Association of knee flexion angle after posterior-stabilized total knee arthroplasty with postoperative tibial external position relative to the femur and the extent of tibial internal rotation from knee extension to flexion

The Knee ◽  
2020 ◽  
Vol 27 (5) ◽  
pp. 1467-1475
Author(s):  
Mitsuru Hanada ◽  
Kensuke Hotta ◽  
Hiroki Furuhashi ◽  
Hiroshi Koyama ◽  
Yukihiro Matsuyama
Keyword(s):  
Total Knee Arthroplasty ◽  
Internal Rotation ◽  
Knee Arthroplasty ◽  
Knee Flexion ◽  
Knee Extension ◽  
Knee Flexion Angle ◽  
Posterior Stabilized ◽  
Tibial Internal Rotation ◽  
External Position ◽  
Total Knee

scholarly journals Gait Training Using a Hip-Wearable Robotic Exoskeleton After Total Knee Arthroplasty: A Case Report

2020 ◽  
Vol 11 ◽  
pp. 215145932096648
Author(s):  
Kazunori Koseki ◽  
Hirotaka Mutsuzaki ◽  
Kenichi Yoshikawa ◽  
Yusuke Endo ◽  
Atsushi Kanazawa ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Knee Flexion ◽  
Walking Speed ◽  
Gait Training ◽  
Gait Pattern ◽  
Knee Extension ◽  
Flexion Angle ◽  
Knee Flexion Angle ◽  
Total Knee

The Honda Walking Assist® (HWA) is a light and easy wearable robot device for gait training, which assists patients’ hip flexion and extension movements to guide hip joint movements during gait. However, the safety and feasibility of gait training with HWA after total knee arthroplasty (TKA) remains unclear. Thus, we aimed to evaluate the safety and feasibility of this gait training intervention using HWA for a patient who underwent TKA. The patient was a 76-year-old female who underwent a left TKA. Gait training using HWA was conducted for 18 sessions in total, from 1 to 5 weeks after TKA. To verify the recovery process after TKA surgery, knee function parameters and walking ability were measured at pre-TKA and 1, 2, 4, and 8 weeks after TKA. The gait patterns at self-selected walking speed (SWS) without HWA at pre- and 5 weeks after TKA were measured by using 3-dimensional (3D) gait analysis. The patient completed a total of 18 gait training interventions with HWA without any adverse complications such as knee pain and skin injury. The postoperative knee extension range of motion (ROM), knee extension torque, SWS, and maximum walking speed were remarkably improved. Regarding gait kinematic parameters, though this patient had a characteristic gait pattern with decreased knee ROM (called stiff knee gait) preoperatively, the knee flexion angle at 5 weeks after TKA showed knee flexion movement at loading response phase (LR; called double knee action), increased knee ROM during gait, and increased knee flexion angle at swing phase. In this case, the gait training using HWA was safe and feasible, and could be effective for the early improvement of gait ability, hip function, and gait pattern after TKA.

Tibial internal rotation negatively affects clinical outcomes in total knee arthroplasty: a systematic review

2017 ◽  
Vol 26 (6) ◽  
pp. 1636-1644 ◽  
Author(s):  
Alfredo Schiavone Panni ◽  
Francesco Ascione ◽  
Marco Rossini ◽  
Adriano Braile ◽  
Katia Corona ◽  
...  
Keyword(s):  
Systematic Review ◽  
Total Knee Arthroplasty ◽  
Clinical Outcomes ◽  
Internal Rotation ◽  
Knee Arthroplasty ◽  
Tibial Internal Rotation ◽  
Total Knee

Influence of hip position on knee flexion angle in patients undergoing total knee arthroplasty

2005 ◽  
Vol 20 (5) ◽  
pp. 669-673 ◽  
Author(s):  
Tomoyuki Matsumoto ◽  
Nobuhiro Tsumura ◽  
Seiji Kubo ◽  
Ryoichi Shiba ◽  
Masahiro Kurosaka ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Knee Flexion ◽  
Flexion Angle ◽  
Knee Flexion Angle ◽  
Total Knee

Intraoperative Medial Pivot Affects Deep Knee Flexion Angle and Patient-Reported Outcomes After Total Knee Arthroplasty

2014 ◽  
Vol 29 (4) ◽  
pp. 702-706 ◽  
Author(s):  
Yusuke Nishio ◽  
Tomohiro Onodera ◽  
Yasuhiko Kasahara ◽  
Daisuke Takahashi ◽  
Norimasa Iwasaki ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Knee Flexion ◽  
Patient Reported Outcomes ◽  
Flexion Angle ◽  
Knee Flexion Angle ◽  
Patient Reported ◽  
Medial Pivot ◽  
Total Knee
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