scholarly journals Short term results of total knee arthroplasty in tertiary rural tier three government medical college and hospital

2020 ◽  
Vol 6 (4) ◽  
pp. 704
Author(s):  
Ansari Muqtadeer Abdul Aziz ◽  
Nair Pradeepkumar Sasidharan ◽  
Punit S. Malpani
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Pain ◽  
Knee Arthroplasty ◽  
Primary Total Knee Arthroplasty ◽  
Womac Score ◽  
Government Medical College ◽  
X Rays ◽  
Medical College ◽  
Total Knee

<p class="abstract"><strong>Background:</strong> The objective of the study was to assess the clinical and functional outcome of total knee arthroplasty (TKA) using posterior cruciate stabilizing (PS) design in tertiary rural government hospital with limited infrastructure using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score and to offer a low cost option and assess post-operative pain relief in rural poor of the society and to compare the WOMAC score pre and post-operatively.</p><p class="abstract"><strong>Methods:</strong> The study was conducted on patients who have undergone primary total knee arthroplasty in Department of Orthopaedics, Government Medical College and Hospital, Aurangabad from December 2018 to December 2019. The patients were assessed using the WOMAC score and X-rays. These evaluations were performed at 3, 6 and 12 months follow up visits.<strong></strong></p><p class="abstract"><strong>Results:</strong> At 1 year follow up of 30 knees, the average pre-op WOMAC score of 79.5 improved to an average post-op score of 42.3. And knee flexion increased from 96.3 degree to 108.5 degrees both of which with a p value &lt;0.0001 are statistically significant. One patient each had wound dehiscence and superficial infection. Patient satisfaction after the procedure was good-both in unilateral and staged bilateral TKA.</p><p class="abstract"><strong>Conclusions:</strong> TKA reduces knee pain significantly and improves the functional ability of the patient. And to be able to do so in a tertiary government rural setup with no laminar airflow and with such great efficacy and minimal complications bodes well for the number of people living in rural areas suffering from knee pain.</p>

scholarly journals Clinical evaluation of low cost Indian knee prosthesis in government medical colleges

2021 ◽  
Author(s):  
Ansari Muqtadeer Abdul Aziz ◽  
Pratik Rathod ◽  
Altamash Akil Patel
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Pain ◽  
Knee Arthroplasty ◽  
Knee Society Score ◽  
Knee Prosthesis ◽  
Low Cost ◽  
Primary Total Knee Arthroplasty ◽  
Deformity Correction ◽  
X Rays ◽  
Total Knee

<p class="abstract"><strong>Background:</strong> The clinical and functional outcome of total knee arthroplasty was studied using low cost Indian knee prosthesis called Destiknee by Maxx Company in government medical hospital. The objectives was to do assessment of pain relief, joint mobility and deformity correction post-operatively, pre-operative and post-operative Knee society score comparison.</p><p class="abstract"><strong>Methods:</strong> Patients included were those who underwent primary total knee arthroplasty in Department of Orthopaedics, GMCH Aurangabad from January 2020 to January 2021. Clinical and functional assessment was done using the Knee society score and x-rays at 3, 6 and 12 months intervals.<strong></strong></p><p class="abstract"><strong>Results:</strong> At 1 year follow up of 28 knees, there was an improvement in the average pre-op Knee society score of 53.92 to average post-op score of 86.25 and in the range of motion from 80.42 degree to 127.32 degrees and knee flexion deformity improved from 15.25 degrees to 2.17 degrees, all of which had a p value&lt;0.05 are significant statistically. One diabetic patient with poor glycemic control had superficial infection and one developed minor pulmonary embolism which recovered with medical management. Patients had good satisfaction both in unilateral and bilateral TKA.</p><p class="abstract"><strong>Conclusions:</strong> TKA resulted in significant reduction in knee pain and improvement in the functional ability of patients. The results of this low cost Indian prosthesis in a government rural setup with no laminar airflow with good efficacy and minimal complications are excellent. It was a boon for the rural population suffering from knee pain.</p>

