scholarly journals Selfdynamisable internal fixator Mitkovic in treatment of periprosthetic supracondylar femoral fracture after total knee arthroplasty

2015 ◽  
Vol 62 (1) ◽  
pp. 49-55
Author(s):  
Predrag Stojiljkovic ◽  
Milorad Mitkovic ◽  
Zoran Golubovic ◽  
Ivan Micic ◽  
Sasa Milenkovic ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Surgical Treatment ◽  
Minimally Invasive ◽  
Knee Arthroplasty ◽  
Weight Bearing ◽  
Internal Fixator ◽  
Full Weight Bearing ◽  
Invasive Technique ◽  
Femur Fractures ◽  
Total Knee

Supracondylar periprosthetic femoral fractures after total knee arthroplasty are very rare, but very difficult to treat. They occur most often as a result of low energy trauma (slips and fall) in older patients with present osteoporosis and periprosthetic osteolysis. The treatment of these fractures is very difficult due to reduced biological capacity for healing in most cases. Surgical treatment of these fractures is accompanied by severe complications (prolonged healing, nonunion and disintegration osteosintets material) in 25 to 70% of the cases. The aim of this paper is to present the treatment of supracondylar femur fractures after total knee arthroplasty in men aged 72 with selfdynamisable internal fixator Mitkovic. Surgical treatment of fracture performed on the six day after the injury with minimally invasive surgical technique through two incisions. Verticalization and walking with crutches with non-weight-bearing started the first postoperative day. Patient discharged from hospital fifth postoperative day. Full weight-bearing on the operated leg is allowed after 6 weeks. The patient started a stationary physical therapy 6 weeks after surgery. Postoperative follow-up was 10 months. The fractures healed with an excellent functional result. Application of selfdynamisable internal fixator Mitkovic with minimally invasive technique in the treatment of these complex fractures provides excellent biomechanical conditions for healing.

scholarly journals Comparison of minimally invasive total knee arthroplasty with standard approach total knee arthroplasty in terms of length of post-operative hospital stay.

2019 ◽  
Vol 26 (08) ◽  
pp. 1246-1250
Author(s):  
Muhammad Usman Haider ◽  
Raja Umar Liaqat ◽  
Junaid Khan ◽  
Islam Ud Din ◽  
Muhammad Imran Aftab
Keyword(s):  
Total Knee Arthroplasty ◽  
Minimally Invasive ◽  
Hospital Stay ◽  
Knee Arthroplasty ◽  
Length Of Hospital Stay ◽  
Standard Approach ◽  
Invasive Technique ◽  
Group A ◽  
Total Knee ◽  
Group B

To compare the minimally invasive total knee arthroplasty with standard approach total knee arthroplasty in terms of mean length of post-operative hospital stay. Study Design: Randomized Controlled Trial. Setting: Department of Orthopaedics, Benazir Bhutto Hospital, Rawalpindi. Period: 06 months i.e. from 21st March 2018 to 20th September 2018. Materials and Methods: A total of one hundred (n=100) patients between age 30-80 years who were planned to undergo total knee arthroplasty (TKA) were enrolled and randomly allocated to two groups. The patients in group A were operated through minimally invasive technique and in group B, were operated through standard approach. Outcome was measured in terms of mean length of hospital stay in both groups. Results: Baseline characteristics were comparable in both the groups. In group A, mean length of hospital stay was 4.4±0.64 days while in group B it was 5.6±0.63 days (p=0.001). Similar trend was noted when data was stratified with respect to age, gender, anatomical side and BMI. Conclusion: Minimally invasive TKA resulted in shorter length of hospital stay following when compared with standard approach TKA.

Neutral or Natural? Functional Impact of the Coronal Alignment in Total Knee Arthroplasty

2018 ◽  
Vol 32 (08) ◽  
pp. 820-824 ◽  
Author(s):  
Erik Schiffner ◽  
Michael Wild ◽  
Bertram Regenbrecht ◽  
Alberto Schek ◽  
Mohssen Hakimi ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Weight Bearing ◽  
Oxford Knee Score ◽  
Clinical Results ◽  
Full Weight Bearing ◽  
Knee Score ◽  
Varus Alignment ◽  
Neutral Group ◽  
Total Knee

AbstractTotal knee arthroplasty (TKA) is a very successful procedure. The alignment in TKA has been identified as being of importance to prevent early implant failure and patient dissatisfaction. Our hypothesis was that patients with a preoperative varus deformation remaining in a slight varus alignment as their natural alignment after TKA will have superior clinical results compared with patients who are restored in neutral alignment. A total of 115 patients were corrected from varus to neutral (varus–neutral) and in 33 patients a preoperative varus alignment was kept in varus (varus). Standardized preoperative and postoperative full-length hip–knee–ankle radiographs under full weight-bearing conditions were performed in all patients. The patients' knees were categorized preoperatively and postoperatively based on the angle between mechanical femoral axis and mechanical tibial axis. Knees with alignment between ± 3 degrees were categorized as neutrally aligned, whereas alignment within ≤ –3 degrees was categorized as varus. The Knee Injury Osteoarthritis Outcome Score (KOOS) and Oxford Knee Score were determined retrospectively. The varus group scored significantly better in total KOOS (p < 0.05) compared with the varus–neutral group. Also, a trend was visible in the Oxford Knee Score but this was not significant (p > 0.05). This trend was even more evident in varus knees which were slightly undercorrected. The results support the assumption that leaving a residual varus alignment after TKA leads to better functional outcomes in TKA for patients with preoperative varus osteoarthritis.

