Total Knee Arthroplasty Outcomes Depending on the Degree 11 of Angular Deformity

The analysis of total knee arthroplasty results was performed in 106 patients operated on for III stage of deforming gonarthrosis. All patients were divided into 2 groups depending on the presence of the angular extremity axis deformity. Clinical and functional assessment was performed using visual analog scale, Joseph & Kaufman scale, SF-36 questionnaire. Treatment results were evaluated in 3, 6 months and 1, 3, 5 years after intervention. In the group of patients with axial leg deformity the duration of surgical intervention, intraoperative blood loss and postoperative hospitalization period were higher than in patients with normal leg axis but the differences were not significant. The height of the implant insert was 12 (8-14) mm with normal axis and 14 (14-15) mm with axial deformity ( p =0.000187). Correction of the leg axis during arthroplasty required larger bone cuts and soft tissue release but the parameters characterizing leg axis normalization did not differ statistically significant between the groups. However in 5 years after intervention the patients with normal lower extremity axis showed reliably better results by all scales and questionnaires.

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Total knee arthroplasty for valgus osteoarthritis: the results of a standardized soft-tissue release technique

Knee Surgery Sports Traumatology Arthroscopy ◽

10.1007/s00167-016-4054-9 ◽

2016 ◽

Vol 24 (8) ◽

pp. 2525-2531 ◽

Cited By ~ 13

Author(s):

Friedrich Boettner ◽

Lisa Renner ◽

Danik Arana Narbarte ◽

Claus Egidy ◽

Martin Faschingbauer

Keyword(s):

Total Knee Arthroplasty ◽

Soft Tissue ◽

Knee Arthroplasty ◽

Soft Tissue Release ◽

Release Technique ◽

Valgus Osteoarthritis ◽

Total Knee

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Is Standing Coronal Long-Leg Alignment View Effective in Predicting the Extent of Medial Soft Tissue Release in Varus Deformity during Total Knee Arthroplasty?

The Journal of Knee Surgery ◽

10.1055/s-0040-1721787 ◽

2021 ◽

Author(s):

Mohammadreza Minator Sajjadi ◽

Mohammad Ali Okhovatpour ◽

Yaser Safaei ◽

Behrooz Faramarzi ◽

Reza Zandi

Keyword(s):

Total Knee Arthroplasty ◽

Soft Tissue ◽

Knee Arthroplasty ◽

Varus Deformity ◽

Soft Tissue Release ◽

Varus Knee ◽

Significant Difference ◽

Leg Alignment ◽

Total Knee ◽

Group 2

AbstractThe aim of this study was to assess the predictive value of the femoral intermechanical-anatomical angle (IMA), mechanical lateral distal femoral angle (mLDFA), medial proximal tibia angle (MPTA), femorotibial or varus angle (VA), and joint line convergence angle (CA) in predicting the stage of the medial collateral ligament (MCL) during total knee arthroplasty (TKA) of varus knee. We evaluated 229 patients with osteoarthritic varus knee who underwent primary TKA, prospectively. They were categorized in three groups based on the extent of medial soft tissue release that performed during TKA Group 1, osteophytes removal and release of the deep MCL and posteromedial capsule (stage 1); Group 2, the release of the semimembranosus (stage 2); and Group 3, release of the superficial MCL (stage 3) and/or the pes anserinus (stage 4). We evaluated the preoperative standing coronal hip-knee-ankle alignment view to assessing the possible correlations between the knee angles and extent of soft tissue release. A significant difference was observed between the three groups in terms of preoperative VA, CA, and MPTA by using the Kruskal–Wallis test. The extent of medial release increased with increasing VA and CA as well as decreasing MPTA in preoperative long-leg standing radiographs. Finally, a patient with a preoperative VA larger than 19, CA larger than 6, or MPTA smaller than 81 would need a stage 3 or 4 of MCL release. The overall results showed that the VA and MPTA could be useful in predicting the extent of medial soft tissue release during TKA of varus knee.

