The relationship between tourniquet duration and Il-6, d-dimer and visual analogue scale in Total knee arthroplasty

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Komang Mahendra Laksana ◽  
IGK Mulyadi Ridia ◽  
Ketut Siki Kawiyana
Keyword(s):  
Total Knee Arthroplasty ◽  
Visual Analogue Scale ◽  
Knee Arthroplasty ◽  
Analogue Scale ◽  
Total Knee ◽  
The Relationship ◽  
D Dimer

scholarly journals Prótesis total de rodilla en pacientes con enfermedad de Parkinson. Resultados preliminares

10.15417/224 ◽  
2014 ◽  
Vol 79 (2) ◽  
pp. 99
Author(s):  
Juan P. Bonifacio ◽  
Matías Costa Paz ◽  
Lisandro Carbo ◽  
Carlos Yacuzzi ◽  
Emilio Corinaldesi
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Total Knee Arthroplasty ◽  
Visual Analogue Scale ◽  
Knee Arthroplasty ◽  
Analogue Scale ◽  
Neurodegenerative Disorder ◽  
Title Page ◽  
Yahr Scale ◽  
Total Knee

<div class="page" title="Page 1"><div class="layoutArea"><div class="column"><p><strong>In­tro­duc­ción: </strong><span>La enfermedad de Parkinson es un trastorno neurodegenerativo progresivo y crónico, con una incidencia aproximada de 31/100.000 habitantes en la Argentina. El objetivo de este estudio fue analizar un grupo de pacientes con enfermedad de Parkinson sometidos a artroplastia total de rodilla.</span></p><p><span><strong>Materiales­ y ­Métodos:</strong>­ </span><span>Entre 2009 y 2011, se evaluó a 11 pacientes (edad promedio 68 años, rango 65-80) con enfermedad de Parkinson que fueron operados por artrosis de rodilla con prótesis cementadas estabilizadas a posteriori. Todos fueron evaluados con la escala analógica visual para el dolor, el Knee Society Scoring, el WOMAC y el grado de satisfacción subjetiva. El grado de afectación de la enfermedad de Parkinson se determinó con la escala modificada de Hoehn y Yahr. Se registraron las complicaciones.</span></p><p><span><strong>Resultados:</strong> </span><span>El seguimiento promedio fue de 2 años (rango 1-3). Las evaluaciones para dolor y funcionales arrojaron los siguientes resultados: la escala analógica visual para el dolor mejoró 3 puntos promedio; KSS dolor 37/74; KSS funcional 36/51, WOMAC 67/31. El grado de satisfacción de los pacientes fue de bueno a excelente en 7 casos. La escala modificada de Hoehn y Yahr fue de 1,5 puntos en el preoperatorio y de 2,6 puntos en el posoperatorio. Hubo 6 complicaciones: dos síndromes confusionales, una trombosis venosa profunda, una luxación protésica y dos prótesis dolorosas.</span></p><p><span><strong>Conclusión:­</strong> </span><span>La artroplastia total de rodilla en pacientes con enfermedad de Parkinson es un procedimiento que mejora los resultados funcionales y el dolor, pero provoca mayores complicaciones que en la población general. </span></p><div class="page" title="Page 1"><div class="layoutArea"><div class="column"><p><strong>Total ­knee­ arthroplasty­ in­ Parkinson’s ­disease­ patients. Preliminary results </strong></p><p><span><strong>Abstract</strong><br /> <strong>Background: </strong></span><span>Parkinson’s disease is a progressive, chronic, neurodegenerative disorder with an approximate incidence of 31/100,000 persons in Argentina.<br /> The aim of this study was to assess a group of patients with Parkinson’s disease who underwent total knee ar</span>throplasty.</p><p><strong>Methods:­</strong> Between 2009 and 2011, 11 patients with Parkinson’s disease (average age 68 years, range 65-80) who underwent cemented posterior stabilized total knee arthroplasty for osteoarthritis were retrospectively reviewed. All patients were evaluated with a visual analogue scale for pain, the Knee Society Scoring, the WOMAC and the degree of subjective satisfaction. Degree of Par- kinson severity was measured with the Modified Hoehn and Yahr Scale. Complications were recorded.</p><p><strong>Results:</strong> The average follow-up was two years (range 1-3). Results for pain and function were: visual analogue scale for pain improved an average of 3 points; KSS pain 37/74; functional KSS 36/51, WOMAC 67/31. Satisfaction was good to excellent in 7 cases. The Modified Hoehn and Yahr Scale was 1.5 points preoperatively and 2.6 points postoperatively. There were 6 complications: two confusional syndromes, a deep venous thrombosis, a prosthetic dislocation and two painful prostheses.</p><p><strong>Conclusion:</strong> ­Total knee arthroplasty in patients with Parkinson’s disease is a procedure that improves functional outcomes and pain, but it produces more complications than in the general population. </p></div></div></div><p><span><br /></span></p></div></div></div>

scholarly journals Local Efficacy of Corticosteroids as an Adjuvant for Periarticular Cocktail Injection in Simultaneous Bilateral Total Knee Arthroplasty: A Prospective Randomized Double-Blind Controlled Trial

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Huiming Peng ◽  
Wei Wang ◽  
Jin Lin ◽  
Xisheng Weng ◽  
Wenwei Qian ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Visual Analogue Scale ◽  
Knee Arthroplasty ◽  
Analogue Scale ◽  
Bilateral Total Knee Arthroplasty ◽  
Double Blind ◽  
Motion Range ◽  
Total Knee ◽  
Two Sides ◽  
Hss Score

