to be kept in all young female patients with early onset of arthritis and mange them aggressively with conservative therapy.

A STUDY TO COMPARE FIXED BEARING AND MOBILE BEARING TOTAL KNEE ARTHROPLASTY IN TERTIARY MEDICAL CENTRE, MUMBAI

2021 ◽  
pp. 42-44
Author(s):  
Amol K Salve ◽  
Vinod Kumar Yadav ◽  
Ajay M Wankhade ◽  
Tanay Nahatkar ◽  
Sangam Jain
Keyword(s):  
Total Knee Arthroplasty ◽  
Range Of Motion ◽  
Knee Arthroplasty ◽  
Articular Surface ◽  
Mobile Bearing ◽  
Inclusion Criteria ◽  
Medical College ◽  
Flexion Gap ◽  
Total Knee

Intro- For TKA, there are two types of bearing designs: xed-bearing and mobile-bearing. Round femoral components articulate with a relatively at tibial articular surface in a xed-bearing knee design. Because the insert does not hinder the natural movements of the femoral component, the mobile-bearing (MB) TKA design is thought to allow more exibility of motion than the xed-bearing (FB) variety. Aim and objective: To compare xed bearing and mobile bearing total knee arthroplasty. Material and methods:This study is a prospective type of study done at Seth GS medical college Mumbai, Department of Orthopaedics during August 2019 to June 2021 on patients undergoing total knee arthroplasty. Patients who were to undergo total knee arthroplasty were invited to take part in the study. This study, done on them was explained in detail to them. An informed consent was obtained. Patients fullling the inclusion criteria were listed. Result: Range of motion achieved after mobile arthroplasty was 123.62±2.94 and in xed arthroplasty it was 121.96±2.74. Pain after last follow up in mobile arthroplasty was 48.83±0.62 and for xed arthroplasty was 47.39±0.86. Flexion gap after last follow up in mobile arthroplasty was 24.13±0.45 and in xed was 24.02±0.45. Stability was almost similar in both mobile and xed arthroplasty. Conclusions: there is no signicant difference between xed arthroplasty and mobile arthroplasty as far as Range of motion, Pain ,Flexion gap. Stability was almost similar in both mobile and xed arthroplasty.

Factors Affecting Postoperative Range of Motion After Total Knee Arthroplasty

2010 ◽  
Vol 17 (04) ◽  
pp. 196-202 ◽  
Author(s):  
Nehal Gatha ◽  
Henry Clarke ◽  
Robin Fuchs ◽  
Giles Scuderi ◽  
John Insall
Keyword(s):  
Total Knee Arthroplasty ◽  
Range Of Motion ◽  
Knee Arthroplasty ◽  
Factors Affecting ◽  
Total Knee

scholarly journals Cruciate Retaining compared with Posterior Stabilised Nexgen total knee arthroplasty: results at 10 years in a matched cohort

2017 ◽  
Vol 99 (8) ◽  
pp. 602-606 ◽  
Author(s):  
AIW Mayne ◽  
HP Harshavardhan ◽  
LR Johnston ◽  
W Wang ◽  
A Jariwala
Keyword(s):  
Total Knee Arthroplasty ◽  
Patient Satisfaction ◽  
Range Of Motion ◽  
Knee Arthroplasty ◽  
Functional Score ◽  
Range Of Movement ◽  
Cruciate Retaining ◽  
Score Improvement ◽  
Total Knee