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Correlation Study Between KSS, WOMAC and SF-36 Scores in Patients Undergoing Total Knee Arthroplasty in a Spanish Speaking Population

The Journal of Arthroplasty ◽

10.1016/j.arth.2012.10.012 ◽

2013 ◽

Vol 28 (6) ◽

pp. 950-953 ◽

Cited By ~ 7

Author(s):

Raúl Torres-Claramunt ◽

Joan Leal ◽

Pedro Hinarejos ◽

Xavier Pelfort ◽

Lluis Puig

Keyword(s):

Total Knee Arthroplasty ◽

Knee Arthroplasty ◽

Correlation Study ◽

Spanish Speaking ◽

Sf 36 ◽

Total Knee ◽

Spanish Speaking Population

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Long-Term Results of Total Knee Arthroplasty for Valgus Knees: Soft-Tissue Release Technique and Implant Selection

Journal of Orthopaedic Surgery ◽

10.1177/230949901101900114 ◽

2011 ◽

Vol 19 (1) ◽

pp. 60-63 ◽

Cited By ~ 20

Author(s):

Ashok Rajgopal ◽

Vivek Dahiya ◽

Attique Vasdev ◽

Hemanshu Kochhar ◽

Vipin Tyagi

Keyword(s):

Total Knee Arthroplasty ◽

Soft Tissue ◽

Knee Arthroplasty ◽

Long Term Results ◽

Soft Tissue Release ◽

Release Technique ◽

Implant Selection ◽

Total Knee

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Comparison of Intra-Articular versus Intravenous Application of Tranexamic Acid in Total Knee Arthroplasty: A Prospective Randomized Study

Austin Journal of Orthopedics & Rheumatology ◽

10.26420/austinjorthopaderheumatol.2021.1098 ◽

2021 ◽

Vol 8 (1) ◽

Author(s):

Kornah BA ◽

◽

Mansour GM ◽

Mohamed MTI ◽

◽

...

Keyword(s):

Total Knee Arthroplasty ◽

Blood Loss ◽

Tranexamic Acid ◽

Knee Arthroplasty ◽

University Hospital ◽

Postoperative Blood Loss ◽

Soft Tissue Release ◽

P Value ◽

Intravenous Application ◽

Total Knee

Background: Total Knee Arthroplasty (TKA) is widely used in clinical applications. Considerable postoperative blood loss, however, is an unavoidable occurrence due to the extensive soft-tissue release, and the large area of cancellous bone osteotomy associated with the procedure. Besides, knee flexion and extension activities those begin the day after the operation adds to the problem. Aim of the Work: To compare between the intra-articular and the intravenous application of Tranexamic Acid (TXA) in total knee arthroplasty. Patients and Methods: It is a prospective Double-blinded Randomized controlled trial. This prospective study was conducted at El-Hussein University Hospital & El Agouza Hospital on 30 patients who undergo total knee arthroplasty and fulfill all inclusion and exclusion criteria. Results: The results were the average total blood loss in the drain after 48hrs. In the 1st group was 365±74.722 while average blood loss in the 2nd group was 575±88.976. This indicates a significant decrease in blood loss in the 1st group (intraarticular TXA group) than the 2nd group (intravenous TXA group) the P value <0.001 which is highly significant. It was found that The decrease in Hb level is less in the 1st group than in the 2nd group which indicates less postoperative anemia in the blood count, the P-value <0.05 considered significant.

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Total Knee Arthroplasty Conversion after Open-wedge High Tibial Osteotomy

The Open Orthopaedics Journal ◽

10.2174/1874325002115010053 ◽

2021 ◽

Vol 15 (1) ◽

pp. 53-56

Author(s):

Wataru Kusano ◽

Takatomo Mine ◽

Koichiro Ihara ◽

Yasuhiro Tominaga ◽

Hiroyuki Kawamura ◽

...

Keyword(s):

Total Knee Arthroplasty ◽

High Tibial Osteotomy ◽

Knee Arthroplasty ◽

Soft Tissue Release ◽

Tibial Osteotomy ◽

Open Wedge ◽

Term Survival ◽

Wedge High Tibial Osteotomy ◽

Total Knee ◽

Open Wedge Hto

Background: Open-wedge High Tibial Osteotomy (HTO) is an effective treatment for Osteoarthritis (OA) of the knee; however, postoperative changes due to HTO can make subsequent Total Knee Arthroplasty (TKA) technically difficult and can affect long-term survival. Case Report: Medio-lateral stability along with balanced flexion and extension gaps provides a good functional outcome. A 71-year-old man underwent TKA conversion after open-wedge HTO 12 years earlier; the conversion was performed due to arthritic deterioration in the knee. Medial instability was noted because of poor ligament balancing. The residual medial instability was managed with a knee brace due to the unavailability of the constrained prosthesis. Management of persistent mediolateral instability persisting after soft tissue release and balancing ideally requires varus-valgus constraint. Conclusion: TKA conversion after open-wedge HTO requires a special technique and careful preparation before surgery.