scholarly journals REPLACEMENT VERSUS NON-REPLACEMENT OF THE PATELLAR JOINT SURFACE IN TOTAL KNEE ARTHROPLASTY

2018 ◽  
Vol 26 (3) ◽  
pp. 175-178
Author(s):  
RAFAEL ALUISIO FENERICH HONORIO FERREIRA ◽  
LEONARDO BARROS MASCARENHAS ◽  
RODRIGO SALIM ◽  
ALINE MIRANDA FERREIRA ◽  
FABRÍCIO FOGAGNOLO ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Pain ◽  
Knee Arthroplasty ◽  
Primary Total Knee Arthroplasty ◽  
Womac Score ◽  
Reoperation Rate ◽  
Joint Surface ◽  
Level Of Evidence ◽  
Significant Difference ◽  
Total Knee

ABSTRACT Objective This study addresses functional data, pain, and the reoperation rate in patients undergoing primary total knee arthroplasty (TKA) during which the patella was or was not replaced. Methods Fifty-three knees were included, 18 with the patella replaced and 35 with the patella not replaced. WOMAC and SF-12 scores and knee pain were analyzed preoperatively and 3, 6, and 12 months after TKA. The reoperation rate was also evaluated. Results Both groups presented significant improvement in WOMAC score and pain at all postoperative follow-up appointments. There was no significant difference between the groups in all evaluated variables. Two subjects in the group did not undergo patellar replacement due to complaints of anterior knee pain after arthroplasty. There was no difference between the groups in relation to the reoperation rate. Conclusion Patients receiving patellar replacement during TKA did exhibit significant differences in the rate of reoperation, function, or pain when compared to patients in which the patella was replaced. Level of Evidence III; Cohort study.

scholarly journals PRIMARY TOTAL KNEE ARTHROPLASTY FOR SEVERE VALGUS DEFORMITY: A 2YEAR FOLLOW-UP STUDY AT HASAN SADIKIN HOSPITAL

2020 ◽  
Vol 8 (5_suppl5) ◽  
pp. 2325967120S0006
Author(s):  
K. A. M. Luthfi ◽  
D. Mulyadi ◽  
F.A. Tanjung
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Oxford Knee Score ◽  
Primary Total Knee Arthroplasty ◽  
Valgus Deformity ◽  
X Rays ◽  
Femorotibial Angle ◽  
Total Knee ◽  
Primary Total Knee

Valgus deformity (VD) accounts for only 10% of total knee arthroplasties (TKAs), but is frequently considered the most challenging to manage. The aim of this study was to review outcome of primary total knee arthroplasty for severe valgus deformity at Hasan Sadikin Hospital, Bandung. Methods: From January 2015 and December 2017 consecutive patients undergoing unconstrained primary total knee arthroplasty with severe VD, grade II and III were enrolled in a prospective observational cohort study. Preoperatively, at 6 weeks, and 2 years after surgery, patients completed the Knee Injury and Osteoarthritis Outcome Score (KOOS), the Oxford Knee Score (OKS), and the Knee Society Score (KSS, 2011, modified version). Femorotibial angle were measured on the frontal standing X-rays. Results and Discussions: There were twenty-four patients (18 women, 6 men) with mean age of 66 years (55 - 80). The knee range of motion improved from a mean of 71 degrees preoperatively to a mean of 95 degrees. KOOS Quality of life had increased significantly 6 weeks – 2 years after surgery. KOOS pain mean score was 40.3 points before surgery and increased significantly to 86.6 at two year follow up. OKS mean score increased from 22.1 to 41.8 two years after surgery. KSS 2011 mean objective score increased from 22 to 96 and mean function score increased from 32 to 81 two years after surgery. The mean femorotibial angle were improved from valgus 32.72º±9.68º pre-operation to 4.89º±0.90º post-operation (P <0.001). Conclusion: Primary total knee arthroplasty can be effective and safe for severe valgus deformity and the clinical results up to two years after surgery are promising. As our results show, if proper ligament balancing techniques are used and proper ligament balance is attained, the knee may not require the use of a more constrained components.

