Range of motion and function are similar in patients undergoing TKA with posterior stabilised and high-flexion inserts.

Abstract:

:It is debatable whether high-flexion (HF) total knee arthroplasty (TKA) designs will improve postoperative flexion and function or will diminish the need for manipulation under anaesthesia (MUA). We retrospectively analysed range of motion (ROM), flexion, Knee Society Score (KSS), and rate of MUA in a consecutive group of patients who underwent TKA with a conventional posterior stabilised (PS) insert or an HF insert using identical surgical technique, implant design, and postoperative care. Fifty TKAs with a standard PS insert were matched for patient's age, gender, preoperative ROM, and KSS with 50 TKA performed with an HF insert. The patient's ROM and KSS were evaluated at six weeks, four months, and one year postoperatively. The outcome variables (flexion, ROM, KSS, and manipulation rate) in both groups were compared using the generalised estimating equations method. A second analysis of patients with preoperative flexion ≥120° was performed. The ROM, flexion, and patient-reported KSS was similar in both groups at each time period. The rate of MUA was also similar. Patients with a preoperative ROM of at least 120° showed similar results. Our study found that one year after surgery, patients who underwent TKA with a PS or an HF insert achieved similar flexion, ROM, and function.

journal_name

Int Orthop

authors

Malik A,Salas A,Ben Ari J,Ma Y,González Della Valle A

doi

10.1007/s00264-009-0865-3

subject

Has Abstract

pub_date

2010-10-01 00:00:00

pages

965-72

issue

7

eissn

0341-2695

issn

1432-5195

journal_volume

34

pub_type

杂志文章
  • Mini-invasive surgical repair of the Achilles tendon--does it reduce post-operative morbidity?

    abstract::The surgical benefit of minimally invasive tendo Achilles repair (n = 25) with early weight-bearing mobilisation after rupture of the tendo Achilles was compared with operative treatment using an open technique (n = 34) with full weight-bearing after 8 weeks of surgical repair. The minimally invasive technique provide...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-008-0564-5

    authors: Bhattacharyya M,Gerber B

    更新日期:2009-02-01 00:00:00

  • Patient-related quality of life after pelvic ring fractures in elderly.

    abstract:PURPOSE:Pelvic ring fractures, occurring in elderly patients are a challenging problem. Little known is about the patient-related outcome after these injuries. The primary objective of this study is to evaluate the quality of life after pelvic ring injuries in patients aged over 60 years. METHODS:Patients (≥ 60 years)...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-018-4030-8

    authors: Schmitz P,Lüdeck S,Baumann F,Kretschmer R,Nerlich M,Kerschbaum M

    更新日期:2019-02-01 00:00:00

  • Fluconazole in the therapy of multiple osteomyelitis in African histoplasmosis.

    abstract::Amphotericin B has been the standard treatment for deep mycoses including African histoplasmosis, but its use is complicated by its toxicity. More recently, Fluconazole, a water-soluble triazole with antimycotic activity and little side effects, has become available. A case of African histoplasmosis from Nigeria, mani...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s002640050312

    authors: Onwuasoigwe O

    更新日期:1999-01-01 00:00:00

  • Short and long-arm fiberglass cast immobilization for displaced distal forearm fractures in children: a randomized controlled trial.

    abstract:PURPOSE:The aim of this study was to investigate whether short-arm fiberglass cast (SAC) immobilization provides fracture stabilization comparable to that of long-arm cast (LAC) treatment of displaced distal forearm fractures after closed reduction in paediatric patients. METHODS:A prospective, randomized, controlled ...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-020-04800-w

    authors: Seiler M,Heinz P,Callegari A,Dreher T,Staubli G,Aufdenblatten C

    更新日期:2020-09-17 00:00:00

  • Low level laser treatment of chondromalacia patellae.

    abstract::A randomized, double blind study of low level laser treatment of chondromalacia of the patella in 40 patients has been undertaken. Chondromalacia was established by arthroscopy and was related to subjective symptoms. Eight treatments were given during five weeks by a physiotherapist with the use of a GAAS pulsed laser...

    journal_title:International orthopaedics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1007/BF00186879

    authors: Rogvi-Hansen B,Ellitsgaard N,Funch M,Dall-Jensen M,Prieske J

    更新日期:1991-01-01 00:00:00

  • Management of unstable thoracolumbar spinal injuries by posterior short segment spinal fixation.

    abstract::Fifty patients with thoracolumbar fractures were treated operatively between July 2000 and December 2001. The average age of the patients was 33.6 years (range: 20-50 years), 36 were males and 14 were females and the follow-up averaged 59 months (range: 49-68 months). A fall from a height, usually a tree, was the most...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-006-0161-4

    authors: Butt MF,Farooq M,Mir B,Dhar AS,Hussain A,Mumtaz M

    更新日期:2007-04-01 00:00:00

  • Comparison of two total knee prostheses on the incidence of patella clunk syndrome.

