scholarly journals Comparación de los espaciadores articulados vs. fijos en la revisión de la infección periprotésica de rodilla

2021 ◽  
Vol 86 (4) ◽  
pp. 493-500
Author(s):  
Tomás Nicolino ◽  
Juan Astoul Bonorino ◽  
Agustín Molina Rómoli ◽  
Julián Costantini ◽  
Matías Costa Paz ◽  
...  
Keyword(s):  
Knee Society Score

Introducción: Los espaciadores de cemento con antibiótico pueden ser fijos o articulados y se logra un resultado similar con ambos para erradicar una infección. Nuestro objetivo fue comparar el rango de movilidad articular y los resultados funcionales después del reimplante. Materiales y Métodos: Estudio de cohorte retrospectiva de pacientes sometidos a una revisión de la prótesis de rodilla por infección, en dos tiempos quirúrgicos. Se analizó la funcionalidad según el Knee Society Score (KSS) al año de la cirugía y se registró el rango de movilidad a los 45 días. Se registraron el grado de defecto óseo, dolor, satisfacción, las complicaciones y la recidiva de la infección. Resultados: Se incluyeron 103 pacientes (40 con espaciador articulado, 63 con espaciador fijo). El grupo con espaciador articulado tuvo una mediana 2,5° mayor en la movilidad final (102,5; RIC 95-110 vs. 100;RIC 90-105, p 0,01). Según el KSS funcional y el KSS de rodilla, no hubo diferencias entre ambos grupos. No hubo diferencias en el grado de satisfacción, dolor y el tiempo hasta el reimplante. Las complicaciones fueron similares en ambos grupos, con una tasa de reinfección sin diferencias estadísticamente significativas. Conclusión: Los espaciadores articulados proporcionaron un beneficio en el rango de movilidad después del reimplante de la prótesis.

scholarly journals Tradução e validação da nova versão da escala Knee Society Score – The 2011 KS Score – para a língua portuguesa

2017 ◽  
Vol 52 (4) ◽  
pp. 506-510 ◽  
Author(s):  
Adriana Lucia Pastore e Silva ◽  
Alberto Tesconi Croci ◽  
Riccardo Gomes Gobbi ◽  
Betina Bremer Hinckel ◽  
José Ricardo Pecora ◽  
...  
Keyword(s):  
Knee Society Score

Clinimetric quality of the new 2011 Knee Society Score: High validity, low completion rate

The Knee ◽  
2014 ◽  
Vol 21 (3) ◽  
pp. 647-654 ◽  
Author(s):  
Remco N. Dinjens ◽  
Rachel Senden ◽  
Ide C. Heyligers ◽  
Bernd Grimm
Keyword(s):  
Knee Society Score ◽  
Completion Rate

scholarly journals Correlation of Ahlback grading and knee society score in patients with moderate to severe osteoarthritis of the knee

2021 ◽  
Vol 7 (3) ◽  
pp. 606
Author(s):  
Uma Phalswal ◽  
Vandna Pandey ◽  
Ashok Kumar ◽  
Abhay Elhence
Keyword(s):  
Quality Of Life ◽  
Joint Pain ◽  
Knee Society Score ◽  
Functional Limitation ◽  
Osteoarthritis Of The Knee ◽  
Moderate Correlation ◽  
X Ray ◽  
Knee Oa ◽  
Bilateral Knee

<p class="abstract"><strong>Background:</strong> Knee osteoarthritis (OA) is a most common rheumatological disorder that causes functional limitation and disability. The most common problem in knee OA are joint pain and stiffness. It will lead to decreased quality of life and it have a serious economic burden on any country due to effect of disability and treatment.</p><p class="abstract"><strong>Methods:</strong> A correlational study was conducted to find out correlation between Ahlback grading and knee society score (KSS) on a sample of 100 moderate to severe knee OA patients and 142 OA knees. Data was collected at orthopedics OPD, for a period of 3 months by purposive sampling.</p><p class="abstract"><strong>Results:</strong> On evaluation, mean age of the participants was 60.19±1.01. Out of 100 patients, 42 patients had bilateral knee OA, therefore total 142 knees included in the analysis. More than half (51%) participants were overweight. Only 34% subjects had compliament to physiotherapy. Around 76% subjects taking analgesics and massage therapy to reduce knee pain. Maximum 82.4% subjects had a poor knee condition in KSS and mean score is 49.07±1.06. Ahlback grading in X-ray had negative correlation -0.610 with KSS. Hence it is evaluated, both the scales have approximately same result as it is analyzed that both scales are moderately correlated. There is significant association of age, occupation and physiotherapy with Ahlback grading followed with KSS significant associated with BMI, occupation and physiotherapy.</p><p class="abstract"><strong>Conclusions:</strong> The study concluded that there is a moderate correlation found between Ahlback X-ray grading and knee society scoring. X-ray and knee society scoring (clinical evaluation) both are essential for effective treatment of OA.</p>

