scholarly journals Is there a need for early post-operative x-rays in primary total knee replacements? Experience of a centre in the UK

2012 ◽  
Vol 94 (3) ◽  
pp. 199-200 ◽  
Author(s):  
S Hassan ◽  
A Wall ◽  
B Ayyawamy ◽  
S Rogers ◽  
SP Mills ◽  
...  
Keyword(s):  
Tibial Fracture ◽  
Operative Management ◽  
X Rays ◽  
Inferior Pole ◽  
Total Knee Replacements ◽  
Knee Replacements ◽  
Total Knee ◽  
The Uk ◽  
Primary Total Knee

INTRODUCTION Early post-operative x-rays are often taken in total knee replacements (TKRs). Patient mobilisation may be delayed until these x-rays are obtained and this may prolong discharge. The aim of this study was to assess the value of such early x-rays and whether they influenced the early post-operative management of these patients. METHODS A total of 624 consecutive TKRs performed at the Blackpool Victoria Hospital over a 34-month period were evaluated. Plain anteroposterior and lateral x-rays were examined. RESULTS Two patients were found to have significant abnormalities: an undisplaced peri prosthetic tibial fracture and a partial inferior pole patellar avulsion. Neither of these required further treatment or influenced mobility. No other complications were noted that changed routine post-operative management. CONCLUSIONS These results question the need for immediate x-rays in primary TKRs.

scholarly journals Management of instability after primary total knee arthroplasty: an evidence-based review

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Talal Al-Jabri ◽  
Angela Brivio ◽  
Nicola Maffulli ◽  
David Barrett
Keyword(s):  
Primary Total Knee Arthroplasty ◽  
Evidence Based ◽  
Management Options ◽  
Joint Registry ◽  
Total Knee Replacements ◽  
Flexion Extension ◽  
Knee Replacements ◽  
Total Knee ◽  
The Uk ◽  
Primary Total Knee

Abstract Background Instability is one of the most common reasons for revision after a total knee replacement. It accounts for 17.4% of all single-stage revision procedures performed in the UK National Joint Registry. Through a careful patient evaluation, physical assessment and review of investigations one can identify the likely type of instability. Aims To critically examine the different types of instability, their presentation and evidence-based management options. Method A comprehensive literature search was conducted to identify articles relevant to the aetiology and management of instability in total knee replacements. Results Instability should be categorised as isolated or global and then, as flexion, mid-flexion, extension or recurvatum types. By identifying the aetiology of instability one can correctly restore balance and stability. Conclusion With careful judgement and meticulous surgical planning, instability can be addressed and revision surgery can provide patients with successful outcomes.

scholarly journals Short-term outcome of 1,465 computer-navigated primary total knee replacements 2005–2008

2011 ◽  
Vol 82 (3) ◽  
pp. 293-300 ◽  
Author(s):  
Øystein Gøthesen ◽  
Birgitte Espehaug ◽  
Leif Havelin ◽  
Gunnar Petursson ◽  
Ove Furnes
Keyword(s):  
Short Term ◽  
Term Outcome ◽  
Total Knee Replacements ◽  
Short Term Outcome ◽  
Knee Replacements ◽  
Total Knee ◽  
Primary Total Knee

Survivorship of constrained polyethylene inserts in primary total knee replacements

The Knee ◽  
2020 ◽  
Vol 27 (5) ◽  
pp. 1343-1348
Author(s):  
Kevin D. Stockwell ◽  
Trevor C. Gascoyne ◽  
Mandip Singh ◽  
Thomas R. Turgeon
Keyword(s):  
Total Knee Replacements ◽  
Knee Replacements ◽  
Total Knee ◽  
Primary Total Knee

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

2009 ◽  
Vol 91 (5) ◽  
pp. 410-413 ◽  
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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