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Total cement knee arthroplasty in patients of 85–95 years old with terminal stage of degenerative knee disease

Grekov s Bulletin of Surgery ◽

10.24884/0042-4625-2018-177-6-49-53 ◽

2018 ◽

Vol 177 (6) ◽

pp. 49-53 ◽

Cited By ~ 1

Author(s):

V. Yu. Murylev ◽

P. M. Elizarov ◽

A. V. Muzychenkov ◽

Ya. A. Rukin ◽

A. A. Dering ◽

...

Keyword(s):

Total Knee Arthroplasty ◽

Knee Arthroplasty ◽

Charlson Comorbidity Index ◽

Surgical Intervention ◽

Age Group ◽

Old Patients ◽

Terminal Stage ◽

Knee Arthrosis ◽

Comorbidity Index ◽

Total Knee

The objectiveof the study is to make the analysis of the results of total cement knee arthroplasty in the most difficult age group of 85–95 years old patients.Material and methods.40 patients with terminal knee arthrosis were selected based on their comorbidity.Results.Patients with the Charlson comorbidity index of 5–8 points need hospitalization for the treatment of aggravating somatic pathology, as preparation for a future knee arthroplasty. In the operated patients, the result on the KOOS was (76±7.19), and on the WOMAC was (151±4.83) a year after the arthroplasty.Сonclusion.Surgical intervention – total knee arthroplasty in patients of 85–95 years old is possible only if its risk is minimized.

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Excellent mid-term osseointegration and implant survival using metaphyseal sleeves in revision total knee arthroplasty

Knee Surgery Sports Traumatology Arthroscopy ◽

10.1007/s00167-020-05865-1 ◽

2020 ◽

Vol 28 (12) ◽

pp. 3843-3848 ◽

Cited By ~ 1

Author(s):

Sebastian M. Klim ◽

Florian Amerstorfer ◽

Gerwin A. Bernhardt ◽

Patrick Sadoghi ◽

Georg Hauer ◽

...

Keyword(s):

Total Knee Arthroplasty ◽

Aseptic Loosening ◽

Treatment Option ◽

Knee Arthroplasty ◽

Bone Defects ◽

Revision Total Knee Arthroplasty ◽

Sf 36 ◽

Total Knee ◽

Mid Term Results

Abstract Purpose Metaphyseal fixation in revision total knee arthroplasty (RTKA) is a very promising treatment option for extended bone defects. Currently published mid-term results remain limited. The purpose was to analyse the implant durability, the clinical and the radiological mid-term results in RTKA when using metaphyseal sleeves. Methods Clinical and radiological follow-up examinations were performed in 92 patients (93 knees) with RTKA using hybrid fixation technique (cementless sleeves and stem). Radiographic measurements regarding osseointegration at the bone–sleeve interface were performed and the range of motion (ROM), a subjective satisfaction score (SSS), the American Knee Society Score (KSS), the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) as well as the SF-36 Health survey were examined. Bone defects were analysed using the Anderson Orthopaedic Research Institute (AORI) classification. Results No knee had to be revised due to aseptic loosening at the time of the follow-up (mean 6.3 years ± 2.3, minimum 2 years). Satisfactory radiographic osseointegration at the sleeve/bone interface was detected in 96.1% of cases. 17 knees (18.2%) had to be re-revised, 15 of them due to a recurrent infection and 2 due to aseptic reasons (mediolateral instability and a periprosthetic fracture). The median of the ROM (96°), SSS (8), KSS (87), WOMAC (9), SF-36 MCS (55) and SF-36 PCS (38) showed very satisfying results. Conclusion No case of aseptic loosening was found in this large series of RTKA with extended bone defects using metaphyseal sleeve fixation. In this large retrospective series, it has been shown that this technique is an excellent treatment option for extended bone defects in RTKA surgery. Level of evidence Retrospective cohort study, level III.

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