Participation in Sports After Total Knee Replacement

Return to regular sports activity was evaluated in a retrospective review of 160 patients who had undergone total knee replacement surgery by a single surgeon (208 knee replacements). Mean age of the patients was 68 years (range, 27 to 87) at surgery and 73 years (range, 33 to 91) at review at a mean follow-up of 5 years (range, 3 to 7). Seventy-nine patients regularly participated in sports, at least once per week, before surgery, and 51 patients regularly participated in sports after surgery. Only eight patients took up sports after surgery who were not regularly involved in sports in the year before surgery. Patients were more likely to return to low-impact activities such as bowls (29 of 32, or 91%) than to high-impact activities such as tennis (6 of 30, or 20% returned). Forty-three of 56 patients (77%) who had participated in regular exercise in the year before surgery returned to sports. Eighty patients did not participate in sports before surgery and 54 of these had coexisting disease that prevented sports. None of these patients returned to sports.

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1064 Extra-Articular Tibial Deformity Management in Total Knee Replacement

British Journal of Surgery ◽

10.1093/bjs/znab259.1023 ◽

2021 ◽

Vol 108 (Supplement_6) ◽

Author(s):

S M Choi ◽

R Kumar ◽

R Morgan-Jones ◽

S Agarwal

Keyword(s):

Total Knee Replacement ◽

Knee Replacement ◽

Mechanical Axis ◽

Corrective Osteotomy ◽

Oxford Knee Score ◽

Coronal Plane ◽

Replacement Surgery ◽

Tibial Resection ◽

Knee Replacements ◽

Total Knee

Abstract Aim In knee replacements, restoration of mechanical alignment is essential. Patients with extra-articular deformities (EAD) pose challenges in planning knee replacements. We present a method, based on our experience and review of literature on planning knee replacement surgery, in the presence of extra-articular coronal plane deformity of the tibia. Method Retrospective analysis was made of six patients with EAD of the tibia who underwent knee replacement at our centre. Mechanical axis of the tibia is considered and positioning of the tibia component is planned perpendicular to the mechanical axis of the tibia. The integrity of the collaterals determines the need for correction. Tibial resection >15mm from medial or lateral aspect of the tibia is an indication for corrective osteotomy prior to replacement surgery. The hip knee ankle angle (HKA) was noted. Pre-operative, post-operative clinical score, degree of constraints and post-operative complications were recorded. A post-operative long leg alignment radiograph was obtained. Result All patients had total knee replacement without correction of deformity. Adequate alignment of the limb and restoration of mechanical axis was achieved in all six patients without the need for correction of tibial deformity. All patients had improvement in their HKA angle and Oxford knee score. No re-operations were required, and no complications recorded. Conclusions Our study will help provide guidance on operative planning and decisions making for patients with extra-articular coronal plane tibial deformities.

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The Effect of Total Knee Replacement on Employment in Patients Under 60 Years of Age

Annals of The Royal College of Surgeons of England ◽

10.1308/003588409x391785 ◽

2009 ◽

Vol 91 (5) ◽

pp. 410-413 ◽

Cited By ~ 22

Author(s):

H Lyall ◽

John Ireland ◽

MY El-Zebdeh

Keyword(s):

Total Knee Replacement ◽

Knee Replacement ◽

Employment Status ◽

Postal Questionnaire ◽

Total Knee Replacements ◽

Primary Total Knee Replacement ◽

Knee Replacements ◽

Total Knee ◽

Primary Total Knee

INTRODUCTION The effect of primary total knee replacement on the employment status of 56 patients under 60 years of age was examined at a mean follow-up of 64 months. PATIENTS AND METHODS A total of 56 primary total knee replacements performed on patients under the age of 60 years by two surgeons between 1996 and 2003 were retrospectively assessed by postal questionnaire. Patients were selected from databases held at Holly House and Newham Hospital NHS Trust. RESULTS Overall, 97.5% of patients who were employed before their operation, returned to their previous work. However, in patients not working prior to total knee replacement none were employed after their operation. CONCLUSIONS Total knee replacement may be a valuable tool to help some patients to continue working but may not affect patients who are already unemployed.

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Treatment of an infected total knee replacement with two-stage arthrodesis in a dog: a case report

Veterinární Medicína ◽

10.17221/5957-vetmed ◽

2012 ◽

Vol 57 (No. 5) ◽

pp. 258-262

Author(s):

IS Kim ◽

CS Kim ◽

KC Lee ◽

NS Kim ◽

MS Kim ◽

...

Keyword(s):

Total Knee Replacement ◽

Knee Replacement ◽

Joint Space ◽

Salvage Procedure ◽

Intact Female ◽

Two Stage ◽

Total Knee Replacements ◽

Knee Replacements ◽

Total Knee

A three-year-old intact female Great Pyrenees underwent total knee replacement for the treatment of osteoarthritis. The dog contracted septic arthritis 10 weeks following the procedure. Treatments including implant subtraction, debridement of tissue, and insertion of bone cement with antibiotics into the joint space were completed in the joint cavity. A temporary external skeletal fixator was used to stabilise the joint for four weeks. A second attempt at total knee replacement failed due to severe muscle contracture and bone loss. Therefore, it was decided to perform arthrodesis as a salvage procedure. At the 17 month follow-up examination, the patient was able to use the limb while standing and at all gait speeds. Based on these findings, two-stage arthrodesis can be a viable salvage procedure for infected total knee replacements.  

