scholarly journals Inestabilidad de la articulación tibio-peronea proximal como causa de dolor en artroplastia total de rodilla primaria.

2020 ◽  
pp. 114-118
Author(s):  
JUAN RAMON RODRIGUEZ-COLLELL ◽  
DAMIAN MIFSUT-MIEDES
Keyword(s):  
Total Knee Arthroplasty ◽  
Surgical Treatment ◽  
Proximal Tibiofibular Joint ◽  
Rare Clinical Entity ◽  
Prosthetic Knee ◽  
Tibiofibular Joint ◽  
Total Knee ◽  
Conservative And Surgical Treatment ◽  
Cause Of Pain ◽  
Anterolateral Instability

The isolated instability of the proximal tibiofibular joint (PTFJ) as a cause of pain in a prosthetic knee is a very rare clinical entity, to date we have only found one reference in the bibliography of ATPP instability associated with total knee arthroplasty. We review the bibliography on the different forms of instability and their etiology, as well as the possibilities of conservative and surgical treatment. We present the case of a patient with anterolateral instability PTFJ associated with a primary postero-stabilized (PS) TKA with a mobile tibial polyethylene.

scholarly journals Robotic Arm-Assisted Total Knee Arthroplasty in the Setting of Combined Extra-articular Deformities of the Femur and Tibia

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Sharma Cook-Richardson ◽  
Rasesh Desai
Keyword(s):  
Total Knee Arthroplasty ◽  
Surgical Treatment ◽  
Treatment Option ◽  
Knee Arthroplasty ◽  
Mechanical Axis ◽  
Robotic Arm ◽  
Implant Positioning ◽  
Total Knee ◽  
Anatomical Axis ◽  
Bone Deformities

In this case, we will describe a 68-year-old man with combined femoral and tibial bone deformities who underwent robotic arm-assisted total knee arthroplasty (RATKA) to treat his severe osteoarthritis in the setting of extra-articular deformities that altered the native anatomical axis and the kinematics of the deformed extra-articular bony structures which chronically generated a neomechanical axis. The combination of severe osteoarthritis with extra-articular deformities made the RATKA method the best surgical treatment option taking into account altered kinematics of the native joint which conventional jig-based total knee arthroplasty would not have prioritized during bony cuts and implant positioning. The patient underwent successful knee arthroplasty with robotic arm-assisted technology with restoration of the mechanical axis.

scholarly journals Intra-operative peri-articular cocktail injection in inflammatory arthritis patients undergoing total knee arthroplasty

2021 ◽  
Vol 7 (6) ◽  
pp. 1220
Author(s):  
K. Vijaya Bhaskar Reddy ◽  
N. Brahma Chary ◽  
C. Anil Kumar,
Keyword(s):  
Total Knee Arthroplasty ◽  
Surgical Treatment ◽  
Knee Arthroplasty ◽  
Inflammatory Arthritis ◽  
Daily Activities ◽  
Volar Approach ◽  
Herbert Screw ◽  
Scaphoid Fractures ◽  
Total Knee ◽  
Wrist Function

<p class="abstract">Surgical treatment of scaphoid fractures has evolved over the years to include variety of procedures and techniques. However scaphoid middle and distal third fractures fixation with Herbert screw by means of volar approach is a safe and effective method with good functional outcome and union rates. Our study concluded that management of middle and distal third scaphoid fractures with Herbert screw by volar approach gives excellent results in terms of union and recovery to daily activities. The wrist function improvement is more satisfactory, and the incidence of complications is low with this modality of treatment.</p>

Differences in time to return to work among patients undergoing simultaneous versus staged bilateral total knee arthroplasty

2021 ◽  
Vol 103-B (6 Supple A) ◽  
pp. 108-112
Author(s):  
Cynthia A. Kahlenberg ◽  
Ethan C. Krell ◽  
Thomas P. Sculco ◽  
Jeffrey N. Katz ◽  
Joseph T. Nguyen ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Surgical Treatment ◽  
Return To Work ◽  
Knee Arthroplasty ◽  
Patient Reported Outcome ◽  
Simultaneous Group ◽  
Patient Reported ◽  
Total Knee ◽  
American Society ◽  
Simultaneous Bilateral Tka

Aims Many patients undergoing total knee arthroplasty (TKA) have severe osteoarthritis (OA) in both knees and may consider either simultaneous or staged bilateral TKA. The implications of simultaneous versus staged bilateral TKA for return to work are not well understood. We hypothesized that employed patients who underwent simultaneous bilateral TKA would have significantly fewer days missed from work compared with the sum of days missed from each operation for patients who underwent staged bilateral TKA. Methods The prospective arthroplasty registry at the Hospital for Special Surgery was used. Baseline characteristics and patient-reported outcome scores were evaluated. We used a linear regression model, adjusting for potential confounding variables including age, sex, preoperative BMI, and type of work (sedentary, moderate, high activity, or strenuous), to analyze time lost from work after simultaneous compared with staged bilateral TKA. Results We identified 152 employed patients who had undergone simultaneous bilateral TKA and 61 who had undergone staged bilateral TKA, and had completed the registry’s return to work questionnaire. The simultaneous group missed a mean of 46.2 days (SD 29.1) compared with the staged group who missed a mean total of 68.0 days of work (SD 46.1) when combining both operations. This difference was statistically significant (p < 0.001). In multivariate mixed regression analysis adjusted for age, sex, BMI, American Society of Anesthesiologists status, and type of work, the simultaneous group missed a mean of 16.9 (SD 5.7) fewer days of work compared with the staged group (95% confidence interval 5.8 to 28.1; p = 0.003). Conclusion Employed patients undergoing simultaneous bilateral TKA missed a mean of 17 fewer days of work as a result of their surgical treatment and rehabilitation compared with those undergoing staged bilateral TKA. This information may be useful to surgeons counselling employed patients with bilateral OA of the knee who are considering surgical treatment. Cite this article: Bone Joint J 2021;103-B(6 Supple A):108–112.

Surgical Treatment of Flexion Contractures After Total Knee Arthroplasty

2007 ◽  
Vol 22 (6) ◽  
pp. 62-66 ◽  
Author(s):  
Thomas K. Fehring ◽  
Susan M. Odum ◽  
William L. Griffin ◽  
Thomas H. McCoy ◽  
John L. Masonis
Keyword(s):  
Total Knee Arthroplasty ◽  
Surgical Treatment ◽  
Knee Arthroplasty ◽  
Flexion Contractures ◽  
Total Knee
Sign in / Sign up

Export Citation Format

Share Document