Influence of the Tourniquet on Pain and Function in Total Knee Arthroplasty: a Systematic Review and Meta-Analysis

2019 ◽  
Vol 158 (06) ◽  
pp. 630-640 ◽  
Author(s):  
Ahmed Jawhar ◽  
Dania Skeirek ◽  
Vera Stetzelberger ◽  
Udo Obertacke
Keyword(s):  
Systematic Review ◽  
Pulmonary Embolism ◽  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Knee Society Score ◽  
Vein Thrombosis ◽  
Analgesic Consumption ◽  
Total Knee ◽  
Without Tourniquet ◽  
Deep Vein

Abstract Background The use of the tourniquet in total knee arthroplasty is still a subject of controversial discussion. Previous studies mainly focus on parameters like blood loss and operation time. The aim of this systematic review is to evaluate the postoperative outcome involving parameters such as pain intensity, analgesic consumption, knee function and complication rate with and without tourniquet use, to find a recommendation for future application in total knee arthroplasty. Material and Methods This review is based on the PRISMA Checklists. A systematic research was performed in PubMed using the key words “tourniquet”, “total knee arthroplasty”, “TKA” and “knee endoprosthesis” up to and including January 2018. The initial search revealed 686 Papers which were extracted by the parameters intensity of pain, analgesic consumption, function (range of motion, Hospital for Special Surgery Score, Knee Society Score) and complications (deep vein thrombosis, surgical side infection, pulmonary embolism). The program Review Manager Version 5.3 was used for statistical analysis. A significance level of p < 0,05 was defined. Results 18 studies were included in this review with 1279 total knee arthroplasties overall (646 with the use of tourniquet and 633 without). The analysis shows a significant lower pain intensity until the fifth postoperative day (p = 0,03) and also after one to three months (p = 0,04) without using the tourniquet. Range of motion is significantly higher in two to three days postoperatively (p < 0,00 001) when the surgery was performed without tourniquet. Knee Society Score shows no difference between the two groups. A deep vein thrombosis appears significantly more often when using a tourniquet (p = 0,04). There was no higher occurrence in pulmonary embolism and surgical side infections. Conclusion The use of a pneumatic tourniquet in total knee arthroplasty affects especially the early postoperative pain and functional recovery.

Kniegelenksendoprothetik bei hämophiler Arthropathie

2010 ◽  
Vol 30 (S 01) ◽  
pp. S104-S106
Author(s):  
W. Miesbach ◽  
L. M. Sahner ◽  
A. Kurth ◽  
B. Habermann
Keyword(s):  
Quality Of Life ◽  
Total Knee Replacement ◽  
Knee Replacement ◽  
Knee Society Score ◽  
Normal Population ◽  
Knee Function ◽  
Total Knee ◽  
The Mean

Summary Purpose Purpose of this retrospective study was to evaluate our own results after total knee replacement in patients with haemophilia. Patients, material, method: 30 patients with haemophilia who underwent total knee replacement between 1987 and 2005 were included. We used the clinical and radiological Knee Society Score. Furthermore, the Petterson and the Arnold and Hilgartner score were applied. Results: The mean age at the time of surgery was 43.2 (27–66). At the time of follow- up examination the mean age was 51.6 (30–82) years. The mean follow-up was 7.1 (2–20) years. Preoperative, he mean Arnold and Hilgartner score was 4.17 (± 0.59) and the mean Petterson-Score was 9 ± 2.29. Compared to the preoperative deficiency in knee function (KSS-Score 88.17 ± 33.58) an improvement with 166.67 (± 22.73) points was seen. 1 patient showed an aseptic loosening after 11 years. Discussion: Total knee replacement in patients with haemophilia improves knee function and quality of life. The results of our study represent results in earlier published studies. Compared to a non-haemo-philic normal population the rate of perioper-ative complications was not increased.

