scholarly journals Correlation between pain and weakness of vastus medialis evaluated by ultrasound in total knee arthroplasty

2021 ◽  
Vol 3 (2) ◽  
Author(s):  
Salvatore Boccaccio ◽  
Caterina Di Mauro ◽  
Manuela Milazzo ◽  
Alfredo Romeo ◽  
Domenica Saiaci ◽  
...  
Keyword(s):  
Knee Replacement ◽  
Knee Arthroplasty ◽  
Recovery Process ◽  
Cross Sectional Study ◽  
Quadriceps Strength ◽  
Cartilage Destruction ◽  
Vastus Medialis ◽  
Cross Sectional ◽  
Total Knee ◽  
Inflammatory Drugs

Osteoarthritis leads to articular cartilage destruction. The treatments reduce pain and improve function by using physical therapy, anti-inflammatory drugs, and surgical intervention, when necessary. Several studies suggest that 30% of patients undergoing knee replacement are not satisfied with results, thus highlighting a possible correlation with quadriceps strength and activities of daily living performance. Some authors studied the connection between clinical and radiological variables and quadriceps thickness, measured by ultrasound in patients with knee replacement. We conducted a cross-sectional study, enrolling 28 patient submitted to the same rehabilitation protocol (4 weeks), after knee arthroplasty, evaluated at admission (T0) and discharge, (TF), using ultrasound for measurement of vastus medialis thickness, and functional scales for abilities and pain. We noted that patients with a cross-sectional diameter of vastus medialis larger than 10 millimetres at the admission manifested less pain and improved their function and abilities values at TF compared to patients with a cross-sectional diameter smaller than 10 millimetres, and showed a better recovery process. Our study demonstrates that the weakness of vastus medialis could be an independent factor which can impact the outcome of patients submitted to arthroplasty of knee, and that it can be evaluated using ultrasound.

scholarly journals Neuropathic Pain After Total Knee Arthroplasty: A Cross-sectional Study in Female Patients

2021 ◽  
Vol 27 (2) ◽  
pp. 103-108
Author(s):  
Cemile Sevgi Polat ◽  
Didem Sezgin Özcan ◽  
Elif Umay Altaş ◽  
Şule Şahin Onat ◽  
Belma Füsun Köseoğlu
Keyword(s):  
Total Knee Arthroplasty ◽  
Neuropathic Pain ◽  
Knee Arthroplasty ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Female Patients ◽  
Total Knee

Incidence and Risk Factors of Kinesiophobia After Total Knee Arthroplasty in Zhengzhou, China: A Cross-Sectional Study

2018 ◽  
Vol 33 (9) ◽  
pp. 2858-2862 ◽  
Author(s):  
Libai Cai ◽  
Yanjin Liu ◽  
Huiping Xu ◽  
Qiulu Xu ◽  
Yanyan Wang ◽  
...  
Keyword(s):  
Risk Factors ◽  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Total Knee

scholarly journals Factors predicting weight-bearing asymmetry 1month after unilateral total knee arthroplasty: A cross-sectional study

2013 ◽  
Vol 37 (3) ◽  
pp. 363-367 ◽  
Author(s):  
Cory L. Christiansen ◽  
Michael J. Bade ◽  
David A. Weitzenkamp ◽  
Jennifer E. Stevens-Lapsley
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Weight Bearing ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Total Knee

When Does the Knee Feel Normal Again: A Cross-Sectional Study Assessing the Forgotten Joint Score in Patients After Total Knee Arthroplasty

2018 ◽  
Vol 33 (3) ◽  
pp. 700-703 ◽  
Author(s):  
Victor R. Carlson ◽  
Zachary D. Post ◽  
Fabio R. Orozco ◽  
Destiny M. Davis ◽  
Rex W. Lutz ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Forgotten Joint Score ◽  
Total Knee

scholarly journals Intraoperative hypothermia in patients undergoing Total knee arthroplasty: a cross-sectional study from a developing country

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Ronika Devi Ukrani ◽  
Aiman Arif ◽  
Anum Sadruddin ◽  
Obada Hasan ◽  
Shahryar Noordin
Keyword(s):  
Risk Factors ◽  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Link Type ◽  
Intraoperative Hypothermia ◽  
Total Knee