A STUDY TO COMPARE FIXED BEARING AND MOBILE BEARING TOTAL KNEE ARTHROPLASTY IN TERTIARY MEDICAL CENTRE, MUMBAI

2021 ◽  
pp. 42-44
Author(s):  
Amol K Salve ◽  
Vinod Kumar Yadav ◽  
Ajay M Wankhade ◽  
Tanay Nahatkar ◽  
Sangam Jain
Keyword(s):  
Total Knee Arthroplasty ◽  
Range Of Motion ◽  
Knee Arthroplasty ◽  
Articular Surface ◽  
Mobile Bearing ◽  
Inclusion Criteria ◽  
Medical College ◽  
Flexion Gap ◽  
Total Knee

Intro- For TKA, there are two types of bearing designs: xed-bearing and mobile-bearing. Round femoral components articulate with a relatively at tibial articular surface in a xed-bearing knee design. Because the insert does not hinder the natural movements of the femoral component, the mobile-bearing (MB) TKA design is thought to allow more exibility of motion than the xed-bearing (FB) variety. Aim and objective: To compare xed bearing and mobile bearing total knee arthroplasty. Material and methods:This study is a prospective type of study done at Seth GS medical college Mumbai, Department of Orthopaedics during August 2019 to June 2021 on patients undergoing total knee arthroplasty. Patients who were to undergo total knee arthroplasty were invited to take part in the study. This study, done on them was explained in detail to them. An informed consent was obtained. Patients fullling the inclusion criteria were listed. Result: Range of motion achieved after mobile arthroplasty was 123.62±2.94 and in xed arthroplasty it was 121.96±2.74. Pain after last follow up in mobile arthroplasty was 48.83±0.62 and for xed arthroplasty was 47.39±0.86. Flexion gap after last follow up in mobile arthroplasty was 24.13±0.45 and in xed was 24.02±0.45. Stability was almost similar in both mobile and xed arthroplasty. Conclusions: there is no signicant difference between xed arthroplasty and mobile arthroplasty as far as Range of motion, Pain ,Flexion gap. Stability was almost similar in both mobile and xed arthroplasty.

scholarly journals Double-high insert presents with worse mid-term outcomes in cruciate-retaining medial-pivotal total knee arthroplasty – a propensity score matched analysis with averaged 8-year follow-up

2021 ◽  
Author(s):  
Shuai Xiang ◽  
Yingzhen Wang ◽  
Chengyu Lv ◽  
Changyao Wang ◽  
Haining Zhang
Keyword(s):  
Total Knee Arthroplasty ◽  
Propensity Score ◽  
Knee Arthroplasty ◽  
Womac Score ◽  
Cruciate Retaining ◽  
Radiographic Outcomes ◽  
Clinical Scores ◽  
Total Knee ◽  
Knee Society Function Score

Abstract Background The aim of this study was to compare the mid-term clinical and radiographic outcomes between medial-pivotal (MP) insert and double-high (DH) insert used under cruciate-retaining condition in ADVANCE® total knee arthroplasty (TKA). Methods The follow-up was conducted for 158 consecutive patients underwent unilateral ADVANCE® TKA from January 2011 to April 2014. 84 MP inserts and 74 DH inserts were used under cruciate-retaining condition. A 1:1 propensity score matching (PSM) analysis was performed between MP insert and DH insert to compare the clinical and radiographic outcomes. Results After a 1:1 PSM, 120 patients (60 pairs) were matched between MP insert and DH insert. The baseline demographic parameters and clinical scores were comparable between the two groups. The postoperative clinical outcomes at an averaged 8-year follow-up of both groups were significantly improved. The range of motion (ROM) of DH group was better than that of MP group and equivalent Knee Society Function Score (KSFS) between the two groups was found. However, the Knee Society Score (KSS), Western Ontario and McMaster Universities Arthritis Index (WOMAC) score and Forgotten Joint Score (FJS) of MP group were found to be significantly superior than those of DH group. Comparable complication rate and revision rate were observed between the two groups. The radiographic results were also equally good between MP and DH group. Conclusions Although the mid-term clinical and radiographic outcomes of DH insert are fairly good, the clinical scores of DH group were worse than those of MP group.

