The use of low velocity submaximal eccentric contractions of the hamstring for recovery of full extension after total knee replacement: A randomized controlled study

2004 ◽  
Vol 12 (3) ◽  
pp. 215-218 ◽  
Author(s):  
Ph. Codine ◽  
Y. Dellemme ◽  
F. Denis-Laroque ◽  
Ch. Herisson
2017 ◽  
Vol 31 (01) ◽  
pp. 087-091 ◽  
Author(s):  
Nadeem Mushtaq ◽  
David Isaac ◽  
Katherine Dillow ◽  
Paul Gill ◽  
Alexander Liddle

AbstractAlthough single-radius (SR) designs of total knee replacement (TKR) have theoretical benefits, the clinical advantage conferred by such designs is unknown. The aim of this randomized, controlled study was to compare the short-term clinical outcomes of the two design rationales. A total of 105 knees were randomized to receive either a single radius (Scorpio, Stryker; SR Group) or multiple radius (AGC, Zimmer Biomet; MR group) TKR. Patient-reported outcomes (Oxford Knee Score [OKS] and Knee Society Score [KSS]) were collected at 6 weeks, 6 months, and 1 year following surgery. No knees were revised. There was no difference in primary outcomes: OKS was 39.5 (95% confidence interval [CI]: 36.9–42.1) in the SR group and 38.1 (95% CI: 36.0–40.3) in the MR group (p = 0.40). KSS was 168.4 (95% CI: 159.8–177.0) in the SR group; 159.5 (95% CI 150.5–168.5) in the MR group (p = 0.16). There was a small but statistically significant difference in the degree of change of the objective subscale of the KSS, favoring the SR design (p = 0.04), but this is of uncertain clinical relevance. The reported benefits of SR designs do not provide demonstrable functional advantages in the short term.


2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Zhao Wang ◽  
Yong Ji ◽  
Hongwei Bao ◽  
Jingzhao Hou ◽  
Yan-xiao Cheng

Abstract Background Patellar mobilization technique during total knee replacement (TKR) has been debated, with some suggesting that lateral retraction, rather than eversion, of the patella may be beneficial. This randomized controlled trial was to investigate the effects of patellar eversion on functional outcomes in TKR. Methods and analysis This single-center, prospective, randomized controlled test will be conducted in Jingjiang People's Hospital. Primary end-stage osteoarthritis patients that prepared for unilateral TKR were randomized to one of two patellar exposure techniques during the primary total knee arthroplasty: lateral retraction or eversion. The informed consent will be acquired in each patient. The primary outcome was operation time, length of hospital stay, and straight leg raising time. Second outcomes including Insall-Salvati ratio; range of motion at 1 month, 3 months, and 1 year following TKR; visual analog scale (VAS) at 1 month, 3 months; and Knee Society Score (KSS) score at 1 year following TKR. The significance level was defaulted as P < .05. Results Results will be published in relevant peer-reviewed journals. Conclusion Our study aims to systematically assess the functional outcomes of patellar eversion for TKR patients, which will provide clinical guidance for TKR patients.


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