The Influence of an Anterior-Posterior Gliding Mobile Bearing on Range of Motion After Total Knee Arthroplasty

2004 ◽  
Vol 86 (10) ◽  
pp. 2257-2262 ◽  
Author(s):  
Christian Aigner ◽  
Reinhard Windhager ◽  
Michael Pechmann ◽  
Peter Rehak ◽  
Klaus Engeleke
2021 ◽  
pp. 42-44
Author(s):  
Amol K Salve ◽  
Vinod Kumar Yadav ◽  
Ajay M Wankhade ◽  
Tanay Nahatkar ◽  
Sangam Jain

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.


2011 ◽  
Vol 26 (8) ◽  
pp. 1438-1444 ◽  
Author(s):  
Bo-Hyun Hwang ◽  
Woo-Suk Lee ◽  
Kwan-Kyu Park ◽  
Ick-Hwan Yang ◽  
Chang-Dong Han

2009 ◽  
Vol 17 (2) ◽  
pp. 179-182 ◽  
Author(s):  
Attique Vasdev ◽  
Satish Kumar ◽  
Gaggan Chadha ◽  
Shyama Prasad Mandal

Purpose. To compare the mid-term clinical outcomes in Indian patients after total knee arthroplasty (TKA) using a fixed- or mobile-bearing prosthesis. Methods. 120 consecutive patients (50 men and 70 women) aged 55 to 76 (mean, 63) years who had arthritis of the knee with similar deformity and range of motion were randomised to undergo TKA using a fixed- or mobile-bearing prosthesis. Patients with mediolateral instability and infective arthritis were excluded. Knee Society knee and functional scores, range of motion, and the presence of flexion contracture were assessed. Results. The mean follow-up duration was 3.5 (range, 1–4.6) years. The mid-term outcome of the 2 groups was comparable. One patient with a mobile-bearing prosthesis had recurrent dislocation at postoperative week 2, owing to iatrogenic medial collateral ligament injury. Conclusion. Long-term studies of both functional and radiological outcomes are needed to determine the indications for fixed- versus mobile-bearing prostheses.


2011 ◽  
Vol 19 (12) ◽  
pp. 2002-2008 ◽  
Author(s):  
Yoshinori Ishii ◽  
Hideo Noguchi ◽  
Mitsuhiro Takeda ◽  
Junko Sato ◽  
Shin-ichi Toyabe

2014 ◽  
Vol 26 (3) ◽  
pp. 162-167
Author(s):  
Kyung Taek Kim ◽  
Min Soo Kang ◽  
Young Hoon Lim ◽  
Jin Woo Park ◽  
Lih Wang

2013 ◽  
Vol 22 (11) ◽  
pp. 2709-2714 ◽  
Author(s):  
Shinya Yanagisawa ◽  
Naoki Sato ◽  
Takashi Ohsawa ◽  
Kenichi Saito ◽  
Masaki Shimizu ◽  
...  

2013 ◽  
Vol 38 (2) ◽  
pp. 291-295 ◽  
Author(s):  
Norbert Kastner ◽  
Simon Sternbauer ◽  
Jörg Friesenbichler ◽  
Ines Vielgut ◽  
Matthias Wolf ◽  
...  

Arthroplasty ◽  
2021 ◽  
Vol 3 (1) ◽  
Author(s):  
Sanjay Bhalchandra Londhe ◽  
Ravi Vinod Shah ◽  
Amit Pankaj Doshi ◽  
Shubhankar Sanjay Londhe ◽  
Kavita Subhedar ◽  
...  

Abstract The aim of this retrospective cohort study was to compare home physiotherapy with or without supervision of physiotherapist for assessing manipulation under anaesthesia after total knee arthroplasty. Methods A total of 900 patients (including 810 females and 90 males) who had undergone total knee arthroplasty were divided into group A (n = 300) and group B (n = 600). Patients in group A had home physiotherapy on their own after discharge from hospital. The physiotherapist did not visit them at home. Patients in group B received home physiotherapy under supervision of physiotherapist for 6 weeks after discharge from hospital. Patients’ age, range of motion of the knee, and forgotten joint score-12 were assessed. A p < 0.05 was considered statistically significant. Results In group A, the mean age was 69.1 ± 14.3 years (range: 58 to 82 years); in group B, the mean age was 66.5 ± 15.7 years (range: 56 to 83 years) (p > 0.05). Preoperatively, the mean range of motion of the knee in group A and B was 95.8° ± 18.1° and 95.4° ± 17.8°, respectively (p > 0.05). The mean forgotten joint score-12 of group A and B were 11.90 ± 11.3 and 11.72 ± 12.1 (p > 0.05), respectively. Six weeks after total knee arthroplasty, the mean ROM of the knee in group A and B was 109.7° ± 22.3° and 121° ± 21.5°, respectively (p < 0.05). The mean postoperative forgotten joint score-12 of the group A and B was 24.5 ± 16.4 and 25.6 ± 17.4, respectively (p > 0.05). The rate of manipulation under anaesthesia was 3% in group A and 0.2% in group B (p < 0.05). Conclusion After total knee arthroplasty, frequent physiotherapist’s instruction helps the patients improve knee exercises and therefore decrease the risk of revision surgery. The home physiotherapy under supervision of physiotherapist lowers the rate of manipulation under anaesthesia. Level of evidence Therapeutic study, Level IIa.


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