scholarly journals Synovial Lipomatosis (Lipoma Arborescens) of the Knee

2014 ◽  
Vol 2 (11_suppl3) ◽  
pp. 2325967114S0026
Author(s):  
Melih Malkoç ◽  
Ozgur Korkmaz ◽  
Ali Seker ◽  
Mehmet Isyar ◽  
Ismail Oltulu ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Knee Society Score ◽  
Weight Bearing ◽  
Full Range ◽  
Daily Activities ◽  
Full Weight Bearing ◽  
Female Group ◽  
Arthroscopic Synovectomy ◽  
Significant Difference ◽  
Synovial Lipomatosis

Objectives: The goals of this retrospective study are to emphasize that the patients who have non surgical treatments for several times due to the massive swelling in their knees should be considered the SL and this pathology is treatable by arthroscopic synovectomy Methods: Seventeen patients (four female and thirteen male), were evaluated retrospectively from May 2009 and April 2013. Mean age for female group was 34,75 (range between 32 to 41) and for male group was 34,23 (range between 26 to 46). Mean follow-up period was 14,76 months (range between 6 months and 38 months). Mean duration of compliance was 26,23 months (range between 9 to 96) months. All patients rated by Knee Society Score preoperatively and postoperatively arthroscopic synovectomy, performed by using radiofrequency ablation and arthroscopic shaver for treatment procedure. Patients were discharged at the end of the one day hospitalization. Postoperatively all patients were allowed to full range of motion and full weight-bearing within one day after surgery. Results: Patients were evaluated preoperatively and postoperatively using the Knee Society Score. The mean Knee Society Score was 67,82 preoperatively and 88,23 was postoperatively. There is significant difference between preoperative and postoperative Knee Society scores.(p <0.05) At the end of the three months, MRI studied and there was no clue of recurrence except two patients. All patients returned to their daily activities with full of range of motion and without swelling of the affected knee joints. At the microscopic histological studies were reported as synovial lipomatosis for all patients Conclusion: Arthroscopic synovectomy is the safe and dramatically effective method of treatment in synovial lipomatosis with less complication, curability and retrieving patients full range of motion with no limitation in their daily activities

scholarly journals Megaprosthesis as a treatment modality for persistent distal femoral nonunion in middle aged adults

2020 ◽  
Vol 8 (9_suppl7) ◽  
pp. 2325967120S0053
Author(s):  
Shashank Agarwal ◽  
Inder Pawar ◽  
Anil Kumar ◽  
Anjul Verma ◽  
Pawan Kumar
Keyword(s):  
Range Of Motion ◽  
Treatment Option ◽  
Knee Society Score ◽  
Distal Femur ◽  
Fracture Site ◽  
Definitive Treatment ◽  
Full Extension ◽  
Non Union ◽  
The Mean

Introduction: Managing distal femur non-union can be a struggle for any orthopedician as it brings along many perplexities which may not lead to satisfactory patient outcome. The target in these cases should be to reduce the morbidity and allow early rehabilitation of the patient and to accomplish this, megaprostheses can be a feasible option. The orthodox use of megaprostheses is in the musculo-skeletal oncologic surgeries but its use can be extended to traumatic etiologies. These can be offered as a single stage definite procedure in patients who have already undergone several previous surgeries. Here we report a series of four cases of persistent non-union of distal femur treated with megaprostheses and recommend this modality for achieving the desired goal but the indication should be meticulously selected. Hypotheses: Megaprosthesis as a definitive treatment option in persistent distal femur non-union and prevention of repeated surgical intervention. Methods: Four cases of persistent distal femur nonunion with failed osteosynthesis were selected who were initially treated with a distal femur locking plate. Results were assessed in terms of range of motion, limb length discrepancy, knee society score and osteointegration of the components. Results: The mean age of the patients at the time of DFEPR was 49 years (42-55). The mean follow up of patients was for approximately 2 years, with the longest follow up being 3.5 years for the first operated case of the series. The range of motion was from full extension to about 105 degrees of flexion with two patients having an extension lag of 10 degrees. Patients were ambulatory without support. Postoperatively, the mean knee society score was 83 (78–88) at last follow-up as compared to 29 (21-36) in the pre-operative period. No case of infection or loosening was reported. There was 1 cm of shortening in one patient in the operated limb which was compensated by giving shoe raise. Good osseointegration of the megaprosthesis was revealed on both anteroposterior and lateral radiographs. Conclusion: Although there are very limited studies on the use of megaprosthesis for traumatic cases, it can be considered as an alternative when we are left with only arthrodesis or amputation as the final option. Despite the operative challenges, there is marked improvement in pain and functional capacity as experienced by these severely limited patients, which are the hallmarks of a successful salvage. The use of distal femur mega-prosthesis is a novel acumen in cases, where bone stock at the fracture site at distal end of femur is so severely compromised that traditional revision osteosynthesis would not provide stable and durable fixation. The indications for this surgery must be rigorously selected and should only complement osteosynthesis procedures, which remain the reference treatment option.

