scholarly journals Evaluation of Clinical and Radiographic Outcomes of Subvastus and Medial Parapatellar Approaches in Total Knee Arthroplasty

2021 ◽  
Author(s):  
Necati Emirhan ◽  
Furkan Yapıcı
Keyword(s):  
Total Knee Arthroplasty ◽  
Blood Loss ◽  
Knee Arthroplasty ◽  
Postoperative Blood Loss ◽  
Functional Evaluation ◽  
Functional Scores ◽  
Duration Of Surgery ◽  
Vas Scores ◽  
Total Knee ◽  
Medial Parapatellar

Introduction: The aim of this study is to compare clinically and radiologically the subvatus (SV) and medial parapatellar (MPP) approaches performed in patients undergoing total knee arthroplasty (TKA) due to severe gonarthrosis. Materials and methods: Patients who underwent TKA between 2015 and 2019 were divided into two groups, SV and MPP, according to the type of approach performed. Demographic, clinical, and surgical information of the patients were evaluated. Knee Society Clinical Rating System (KSS) and visual analogue scale (VAS) scores were used for functional evaluation. AP and lateral orthoroentgenograms and knee radiographs taken at the last follow-up were used for radiological evaluation. Results: The mean duration of surgery and tourniquet was significantly higher in the SV group. (p <.001 and p <.001, respectively). Mean blood loss and number of blood transfusions were significantly higher in the MPP group. (p <.001 and p <.001, respectively). Opiate analgesic need, straight leg raising time and hospitalization time were also significantly higher in the MPP group. (p <.001, p <.001 and p <.001, respectively). Although the KSS, VAS scores, and the range of motion at the first month were better in the SV group, there was no difference between the two groups at 6 and 12 months. Conclusion: According to this study, with the SV approach used for TKA, postoperative blood loss and the need for transfusion decreased, the duration of hospitalization was shortened, postoperative pain was less, and functional scores were better. The only disadvantage is the prolonged operation time

scholarly journals The influence of previous arthroscopic treatment on subsequent primary total knee arthroplasty: the comparison between bilateral knees of the same patient

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Kuishuai Xu ◽  
Liang Zhang ◽  
Rui Shen ◽  
Cailin Wang ◽  
Tianyu Li ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Functional Recovery ◽  
Knee Arthroplasty ◽  
Primary Total Knee Arthroplasty ◽  
Arthroscopic Treatment ◽  
Functional Scores ◽  
Group A ◽  
Vas Scores ◽  
Total Knee ◽  
Group B

Abstract Background To explore whether previous arthroscopic knee surgery affects future total knee arthroplasty (TKA) results or not. Methods A total of 56 patients with the previous arthroscopic treatment on one knee underwent subsequent bilateral total knee arthroplasty in our hospital from September 2012 to July 2018. Data on each patient were collected in regards to changes in postoperative clinical and functional scores, various other scores, as well as postoperative functional recovery and complications. We defined the knees with a previous arthroscopic history as group A, and the counter side as group B. The Knee Society clinical score, functional scores, range of motion (ROM), finger joint size (FJS), visual analogue scale (VAS) scores were assessed before and after surgery. Using the Kolmogorov-Smirnov Test to test the normality of continuous variables, and the chi-square test to compare the rate of reoperation and complications between two groups. For all statistical comparisons, P < 0.05 was considered significant. Results There were no statistically significance differences found in postoperative Knee Society clinical scores and functional scores between group A and group B, as well as in ROM, FJS, VAS scores and local complications. Conclusion There were no statistically significant differences found in postoperative functional recovery and complications in patients, who underwent total knee arthroplasty with previous knee arthroscopy.

Bipolar Sealers Do not Improve Blood Loss or Functional Outcomes of Primary Total Knee Arthroplasty

2018 ◽  
Vol 33 (01) ◽  
pp. 062-066
Author(s):  
Stefano Pasqualotto ◽  
Guillaume Demey ◽  
Aude Michelet ◽  
Luca Nover ◽  
Mo Saffarini ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Blood Loss ◽  
Knee Arthroplasty ◽  
Control Group ◽  
Transfusion Rate ◽  
Significant Difference ◽  
Functional Scores ◽  
Bipolar Sealer ◽  
Total Knee ◽  
Without Tourniquet