INTRODUCTION Debate has persisted for many years about whether to sacrifice or replace the posterior cruciate ligament when performing total knee arthroplasty. A paucity of long-term follow-up studies comparing outcomes between cruciate-retaining and posterior-stabilised knees exist. We aimed to compare results at ten-year follow-up. METHODS A matched paired study comparing a cohort of 107 Zimmer Nexgen® Cruciate Retaining (CR) patients with a cohort of 107 Nexgen Posterior-Stabilised (PS) knees matched for age, sex, body mass index and preoperative American Knee Society score was undertaken. All patients underwent independent clinical assessment and knee society scoring preoperatively and at 1, 3, 5, 7 and 10 years postoperatively. RESULTS Fifty-three patients (49.5%) in the CR group and 44 patients (41.1%) in the PS group were alive at 10-year follow-up. There were no significant differences between the CR and PS groups with regards to functional assessment (P = 0.95), overall range of movement (P = 0.46) or patient satisfaction (P = 1.0) at 10 years. However, there was a significantly better score improvement in range of movement in PS knees compared with CR knees (P = 0.027). There were six revisions (5.6%) in the PS group and 1 (0.93%) in the CR group (P = 0.12). Both CR and PS knees showed excellent survivorship with no significant difference at 10 years (P = 0.068). CONCLUSIONS There were no significant differences in functional score, overall range of motion or patient satisfaction between the Nexgen cruciate retaining and posterior stabilised total knee arthroplasty at 10-year follow-up. However, PS knees had a greater score improvement in range of motion compared with CR knees.

scholarly journals Arthroscopic Treatment of Patients with Arthrofibrosis Following Total Knee Replacement

2018 ◽  
Vol 69 (11) ◽  
pp. 3292-3294
Author(s):  
Daniel Oltean Dan ◽  
Gabri Jozsef Zsolt ◽  
Dragos Apostu ◽  
Mihai Gheorghe Paiusan ◽  
Cristian Paul Dan ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Total Knee Replacement ◽  
Range Of Motion ◽  
Knee Replacement ◽  
Knee Arthroplasty ◽  
Knee Society Score ◽  
Arthroscopic Treatment ◽  
Arthroscopic Arthrolysis ◽  
Total Knee

The main objective of the current study was to evaluate the success of arthroscopic arthrolysis treatment of patients with knee stiffness after total knee arthroplasty. Six patients who underwent arthroscopic arthrolysis were evaluated retrospectively, all of them being treated conservatively before going for surgery. Results showed significant improvement of range of motion and Knee Society Score at the latest follow up compared to the preoperative values. This study concludes that arthroscopic arthrolysis is an effective and reproductible technique for the treatment of knees stiffness after total knee arthroplasty.

A Simple Goniometer for Use Intra-Operatively in Total Knee Arthroplasty

2010 ◽  
Author(s):  
Kate D. Liddle ◽  
Jennifer Peter ◽  
Jovauna M. Currey ◽  
Jenni M. Buckley ◽  
William A. McGann
Keyword(s):  
Total Knee Arthroplasty ◽  
Range Of Motion ◽  
Knee Arthroplasty ◽  
Computer Assisted Surgery ◽  
Cost Effective ◽  
Knee Extension ◽  
Computer Assisted ◽  
Navigation Systems ◽  
Important Indicator ◽  
Total Knee

Intra-operative range of motion (ROM) assessment can be challenging during total knee arthroplasty (TKA) surgery. Measurement accuracy is often compromised by patient draping and anatomy, particularly when assessing knee extension. Accurate ROM assessment is important, as ROM after total knee arthroplasty is an important indicator of clinical outcome. Computer assisted surgery has been shown to accurately determine intra-operative range of motion; however, navigation systems are costly and not readily available to many surgeons. We have developed a simple, cost-effective intraoperative device to precisely measure knee flexion and extension that is efficient and easy to use.

scholarly journals Total knee arthroplasty reduces the risk of mortality in osteoarthritis patients up to 12 years: A Korean national cohort longitudinal follow-up study

2020 ◽  
Vol 28 (1) ◽  
pp. 230949902090258
Author(s):  
Hyo Geun Choi ◽  
Bong Cheol Kwon ◽  
Joong Il Kim ◽  
Joon Kyu Lee
Keyword(s):  
Total Knee Arthroplasty ◽  
Mortality Rate ◽  
Knee Arthroplasty ◽  
Causes Of Death ◽  
Age Groups ◽  
Mortality Rates ◽  
Control Group ◽  
Circulatory Disease ◽  
Total Knee