    abstract::The patella clunk syndrome is not an uncommon complication, particularly after posterior-stabilized (PS) total knee arthroplasty. The present study was a consecutive unselected series comparing the incidence of the patella clunk syndrome amongst two comparable groups of elderly patients with knee arthritis implanted w...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-001-0316-2

    authors: Ip D,Wu WC,Tsang WL

    更新日期:2002-01-01 00:00:00

  • The horizontal plane appearances of scoliosis: what information can be obtained from top-view images?

    abstract:PURPOSE:A posterior-anterior vertebral vector is proposed to facilitate visualization and understanding of scoliosis. The aim of this study was to highlight the interest of using vertebral vectors, especially in the horizontal plane, in clinical practice. METHODS:We used an EOS two-/three-dimensional (2D/3D) system an...

    journal_title:International orthopaedics

    pub_type: 杂志文章,评审

    doi:10.1007/s00264-017-3548-5

    authors: Illés TS,Burkus M,Somoskeőy S,Lauer F,Lavaste F,Dubousset JF

    更新日期:2017-11-01 00:00:00

  • Monobloc radial head prostheses in complex elbow injuries: results after primary and secondary implantation.

    abstract:PURPOSE:Dislocations of components, loosening of the stem, overstuffing and removal in up to 24 % of common radial head prostheses (RHP) after implantation in complex elbow injuries signal the need for improvement. The latest biomechanical evidence shows advantages for monopolar designs. Clinical results after primary ...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-012-1747-7

    authors: Katthagen JC,Jensen G,Lill H,Voigt C

    更新日期:2013-04-01 00:00:00

  • Dual-mobility cups could yield lesser infections than conventional cups: a meta-analysis of comparative studies.

    abstract:INTRODUCTION:Dual-mobility cups (DMC) are gaining popularity mainly for their reduced rate of dislocation following total hip arthroplasty (THA). Currently, indication for DMC use extends beyond patients with high risk of dislocation or revision THA cases. Many authors reported DMC outcomes in primary THA for all aetio...

    journal_title:International orthopaedics

    pub_type: 杂志文章,评审

    doi:10.1007/s00264-020-04791-8

    authors: Assi C,Mansour J,Prudhon JL,Caton J,Yammine K

    更新日期:2020-09-19 00:00:00

  • Is computed tomography an accurate and reliable method for measuring total knee arthroplasty component rotation?

    abstract:PURPOSE:Computed tomography (CT) is widely used to assess component rotation in patients with poor results after total knee arthroplasty (TKA). The purpose of this study was to simultaneously determine the accuracy and reliability of CT in measuring TKA component rotation. METHODS:TKA components were implanted in dry-...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-015-2917-1

    authors: Figueroa J,Guarachi JP,Matas J,Arnander M,Orrego M

    更新日期:2016-04-01 00:00:00

  • Orthopaedic complications in sickle cell disease. A comparative study from two regions in Saudi Arabia.

    abstract::The haematological and orthopaedic complications of patients with sickle cell disease from two different regions of Arabia are presented. Nineteen patients from the South-western region were matched for age and sex with an equal number from the Eastern region. The mean sickle cell haemoglobin was 75.95% in those from ...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/BF00182718

    authors: Sadat-Ali M,Geeranavar SS,As-Suhaimi S

    更新日期:1992-01-01 00:00:00

  • Myeloscopy, with special reference to blood flow changes in the cauda equina during Lasègue's test.

    abstract::Myeloscopy has been undertaken in a series of 208 patients without any serious complications. Observations have been made of changes in blood flow in the vessels accompanying the cauda equina during Lasègue's test and in some pathological states. Direct observation of the nucleus pulposus has been achieved and the pos...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/BF00266074

    authors: Ooi Y,Satoh Y,Inoue K,Mikanagi K,Morisaki N

    更新日期:1981-01-01 00:00:00

  • Resurfacing hemiarthroplasty compared to stemmed hemiarthroplasty for glenohumeral osteoarthritis: a randomised clinical trial.

    abstract:PURPOSE:The aim of this study was to conduct a randomised, clinical trial comparing stemmed hemiarthroplasty and resurfacing hemiarthroplasty in the treatment of glenohumeral osteoarthritis. METHODS:A total of 40 shoulders (35 patients) were randomised to stemmed hemiarthroplasty or resurfacing hemiarthroplasty and ev...