Multimodal cocktail periarticular injections comprising corticosteroids are the most suggested therapy for postoperative discomfort and swelling following total knee arthroplasty (TKA). Nevertheless, previous findings cannot be applied to instances of unilateral total knee arthroplasty on bilateral knees. This randomized, prospective, double-blind, controlled clinical study examines the efficacy as well as safety of periarticular multimodal cocktail injection along or sans corticosteroids in certain situations. The 60 patients (120 knees) that experienced concurrent bilateral total knee arthroplasty were provided periarticular injections along additional betamethasone (7 mg) in the randomized knee, as well as the other knee, where corticosteroid was not administered. Key results were “pain scores at rest as well as in action” on a visual analogue scale of 11 pt. Other results included motion range, swelling of the thigh, Hospital for Special Surgery score (HSS score), and adverse effects were measured between the two sides. No statistically promising variations were found in the visual analogue scale ranking, motion range, girth of the thigh, and HSS score, as well as complications between the two sides. The impact on treatment outcomes was maintained between the knees on postoperative day 3 or at 3 months of follow-up. Multimodal periarticular injection without corticosteroid will alleviate postoperative swelling and pain. More studies are needed for the use of betamethasone as a corticosteroid in periarticular multimodal cocktail injections. This Chinese Clinical Trial Registry is registered with ChiCTR-OPC-17013503, dated 2017-11-23, available from http://www.chictr.org.cn/showproj.aspxproj=23146.

The relationship between anteroposterior stability and medial–lateral stability of the bi-cruciate stabilized total knee arthroplasty

The Knee ◽  
2018 ◽  
Vol 25 (6) ◽  
pp. 1247-1253 ◽  
Author(s):  
Hiroshi Inui ◽  
Shuji Taketomi ◽  
Ryota Yamagami ◽  
Kohei Kawaguchi ◽  
Keiu Nakazato ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Lateral Stability ◽  
Total Knee ◽  
The Relationship

Examination of D-dimer, FDP and TAT Levels After Total Knee Arthroplasty

2003 ◽  
Vol 52 (3) ◽  
pp. 489-492
Author(s):  
Manabu Yamamoto ◽  
Tatsuhiko Miyamoto ◽  
Seiji Sumiura ◽  
Kimio Nibu
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Total Knee ◽  
D Dimer

Disease-specific screening for deep venous thrombosis and pulmonary thromboembolism using plasma d-dimer values after total knee arthroplasty

2008 ◽  
Vol 18 (4) ◽  
pp. 359-365 ◽  
Author(s):  
Teruhito Yoshitaka ◽  
Nobuhiro Abe ◽  
Hiroshi Minagawa ◽  
Hirokazu Date ◽  
Yoshimasa Sakoma ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Knee Arthroplasty ◽  
Pulmonary Thromboembolism ◽  
Total Knee ◽  
Disease Specific ◽  
D Dimer

The relationship between joint alignment and biomechanics in total knee arthroplasty: An in-vivo analysis

2015 ◽  
Vol 42 ◽  
pp. S23
Author(s):  
A. Metcalfe ◽  
J. Madete ◽  
D. Williams ◽  
P. Biggs ◽  
G. Whatling ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Total Knee ◽  
In Vivo Analysis ◽  
The Relationship

scholarly journals Noise after total knee arthroplasty has limited effect on joint awareness and patient reported clinical outcomes.

2020 ◽  
Author(s):  
Hiroto Taniguchi ◽  
Masafumi Itoh ◽  
Nobuyuki Yoshimoto ◽  
Junya Itou ◽  
Umito Kuwashima ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Clinical Outcomes ◽  
Knee Arthroplasty ◽  
Correlation Coefficients ◽  
Range Of Movement ◽  
Limited Effect ◽  
Residual Symptoms ◽  
Patient Reported ◽  
Total Knee ◽  
The Relationship

Abstract Background: Some patients complain of noise after total knee arthroplasty (TKA). Controversy still exists how the noise affect the clinical outcomes including joint awareness after TKA. Forgotten Joint Score-12 (FJS-12) measures the clinical outcomes focusing on joint awareness after surgery. The Knee Society Scoring System-2011 (KSS-2011) includes questionnaires for satisfaction, expectation, and functional activities. The aim of this study is to clarify the relationship among FJS-12, KSS-2011 and the noise. Furthermore, the relationship between FJS-12 and KSS-2011 was validated. Methods: Using the FJS-12 and KSS-2011, 295 knees from 225 patients who underwent TKA was retrospectively evaluated. Noise perception was evaluated by a questionnaire with five grades which is a method that follows the questionnaire form of FJS-12 [“Are you aware of the noise of your artificial joint?” ; never, almost never, seldom, sometimes, mostly]. The correlations among FJS-12, KSS-2011, and noise were analyzed. In addition, patients were divided into four groups based on the mechanism of their implant [cruciate retaining, posterior stabilized, cruciate sacrificed, and bicruciate stabilized (BCS)]. FJS-12, KSS-2011, and noise were compared among the groups. Results: A strong correlation was observed between FJS-12 and the total score of KSS-2011 (0.70; P < 0.001). FJS-12 also was correlated with KSS-2011 subcategories for “symptoms,” “satisfaction,” and “standard activities” that these correlation coefficients were approximately 0.60. Noise was limited to have weak correlations with FJS-12 (0.28; P < 0.001) and KSS-2011 (0.20 P < 0.001). With comparison among the TKA mechanisms, BCS showed significantly better KSS-2011 and greater range of movement but worse noise scores. Conclusions: Noise perception after TKA had limited effect on joint awareness and clinical outcomes. FJS-12 was correlated strongly with KSS-2011 and associated with satisfaction, residual symptoms, and daily activities as assessed by KSS-2011 subscores.

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