Primary Total knee Arthroplasty: A Viable Surgical Option for Complex Tibial Plateau Fractures in Elderly

2019 ◽  
Vol 33 (05) ◽  
pp. 496-503 ◽  
Author(s):  
Ahmed Abdelbadie ◽  
Ayman El-Hennawy ◽  
Asser Sallam
Keyword(s):  
Total Knee Arthroplasty ◽  
Elderly Patients ◽  
Knee Arthroplasty ◽  
Tibial Plateau ◽  
Weight Bearing ◽  
Primary Total Knee Arthroplasty ◽  
Tibial Plateau Fractures ◽  
Full Weight Bearing ◽  
Total Knee ◽  
Primary Total Knee

AbstractThe optimal treatment of complex tibial plateau fractures in elderly is still controversial. The aim of the study was to retrospectively analyze the clinical and radiological outcomes of primary total knee arthroplasty (TKA) versus open reduction and internal fixation (ORIF) in elderly patients presenting with acute complex tibial plateau fractures. Between June 2011 and December 2015, we have analyzed the clinical outcomes of 22 primary total knee replacements and 21 ORIFs. The mean follow-up was 27 months. The intra- and postoperative complications, as well as the knee society score (KSS), were our outcome measures. The knee range of motion and the KSS knee and function scores were significantly better in the TKA patients compared with ORIF patients. Early postoperative full weight-bearing was allowed in the TKA patients with lower complications rate. In conclusion, primary TKA utilizing a stemmed tibial component is an effective treatment option for elderly patients with a complex acute fracture of the tibial plateau. This is a Type III therapeutic study.

Outpatient Total Knee Arthroplasty With a Minimally Invasive Technique

2005 ◽  
Vol 20 ◽  
pp. 33-38 ◽  
Author(s):  
Richard A. Berger ◽  
Sheila Sanders ◽  
Tad Gerlinger ◽  
Craig Della Valle ◽  
Joshua J. Jacobs ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Minimally Invasive ◽  
Knee Arthroplasty ◽  
Minimally Invasive Technique ◽  
Invasive Technique ◽  
Total Knee

scholarly journals Early full weight bearing on cementless total knee arthroplasty.

2002 ◽  
Vol 51 (1) ◽  
pp. 208-212 ◽  
Author(s):  
Tetsuya Fukumoto ◽  
Kazutoshi Nomura ◽  
Mako Hirano ◽  
Noburo Hashimoto ◽  
Kenji I ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Weight Bearing ◽  
Full Weight Bearing ◽  
Total Knee

scholarly journals Short-term results of a novel management of supracondylar fracture with coexisting osteoarthritis with bifold fixation and total knee arthroplasty

Arthroplasty ◽  
2021 ◽  
Vol 3 (1) ◽  
Author(s):  
Nicholas A. Antao ◽  
Sanjay Londhe ◽  
Rajan Toor ◽  
Rajesh Shirishkar ◽  
Siddharth Aiyer
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Locking Plate ◽  
Weight Bearing ◽  
Femoral Fractures ◽  
Womac Score ◽  
Full Weight Bearing ◽  
Osteoarthritis Of The Knee ◽  
Total Knee ◽  
The Mean

Abstract Purpose Presence of supracondylar and periarticular femoral fracture with associated arthritis of knee poses a challenging situation to the orthopaedic surgeon. The results of fixation of fracture in osteoporosis are not very satisfactory and have complications. With fixation alone, they still cannot bear weight on affected leg due to severe disability of osteoarthritis. To make patient walk, conventionally three surgeries in the form of fracture fixation, removal of implant and total knee arthroplasty (TKA) needs to be done in staged manner. We propose a novel management in form of bifold fixation and simultaneous TKA. Methods Eight cases (6 females, 2 males) of supracondylar femoral fractures with severe osteoarthritis of the knee and osteoporosis were primarily fixed with bifold fixation using SIGN nail (www.signfracturecare.org) and locking plate together with simultaneous total knee arthroplasty. There were five cases (2 males and 3 females) of grade 4 (Kellgren-Lawrence grading) osteoarthritis (OA) and three cases (all females) of severe rheumatoid arthritis (RA). Results The mean age was 68 years and average time for full weight bearing was 6 days. Radiographic evidence of fracture union was achieved in 16.25 weeks. The mean Knee Society Score (KSS) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score at 26 months was 83.13 and 22.13 respectively. Conclusions Single stage combined bifold osteosynthesis with interlocking nail and locking plate together with total knee arthroplasty helps in one time management of these difficult injuries. It is a cost-effective and economically sound option and gives excellent results with good patient satisfaction.

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