    journal_title:International orthopaedics

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00264-014-2505-9

    authors: Rasmussen JV,Olsen BS,Sorensen AK,Hróbjartsson A,Brorson S

    更新日期:2015-02-01 00:00:00

  • The techniques of soft tissue release and true socket reconstruction in total hip arthroplasty for patients with severe developmental dysplasia of the hip.

    abstract:PURPOSE:Total hip arthroplasty (THA) is an effective procedure for developmental dysplasia of the hip (DDH); however, it is sometimes difficult to complete for severe cases because of femoral head dislocation, dysplasia of the acetabulum and the femur, disparity in limb length, soft tissue contraction, and muscular atr...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-012-1622-6

    authors: Wu X,Li SH,Lou LM,Cai ZD

    更新日期:2012-09-01 00:00:00

  • Replacement arthroplasty using the Charnley prosthesis in old tuberculosis of the hip.

    abstract::This report is based upon a retrospective study of a consecutive series of twenty patients who had tuberculosis of the hip in quiescent state. Two patients had only a short history but were included in this study. An interesting feature at the time of operation was that in many cases the bone showed old features of tu...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/BF00266330

    authors: Kim YY,Ko CU,Lee SW,Kwak BM

    更新日期:1979-01-01 00:00:00

  • Discoid lateral meniscus.

    abstract::Discoid meniscus is uncommon and usually affects the lateral meniscus. We present 16 patients (8 male and 6 female) with tears of a discoid lateral meniscus occurring in 1800 arthroscopies. We carried out an arthroscopic partial meniscectomy leaving an intact peripheral rim. This is biomechanically satisfactory and th...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/BF00179715

    authors: Fritschy D,Gonseth D

    更新日期:1991-01-01 00:00:00

  • [Treatment of posterior cruciate ligament rupture and recent knee dislocations by olecranisation of the patella without surgical repair].

    abstract::Olecranisation of the patella was described and first used by Grammont (1984) to maintain reduction of the knee joint after posterior cruciate repair and reconstruction. Since 1985 we used this technique in 18 acute posterior ruptures and knee dislocations which did not undergo surgery. Knee laxity is assessed under g...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/BF00181106

    authors: Rouvillain JL,Dib C,Bahuet F,Delattre O,Catonne Y

    更新日期:1995-01-01 00:00:00

  • Hamstring tendon anterior cruciate ligament reconstruction: does gracilis tendon harvest matter?

    abstract:PURPOSE:Hamstring tendon grafts are a popular choice for anterior cruciate ligament (ACL) reconstruction. Typical morbidity reported after hamstring tendon harvest is muscle weakness in flexion, and whilst still a matter for debate, this morbidity may be greater if the gracilis tendon is harvested in addition to the se...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-012-1672-9

    authors: Barenius B,Webster WK,McClelland J,Feller J

    更新日期:2013-02-01 00:00:00

  • Age-related appearance of muscle trauma in primary total hip arthroplasty and the benefit of a minimally invasive approach for patients older than 70 years.

    abstract::Old age is frequently associated with a poorer functional outcome after THA. This might be based upon muscular damage resulting from surgical trauma. Minimally invasive approaches have been widely promoted on the basis of the muscle sparing effect. The aim of the study was to evaluate of the functional outcome and the...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-010-1166-6

    authors: Müller M,Tohtz S,Dewey M,Springer I,Perka C

    更新日期:2011-02-01 00:00:00

  • Extra-articular tuberculous osteomyelitis. A report of 11 cases.

    abstract::Eleven cases of extra-articular tuberculous osteomyelitis are presented. Eight of the patients were children. Ten were treated by curettage and chemotherapy and the diagnosis proved by histology or positive culture of the tubercle bacillus. One case was diagnosed because she also had tuberculous salpingitis, and she w...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s002640050056

    authors: Huang CH

    更新日期:1996-01-01 00:00:00

  • Combined use of tranexamic acid and rivaroxaban in posterior lumbar interbody fusion safely reduces blood loss and transfusion rates without increasing the risk of thrombosis-a prospective, stratified, randomized, controlled trial.

    abstract:PURPOSE:This prospective, stratified, randomized, single-blind, placebo-controlled multicentre study investigated the safety and effectiveness of reducing blood loss and preventing venous thromboembolism (VTE) during posterior lumbar interbody fusion (PLIF) in patients with stenosis or spondylolisthesis using the combi...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-020-04699-3

    authors: Zhang L,Li Y,Liu D,Xiao X,Guan T,Yue H,Xue H,Zhou H,Jiao G,Wu W,Wang H,Liu H,Meng C,Sun Z,Chen Y

    更新日期:2020-10-01 00:00:00

  • Fixation of periprosthetic or osteoporotic distal femoral fractures with locking plates: a pilot randomised controlled trial.