scholarly journals The Role of a Primary Arthroplasty in the Treatment of Proximal Tibia Fractures in Orthogeriatric Patients

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Thomas Haufe ◽  
Stefan Förch ◽  
Peter Müller ◽  
Johannes Plath ◽  
Edgar Mayr
Keyword(s):  
Knee Society Score ◽  
Proximal Tibia ◽  
Weight Bearing ◽  
Womac Score ◽  
Tibia Fracture ◽  
Full Weight Bearing ◽  
Knee Score ◽  
Promising Alternative ◽  
Proximal Tibia Fracture ◽  
Primary Arthroplasty

The total knee arthroplasty (TKA) is the gold standard for patients with an advanced symptomatic gonarthrosis. However, there are very few publications dealing with the primary TKA for patients with a proximal tibia fracture. In our retrospective study we evaluated 30 patients treated with a TKA for a proximal tibia fracture in our institution between 01/2008 and 12/2014. We collected the following statistical data from each patient: age, classification of the fracture (AO-classification), type of prosthesis used, length of the operation and hospitalization, and complications during the follow-up. We used the Knee Society Score (KSS) and the WOMAC score to evaluate the function. The Knee Society Score showed an average “general knee score” (KSS1) of 81.1 points and an average “functional knee score” (KSS2) of 74.5 points. The average WOMAC score was 78.6 points. Immediate postoperative mobilization with the possibility of a full-weight bearing is of crucial importance for the geriatric patients to maintain the mobility they had prior to the operation and reduce medical complications. Because of these advantages, the primary TKA seems to be a promising alternative to the ORIF of a proximal tibia fracture in the orthogeriatric patient.

scholarly journals Limitations of the Knee Society Score in Evaluating Outcomes Following Revision Total Knee Arthroplasty

2010 ◽  
Vol 92 (14) ◽  
pp. 2445-2451 ◽  
Author(s):  
Elie Ghanem ◽  
Ian Pawasarat ◽  
Adam Lindsay ◽  
Lauren May ◽  
Khalid Azzam ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Knee Society Score ◽  
Revision Total Knee Arthroplasty ◽  
Total Knee

scholarly journals Clinical outcomes and survivorship of two-stage total hip or knee arthroplasty in septic arthritis: a retrospective analysis with a minimum five-year follow-up

2021 ◽  
Author(s):  
Antonio Russo ◽  
Luca Cavagnaro ◽  
Francesco Chiarlone ◽  
Antonio Clemente ◽  
Sergio Romagnoli ◽  
...  
Keyword(s):  
Septic Arthritis ◽  
Clinical Outcomes ◽  
Knee Society Score ◽  
Score Function ◽  
Knee Joints ◽  
Harris Hip Score ◽  
Two Stage ◽  
Kaplan Meier ◽  
Infection Eradication

Abstract Purpose Septic arthritis of the native joint is challenging for orthopedic surgeons because it may lead to wide bone defects and severe impairment of joint function. This study aimed to analyze clinical functional outcomes, the rate of infection eradication, and survival of implants of patients who underwent two-stage arthroplasty for septic arthritis of the hip and knee. Methods A retrospective single-centre analysis was conducted of patients treated for septic arthritis of the hip and knee joints through a two-stage surgery between 2012 and 2015. Clinical and radiological records were gathered from the prospectively collected Institutional Arthroplasty Registry. Patients’ pre-operative Harris hip scores and Knee Society scores were compared with those obtained at the latest follow-up. Kaplan–Meier curves were generated to assess survival of implants. Results Forty-seven patients were included. The mean follow-up was 85.2 ± 15.4 months. The Harris hip score improved from 39.4 ± 9.9 to 84.5 ± 10.8 points (p < 0.001). The Knee Society score improved from 40.7 ± 8.4 to 86.0 ± 7.8 points (p < 0.001). Knee Society score-function increased from 25.7 ± 14.2 to 85.4 ± 23.4 points (p < 0.001). The infection eradication rates were 92.0% and 90.9% in patients who underwent hip and knee operation, respectively (p = 0.891). Overall survivorship of implants after the second stage was 93.6%. Conclusions Two-stage arthroplasty provides good to excellent clinical outcomes in cases of active septic arthritis of the hip and the knee, high rates of infection control, and implant survival.

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