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Follow up and complications of knee replacement surgery

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20184602 ◽

2018 ◽

Vol 5 (11) ◽

pp. 4983

Author(s):

Elaf Fakeih ◽

Mohammed Basnawi ◽

Waleed Alshardi ◽

Shaher Albakheet ◽

Marwan Mandura ◽

...

Keyword(s):

Total Knee Replacement ◽

Replacement Therapy ◽

Search Engine ◽

Knee Replacement ◽

Cost Effective ◽

The United States ◽

Knee Replacement Surgery ◽

Replacement Surgery ◽

Total Knee

Total knee surgical replacement is considered to be an extremely cost-effective surgery in the field of orthopedics. It is estimated that over four million patients in the United States have undergone a total knee replacement, and more than half a million patients undergo this operation annually. In this review, we will discuss the risks of possible complications, methods for their prevention, and ideal follow up for patients who underwent total knee replacement surgery. We did a systematic search for prostatitis using PubMed search engine (http://www.ncbi.nlm.nih.gov/) and Google Scholar search engine (https://scholar.google.com). The terms used in the search were: total knee replacement, knee arthroplasty, complications, management and follow up. Despite having an overall favorable safety profile, total knee replacement therapy can have associated morbidities. Overall mortality following a total knee replacement therapy is extremely low and is about 0.08%. Possible complications include cardiovascular events like arrhythmias, heart failure, myocardial infarction, deep venous thrombosis, pulmonary embolisms, and fat embolisms. Other more common complications are prosthetic infection, which is the most common early complication, and aseptic loosening, which are the most common late complications.

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Has the modern design of Attune total knee replacement improved outcome in patients with isolated patellofemoral arthritis?

Journal of Orthopaedic Surgery ◽

10.1177/2309499020975553 ◽

2020 ◽

Vol 28 (3) ◽

pp. 230949902097555

Author(s):

Yasir Ashraf ◽

Hafiz Javaid Iqbal ◽

Shanaka Senevirathana ◽

Tanweer Ashraf

Keyword(s):

Total Knee Replacement ◽

Knee Replacement ◽

Functional Assessment ◽

Patellofemoral Arthritis ◽

Modern Design ◽

Design Modification ◽

Patient Reported ◽

Knee Replacements ◽

Total Knee

Introduction and Aim: Modern knee replacements aim to improve patient function in arthritis affecting different compartments of the knee. This study evaluates the Patient Reported Outcome Measure (PROM) and functional outcome of a modern total knee replacement (Attune, DePuy) in patients with isolated patellofemoral arthritis. Methods: A total of 50 consecutive patients with isolated unilateral patellofemoral arthritis having had Attune total knee replacements at a single institution between 2010 and 2016 were prospectively studied. Five patients who developed symptoms on the opposite side during the study and two patients lost to follow-up were excluded. One patient needed early revision for loosening, leaving a total of 42 patients to be followed up over a period of 4 years. The Oxford Knee score (OKS) and Knee Injury and Osteoarthritis Outcome Score (KOOS) recorded pre-operatively and at follow-up was compared. A Functional assessment at around 8 months after operation was undertaken. Results: At average follow-up of 24 months the mean OKS score improved by 15 points and the KOOS score improved by 20 points. Final KOOS sub-score for Pain was 80, Symptom 80, and ADL 82, Sports & Recreation 32 and QOL 60. Functional assessment at mean 8 months showed that a significant number of patients were able to Kneel (50%); Sit cross legged (23%); sit on their heel (23%) and were able do a single leg dip test (86%). Conclusion: This unique study of a modern design total knee replacement (Attune) in patients with isolated unilateral patellofemoral arthritis shows good PROM scores at 2 years and good functional assessment results at 8 months. The PROM scores are marginally better than the published results with Attune’s predecessor, in a similar cohort of patients, but falls short of the published results of patellofemoral replacement implants. Large randomised comparative studies between traditional and the modern implant design is recommended to answer the question if design modification has influenced clinical outcome in patients with patellofemoral arthritis.

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Incidence of Total Knee Replacement after Knee Arthroscopy over the age of 50 years.

Orthopaedic Journal of Sports Medicine ◽

10.1177/2325967117s00208 ◽

2017 ◽

Vol 5 (5_suppl5) ◽

pp. 2325967117S0020

Author(s):

Mr Tony Robinson ◽

Ms Tracy Robertson

Keyword(s):

Total Knee Replacement ◽

Knee Replacement ◽

Knee Arthroscopy ◽

Surgical Intervention ◽

Meniscal Tear ◽

Total Knee Replacements ◽

Medial Meniscal Tear ◽

Knee Replacements ◽

Total Knee

Objectives: This paper will look at the incidence of Total Knee Replacement in patients over the age of 50 years over an 8 year period. All patients had a symptomatic medial meniscal tear and moderate bi-compartmental osteo-arthritis. Hypothesis: Incidence of Total Knee Replacement in these patients increases with age and length of follow up. Methods: A total of 411 patients met this criteria with 357 contactable by telephone. Patients were asked regarding Total Knee Replacement and other surgical intervention. Results: Of the total of 357 patients contacted, 78 (22%) patients were referred for Total Knee Replacements over this 8 year period. Conclusion: The incidence of Total Knee Replacement correlates with age but not with follow up.

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