Abstract Background Intraoperative hypothermia is associated with various risk factors, morbidity, and mortality in patients undergoing total knee arthroplasty (TKA), increasing the emotional and financial burden on patients. This study aimed to identify risk factors of intraoperative hypothermia in patients undergoing TKA. Materials and methods All adult patients (⩾18 years) who underwent TKA from January 2016 to December 2017 at a tertiary-care hospital in Pakistan were included in this retrospective, cross-sectional study. Temperature < 36 °C was defined as hypothermia. Results The study included 286 patients (77.6% female) with a mean age of 61.4 ± 10.4 years. The overall proportion of intraoperative hypothermia was 26.6%. Of the total patients, 66.1% underwent bilateral TKA whereas 33.9% underwent unilateral TKA. 73.8% of the patients were ASA Level 2. Only 13.3% of patients had postoperative hypothermia. Conclusion Intraoperative hypothermia was significantly associated with age, bilateral procedure, ASA level and postoperative hypothermia in patients undergoing TKA. The surgeon and the operative team should be aware of the risk factors and the adverse outcomes associated with intraoperative hypothermia, especially in resource constrained settings to plan preventive strategies. Trial registration This study was retrospectively registered on ClinicalTrials.gov on 3rd October 2020. The registration ID is NCT04575246.

scholarly journals Functional outcomes of simultaneous bilateral versus unilateral total knee arthroplasty.

2020 ◽  
Vol 27 (11) ◽  
pp. 2326-2329
Author(s):  
Irfan Qadir ◽  
Saad Ilyas ◽  
Umair Nadeem ◽  
Ashfaq Ahmad ◽  
Shahzad Javed ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Osteoarthritis ◽  
Knee Arthroplasty ◽  
Functional Outcomes ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Bilateral Group ◽  
Bilateral Knee ◽  
Total Knee ◽  
Unilateral Group

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.

Prevention of Quadriceps Inhibition is The Key to Achieve Movement of The Knee Joint After Total Knee Replacement and Lower End of Femur Surgery

2021 ◽  
Vol SP (1) ◽  
Author(s):  
Kundu ZS ◽  
Vandana ◽  
Verma Vishal ◽  
Verma Bhawna
Keyword(s):  
Total Knee Replacement ◽  
Range Of Motion ◽  
Knee Replacement ◽  
Exercise Program ◽  
Recovery Phase ◽  
Cross Sectional Study ◽  
Home Exercise ◽  
Cross Sectional ◽  
Post Surgery ◽  
Total Knee

Background: Knee stiffness and weakness of quadriceps is common after surgeries around knee and even after total knee replacement. Swelling and inflammation in the early phases after surgery may contribute to stiffness and arthrogenic muscle inhibition. Aggressive physiotherapy to regain range of motion and early isometric and isotonic exercises are indicated for prevention of complications. Material and method: This were a descriptive, cross-sectional study which included hundred patients (without any limit of age range) attending the orthopaedic physical therapy outpatient department of Positron Hospital were selected for this study. The subjects were assessed for quadriceps inhibition and knee range of motion. The patients were assessed one week, six weeks and 12 weeks post surgery. The patients underwent supervised physiotherapy till 6 weeks and were put on home exercise program for next 6 weeks. Results: The quadriceps inhibition in initial phase was about 25% and quadriceps inhibition in recovery phase remained only 5%. There was zero flexion deficit in 30%, 59% and 76% of patients in first week, sixth week and twelfth week respectively. Mean of flexion deficit in hundred patients were 15% in first week, 6.5% flexion deficit remained in sixth week and only 2.9%flexion deficit left in twelfth week. Conclusion: Quadriceps inhibition was seen in 25% patients. Quadriceps inhibition was not associated with gender or age. There was moderate to strong correlation between flexion deficit and quadriceps inhibition

scholarly journals Knee Pain during Strength Training Shortly following Fast-Track Total Knee Arthroplasty: A Cross-Sectional Study

PLoS ONE ◽  
2014 ◽  
Vol 9 (3) ◽  
pp. e91107 ◽  
Author(s):  
Thomas Bandholm ◽  
Kristian Thorborg ◽  
Troels Haxholdt Lunn ◽  
Henrik Kehlet ◽  
Thomas Linding Jakobsen
Keyword(s):  
Total Knee Arthroplasty ◽  
Strength Training ◽  
Knee Pain ◽  
Knee Arthroplasty ◽  
Fast Track ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Total Knee
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