AbstractSeveral methods were introduced to limit perioperative blood loss in total knee arthroplasty (TKA). By transcollation of soft tissues below 100°C, bipolar sealers intend to reduce bleeding and tissue damage, compared with conventional electrocautery. Existing studies report contradictory findings about the performance of bipolar sealers. The purpose of this study was to evaluate the effect of a bipolar sealer on blood loss, transfusions, hospital length of stay (LOS), and functional scores in primary TKA. In this single-center prospective study, 101 patients, undergoing primary TKA in a fast-track setting without tourniquet use, were randomly assigned to either (1) the study group which was operated with a bipolar sealer or (2) the control group operated with conventional electrocautery. The study cohort comprised 49 men and 52 women, aged 71.1 ± 8.8 years. There was no significant difference between the bipolar sealer group and the control group in terms of blood loss at day 3 (1,240 ± 547.4 vs. 1,376 ± 584.4 mL; p = ns [not significant]), transfusion rate (10 vs. 4%; p = ns), surgery time (48.2 ± 10.8 vs. 46.6 ± 9.1 minute; p = ns) or LOS (4.1 ± 2.7 vs 4.3 ± 2.0 days; p = ns). At a mean follow-up of 63.3 ± 4.9 days, there was no significant difference between the bipolar sealer group and the control group in terms of net improvement of Knee Society Score (KSS) knee (26.0 ± 16.7 vs. 23.7 ± 12.3; p = ns) and KSS function (20.4 ± 19.3 vs. 20.8 ± 19.9; p = ns). Compared with the use of conventional electrocautery in primary TKA without tourniquet, we found no effect of bipolar sealer use on blood loss, transfusion rates, LOS, or functional recovery. This is a Level II, prospective cohort study.

scholarly journals Fibrin tissue adhesive reduces postoperative blood loss in total knee arthroplasty

2012 ◽  
Vol 13 (3) ◽  
pp. 145-151 ◽  
Author(s):  
Luigi Sabatini ◽  
Andrea Trecci ◽  
Daniele Imarisio ◽  
Marco Davide Uslenghi ◽  
Giuseppe Bianco ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Blood Loss ◽  
Knee Arthroplasty ◽  
Tissue Adhesive ◽  
Postoperative Blood Loss ◽  
Fibrin Tissue Adhesive ◽  
Total Knee

Topical Application of Tranexamic Acid Reduces Postoperative Blood Loss in Total Knee Arthroplasty

2010 ◽  
Vol 92 (15) ◽  
pp. 2503-2513 ◽  
Author(s):  
Jean Wong ◽  
Amir Abrishami ◽  
Hossam El Beheiry ◽  
Nizar N Mahomed ◽  
J Roderick Davey ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Blood Loss ◽  
Tranexamic Acid ◽  
Topical Application ◽  
Knee Arthroplasty ◽  
Postoperative Blood Loss ◽  
Total Knee

Efficacy and Safety of Fibrin Glue and Tranexamic Acid to Prevent Postoperative Blood Loss in Total Knee Arthroplasty

2013 ◽  
Vol 95 (22) ◽  
pp. 2001-2007 ◽  
Author(s):  
X. Aguilera ◽  
M.J. Martinez-Zapata ◽  
A. Bosch ◽  
G. Urrútia ◽  
J.C. González ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Blood Loss ◽  
Tranexamic Acid ◽  
Fibrin Glue ◽  
Knee Arthroplasty ◽  
Postoperative Blood Loss ◽  
Efficacy And Safety ◽  
Total Knee

scholarly journals Late Tourniquet Release and Drain Clamping Reduces Postoperative Blood Loss in Total Knee Arthroplasty

2013 ◽  
Vol 10 (1) ◽  
pp. 2-5 ◽  
Author(s):  
Cemil Yildiz ◽  
Kenan Koca ◽  
Necmettin Kocak ◽  
Servet Tunay ◽  
Mustafa Basbozkurt
Keyword(s):  
Total Knee Arthroplasty ◽  
Blood Loss ◽  
Knee Arthroplasty ◽  
Postoperative Blood Loss ◽  
Tourniquet Release ◽  
Total Knee ◽  
Drain Clamping

scholarly journals The influence of previous arthroscopic treatment on subsequent total knee arthroplasty: the comparison between bilateral knees of the same patient

2020 ◽  
Author(s):  
Kui-shuai XU ◽  
Rui SHEN ◽  
Cai-lin WANG ◽  
Yan CHU ◽  
Xia ZHAO ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Functional Recovery ◽  
Knee Arthroplasty ◽  
Clinical Score ◽  
Arthroscopic Treatment ◽  
Continuous Variables ◽  
Functional Scores ◽  
Group A ◽  
Vas Scores ◽  
Total Knee

Abstract PurposeTo explore whether previous arthroscopic knee surgery affects future total knee arthroplasty results or not.Methods A total of 36 patients with the previous arthroscopic treatment on one knee underwent subsequent bilateral total knee arthroplasty in our hospital from September 2013 to July 2017. Data on each patient were collected in regards to changes in postoperative clinical and functional scores, various other scores, as well as postoperative functional recovery and complications. We defined the knees with a previous arthroscopic history as group A, and the counter side as group B.The Knee Society clinical score, functional scores, ROM, FJS, VAS scores were assessed before and after surgery. Using the Kolmogorov-Smirnov Test to test the normality of continuous variables, and the chi-square test to compare the rate of reoperation and complications between two groups. For all statistical comparisons, P<0.05 was considered significant.ResultsThere were no statistically significance differences found in postoperative Knee Society clinical scores and functional scores between group A and group B, as well as in ROM, FJS, VAS scores and local complications. Conclusion There were no statistically significant differences found in postoperative functional recovery and complications in patients, who underwent total knee arthroplasty with previous knee arthroscopy.

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