    abstract:INTRODUCTION:We hypothesised that the use of a polyaxial locking plate design offers the same clinical benefits as a monoaxial locking plate system following distal femoral osteoporotic/periprosthetic fracture fixation. METHOD:A multicentre prospective randomised pilot trial was conducted. Inclusion criteria were pati...

    journal_title:International orthopaedics

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1007/s00264-018-4061-1

    authors: Kanakaris NK,Obakponovwe O,Krkovic M,Costa ML,Shaw D,Mohanty KR,West RM,Giannoudis PV

    更新日期:2019-05-01 00:00:00

  • Anterior plating as a surgical alternative in the treatment of humeral shaft non-union.

    abstract::This study included 15 patients with humeral shaft fractures who had no clinical, radiological or bone scan signs of healing after eight months. The patients were followed for a mean of 35.8 months. No patient was lost to follow-up. Anterior plating of humeral shaft nonunion via an anterior approach was performed usin...

    journal_title:International orthopaedics

    pub_type: 临床试验,杂志文章

    doi:10.1007/s00264-009-0863-5

    authors: Livani B,Belangero W,Medina G,Pimenta C,Zogaib R,Mongon M

    更新日期:2010-10-01 00:00:00

  • Surgical treatment for young adult hip dysplasia: joint-preserving options.

    abstract::Developmental dysplasia of the hip (DDH) is a spectrum of disorders that results in anatomic abnormalities leading to increased contact stress in the joint and, eventually, secondary osteoarthritis. However, many patients with DDH become symptomatic before the severe degenerative changes of the hip because of abnormal...

    journal_title:International orthopaedics

    pub_type: 杂志文章,评审

    doi:10.1007/s00264-015-2927-z

    authors: Chen M,Shang XF

    更新日期:2016-05-01 00:00:00

  • Postoperative changes of early-phase inflammatory indices after uncomplicated anterior cervical discectomy and fusion using allograft and demineralised bone matrix.

    abstract:PURPOSES:We investigated sequential levels of C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) in uncomplicated ACDF (anterior cervical discectomy and fusion) using allograft and DBM (demineralised bone matrix) for primary cervical spondylosis and/or disc herniation. To our knowledge, there has been no...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-012-1645-z

    authors: Kong CG,Kim YY,Park JB

    更新日期:2012-11-01 00:00:00

  • Multimodal nerve monitoring during periacetabular osteotomy identifies surgical steps associated with risk of injury.

    abstract:PURPOSE:Sciatic nerve palsy after periacetabular osteotomy (PAO) is a serious complication. The purpose of this study was to determine whether a multimodal sciatic monitoring technique allows for identification of surgical steps that place the sciatic nerve at risk. METHODS:Transcranial electrical motor evoked potenti...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-016-3394-x

    authors: Novais EN,Heare T,Kestel L,Oliver P,Boucharel W,Koerner J,Strupp K

    更新日期:2017-08-01 00:00:00

  • Morphometric evaluation of the knee in Chinese population reveals sexual dimorphism and age-related differences.

    abstract:PURPOSE:Morphologic data of the knee is very important in the design of total knee prostheses. Generally, the designs of the total knee prostheses are based on the knee anatomy of Caucasian population. Moreover, in forensic medicine, a person's age and sex might be estimated by the shape of their knees. The aim of this...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-018-3826-x

    authors: Li K,Cavaignac E,Xu W,Cheng Q,Telmon N,Huang W

    更新日期:2018-10-01 00:00:00

  • The impact of curettage technique on local control in giant cell tumour of bone.

    abstract:INTRODUCTION:Although consensus has been reached regarding the main aspects of intralesional surgery for giant cell tumour of the bone (GCTB), debates continue about the most effective combination of local adjuvants. The purpose of study was to analyze the previous experience and determine the most effective curettage ...

    journal_title:International orthopaedics

    pub_type: 杂志文章,评审

    doi:10.1007/s00264-020-04860-y

    authors: Machak GN,Snetkov AI

    更新日期:2020-10-22 00:00:00

  • Accuracy of the correction obtained after tibial valgus osteotomy. Comparison of the use of the Hernigou table and the so-called classical method.

    abstract:INTRODUCTION:Medial valgus-producing tibial osteotomy (MVTO) is classically used to treat early medial femorotibial osteoarthritis. Long-term results depend on the mechanical femorotibial angle (HKA) obtained at the end of the procedure. A correction goal between 3 and 6° valgus is commonly accepted. Several planning m...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-020-04777-6

    authors: Nicolau X,Bonnomet F,Micicoi G,Eichler D,Ollivier M,Favreau H,Ehlinger M

    更新日期:2020-12-01 00:00:00