scholarly journals Radiolucent lines are decreased at 3 years following total knee arthroplasty using trabecular metal tibial components

2018 ◽  
Vol 46 (5) ◽  
pp. 1919-1927 ◽  
Author(s):  
Hirotaka Mutsuzaki ◽  
Arata Watanabe ◽  
Tomonori Kinugasa ◽  
Kotaro Ikeda
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
X Rays ◽  
Trabecular Metal ◽  
Change Over Time ◽  
Radiolucent Lines ◽  
Total Knee ◽  
Over Time

Objective To analyse location and frequency, and change over time, of radiolucent lines (RLLs) around trabecular metal tibial components in total knee arthroplasty (TKA). Methods Osteoarthritic knees in patients who had undergone TKA were retrospectively evaluated via analysis of RLLs on anteroposterior and lateral X-rays obtained at 2 and 6 months, and 1, 2 and 3 years following TKA. Results In 125 osteoarthritic knees from 90 patients (mean age, 75.0 ± 6.2; 21 male/69 female), frequency of RLLs around trabecular metal tibial components was generally highest at 2 and 6 months, and 1 year following TKA, then gradually decreased over the 3-year follow-up. Frequency of RLLs around trabecular metal tibial components was greater at the tip of the two pegs, particularly the medial peg, and around the pegs, versus other zones. No postoperative revisions were performed for loosening. Conclusions Over 3 years following TKA, RLLs were most frequently observed up to 1 year, then gradually decreased. RLLs were significantly more frequent in the medial peg zone and zones close to the medial peg than in other zones.

scholarly journals Revision Total Knee Arthroplasty with Metaphyseal Sleeves without Stem: Short-Term Results

Joints ◽  
2017 ◽  
Vol 05 (04) ◽  
pp. 207-211 ◽  
Author(s):  
Giacomo Stefani ◽  
Valerio Mattiuzzo ◽  
Greta Prestini
Keyword(s):  
Total Knee Arthroplasty ◽  
Retrospective Study ◽  
Knee Arthroplasty ◽  
Bone Ingrowth ◽  
Womac Score ◽  
Revision Total Knee Arthroplasty ◽  
X Rays ◽  
Short Term ◽  
Total Knee ◽  
Baseline Values

Purpose The aim of this study was to evaluate the efficacy of revision total knee arthroplasty (TKA) with cementless metaphyseal sleeves without stems either in the femoral or tibial side or in both. Methods In this retrospective study, 51 patients (51 knees) operated in the period 2010 to 2015 met the above-mentioned criteria and were invited to a medical examination including X-rays. Forty-six were available for the study. Mean follow-up was 37 months. Knee Society score (KSS) (objective knee score), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score, and range of motion (ROM) were used as outcome scores and compared with baseline values. X-rays were also examined and compared with postoperative exams to evaluate the presence of loosening, radiolucent lines, and bone ingrowth. Satisfaction of the patients was also investigated using a linear scale from 1 to 10. Results KSS improved from 39 to 77 (p < 0.01); WOMAC score improved from 76 to 41 (p < 0.01). Twenty-four (52%) patients were satisfied, 15 (32%) were partially satisfied, and 7 (16%) were unsatisfied. ROM improved from 93 to 96 degrees (nonsignificant difference). X-rays showed no loosening of the implants, radiolucent lines in 4 patients (3 of them were asymptomatic) and bone ingrowth in 43 out of 46 patients. Conclusion In this short-term retrospective study, the use of sleeves without stem was a safe and effective procedure in revision TKA. We found a significant improvement in clinical results compared with baseline values and no signs of implant loosening. Level of Evidence Level IV, therapeutic case series.

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