All other studied parameters were not significantly different. PS prosthesis better in postoperative knee motion, posterior knee pain at passive flexion and patient satisfaction. A meticulous operative technique, respecting the soft tissue envelope, and knowing the principles of alignment and soft tissue balancing are some of the parameters that may be of major relevance in achieving optimal results for TKA patients. No significant differences between groups with regard to the incidence of anterior knee pain. Recent studies estimated that the global burden of radiologically confirmed, symptomatic knee OA in was estimated to be 3. No differences in clinical outcomes.
Alcelik et al[ 21 ], in a meta-analysis of randomized controlled trials in the same year, agreed that the use of a tourniquet restricted total blood loss, but was accompanied by a significantly higher rate of minor complications and did not affect the time of surgery and the incidence of thromboembolism. Posterior cruciate ligament; PS: To use a tourniquet or not Tourniquet effective for reducing intraoperative blood loss but not for reducing the postoperative blood loss and total blood loss Olivecrona et al[ 24 ] Randomized controlled trial. Yagishita et al[ 13 ]. Patella resurfacing vs nonresurfacing in patients undergoing bilateral TKA.
Common controversies in total knee replacement surgery: Current evidence
Elaboration of french clinical practice guidelines. Recently published articles from Journal of Arthroplasty.
Molt et al[ 27 ]. Tourniquet use during cementation only during total knee arthroplasty: Furthermore, Fu et al[ 41 ] in published a meta-analysis in which they did not support patellar resurfacing as a matter of routine, as they did not notice a marked advantage, although they did note that this method reduced the risk of reoperation. These conflicting results are an indication that larger and better conducted high quality trials are needed in order to gain more secure answers.
Continuous passive motion; VTE: Beaupre et al[ 43 ykr inperformed a randomized controlled trial, with a follow-up of years, in which they agreed that patellar resurfacing showed no difference thssis non-resurfacing regarding knee specific outcomes, like pain, stiffness, and function.
Recent Journal of Arthroplasty Articles – Elsevier
The effect of tourniquet use on hidden blood loss in total knee arthroplasty. No significant differences between the 2 groups in terms of total Knee Society score, Knee Society pain score, Knee Society function score and anterior knee pain rate. Projections of primary and revision hip and fopics arthroplasty in the united states from to Patients undergoing TKA through a standard medial parapatellar approach assigned to either retraction or eversion of the patella groups No significant clinical differences in the early to medium term.
However, inSeon et al[ 12 ] published another prospective randomized study which also compared high-flexion posterior-stabilized TKA with high-flexion posterior-retained TKA and disagreed: Also inPavlou et al[ 40 ] expressed the same opinion by performing a meta-analysis which indicated that patellar resurfacing did not significantly affect anterior knee pain and functional outcomes.
Alkire et al[ 32 ]. To resurface patella or not? A few years later, Burnett et al[ 37 ] inpublished the updated data from the previous randomized trial.
Search for dissertations about: “thesis on total knee replacement”
Tourniquet cuff pressure based on measurement of the limb occlusion pressure had less wound complications. Liu et al[ 46 ]. To strengthen this point of view, Smith et al[ 19 ] thexiswith their meta-analysis and systematic review, concluded that the use of a tourniquet was combined with significantly greater incidence of pulmonary embolism, blisters, deep vein thrombosis, superficial wound healing disorders, hematoma, peroneal nerve palsy, and greater intraoperative blood loss, but no significant difference in total blood loss.
Early recovery after total knee arthroplasty performed with and without patellar eversion and tibial translation. Arch Orthop Trauma Surg. See yesterday’s most popular searches here. With patella retraction, there may be an increased risk of damage to the patellar tendon and increased risk in implant malpositioning.
Tourniquet release either before or after wound closure Tourniquet release before wound closure increases the blood loss. Patellar eversion and anterior tibial translation vs patellar subluxation and no tibial translation No significant differences between the treatment groups at 6 wk, 12 wk or 6 mo after surgery Walter et al[ 49 ] Prospective, randomized, blinded study.
Thesis topics on tkr – Current position
Tourniquet increased postoperative pain and reduced the range of knee motion. Knee surgery, sports traumatology, arthroscopy: Topisc significant difference between the 2 groups regarding functional outcome, reoperation rate, and total health care cost at 5 yr post TKR. Submit Your Paper Enter your login details below. Umrani et al[ 52 ].
Under any topics, the tkr of such an industry will be modest at best. A randomized prospective study evaluating the effect of patellar eversion on the early functional outcomes in primary total knee arthroplasty.
Magnus Tveit ; Lunds universitet. No significant difference in knee function, postoperative complications and patient satisfaction.