Introduction: Mortality rates and causes of death after total knee arthroplasty (TKA) are of great interest to surgeons. However, there is a shortage of studies regarding those of the Asian population. The aim of this study was to compare the mortality rate and causes of death in patients after TKA to the general population. Methods: National sample cohort data from the Korean Health Insurance Review and Assessment Service were used. In this study, 1:4 matched patients after TKA (TKA group: 5072) and general participants (control group: 20,288) were selected as subjects. Their average follow-up duration was 57.2 months ranging from a year up to 12 years. The matches were processed for age, gender, income, region of residence, and past medical history. Mortality rates and causes of death were compared between groups. Regarding the mortality rates, we also performed subgroup analyses according to age. Results: Adjusted hazard ratio (HR) of the TKA group for mortality rate was less than 1 with significance (adjusted HR = 0.61 (95% confidence interval = 0.54–0.70, p < 0.001)). The ratios were less than 1 for both age groups (<70 and ≥70 years), respectively; however, for patients under 70, they were insignificant. Among the 11 major causes of death, the circulatory disease showed the most significantly reduced mortality rate for the TKA group compared to the control group. The neoplasm was the only other cause with a significantly reduced mortality rate for the TKA group. Conclusion: The mortality rate in the TKA group was significantly lower than in the control group up to 12 years after the surgery in Korea. Among the major causes of death, circulatory disease and neoplasm showed a significant reduction in the mortality rate of the TKA group compared with the control group.

Factors Affecting Range of Motion Following Revision Total Knee Arthroplasty

2021 ◽  
Author(s):  
Katherine Lygrisse ◽  
Mackenzie A. Roof ◽  
Mohamad Sharan ◽  
Greg Teo ◽  
William J. Long ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Range Of Motion ◽  
Knee Arthroplasty ◽  
Revision Total Knee Arthroplasty ◽  
Factors Affecting ◽  
Total Knee

scholarly journals Improved early recovery after TKA through an app-based, feedback-controlled active muscle training - A prospective randomized trial

2018 ◽  
Vol 6 (4_suppl2) ◽  
pp. 2325967118S0002
Author(s):  
Sanjay Weber-Spickschen ◽  
Sebastian Hardt ◽  
Hauke Horstmann ◽  
Christian Krettek
Keyword(s):  
Total Knee Arthroplasty ◽  
Range Of Motion ◽  
Knee Arthroplasty ◽  
Training Group ◽  
Muscle Training ◽  
Active Muscle ◽  
Early Recovery ◽  
Early Outcome ◽  
Total Knee

The aim of this prospective randomized controlled trial was to evaluate if an app-based, feedback-controlled active muscle training can be used to improve the early outcome after total knee arthroplasty. Sixty patients (mean age 67.3 years, range 45 to 84) awaiting primary total knee arthroplasty (TKA) were randomized into a control- and training group. Both Groups followed an identical postoperative protocol. Additionally, the training group performed an appbased, feedback-controlled active muscle training multiple times daily postoperatively. Outcome measures were active and passive range of motion, pain at rest and in motion, knee extension strength, the Timed “Up and Go”, 10 Meter Walk Test, 30 Second Chair Stand Test, Knee Injury and Osteoarthritis Outcome Score (KOOS), Knee Society Score (KSS) and inpatient data. Mean time to follow-up was 6.88 days in the control group and 6.59 days in the training group for a total of 47 patients (78.3 percent follow-up). The training group used the GenuSport Knietrainer a total of 18.4 times (range 6 to 42 times) on average. Active range of motion was 11.4 degrees higher in the training group (p=0.038), while passive range of motion was almost the same (p=0.906). Mean pain was significantly lower in the training group both at rest (p=0.01) and in motion (p=0.002). The training group reported significantly better outcomes in the KOOS Activities of Daily Living Score (p=0.037). No significant differences were observed in KOOS pain, symptoms, sports and quality of life (p=219, p=0.625, p=0.204, p=0.452, respectively). The KSS Knee Score and KSS Function Score were significantly better in the training group (p<0.001, p=0.011, respectively). An app-based and feedback-controlled active muscle training can significantly improve the early outcome after total knee arthroplasty, particularly reduce pain and improve the range of motion. More training had better effects on the outcome than less training. Treatment costs could possibly be reduced. These findings are highly relevant regarding rising expectations from patients and the need to reduce costs in the health care system. Further studies with a longer follow up are necessary.

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