Knee manipulation following total knee arthroplasty

作者: Daniel Daluga , Adolph V. Lombardi , Thomas H. Mallory , Bradley K. Vaughn

DOI: 10.1016/S0883-5403(11)80006-9

关键词: SurgeryTotal knee arthroplastyFemoral componentHeterotopic ossificationArthroplastyKnee flexionMedicinePosterior stabilizedJoint line

摘要: Abstract In an effort to identify prognostic indicators for knee manipulation, the authors retrospectively reviewed records of 60 osteoarthritic patients with posterior stabilized implants who required manipulation (94 knees) between January 1984 and December 1986. They also studied 28 consecutive were implanted 41 knees 1985 September whose did not require (control group). both patient groups following parameters assessed compared: overall alignment, joint line elevation, anterior (AP) dimension knee, AP placement tibial component, patellar height, obesity, age, preoperative flexion, time single vs bilateral implants, final Hospital Special Surgery (HSS) score, development heterotopic ossification. The findings this study showed that increase in by 12% or greater was a critically independent variable significantly pre- disposed manipulation. show quadriceps adhesions another major factor leading rupturing these led This review indicated 3 months after arthroplasty significant evaluation because flexion HSS score at point patient's recovery positively correlated score.

参考文章(17)
H E Figgie, V M Goldberg, K G Heiple, H S Moller, N H Gordon, The influence of tibial-patellofemoral location on function of the knee in patients with the posterior stabilized condylar knee prosthesis Journal of Bone and Joint Surgery, American Volume. ,vol. 68, pp. 1035- 1040 ,(1986) , 10.2106/00004623-198668070-00009
J L Fox, R Poss, The role of manipulation following total knee replacement. Journal of Bone and Joint Surgery, American Volume. ,vol. 63, pp. 357- 362 ,(1981) , 10.2106/00004623-198163030-00005
D J Schurman, J N Parker, D Ornstein, Total condylar knee replacement. A study of factors influencing range of motion as late as two years after arthroplasty. Journal of Bone and Joint Surgery, American Volume. ,vol. 67, pp. 1006- 1014 ,(1985) , 10.2106/00004623-198567070-00003
J Insall, W N Scott, C S Ranawat, The total condylar knee prosthesis. A report of two hundred and twenty cases. The Journal of Bone & Joint Surgery. ,vol. 61, pp. 173- 180 ,(1979) , 10.2106/00004623-197961020-00003
Jeffrey P. Cella, Eduardo A. Salvati, Thomas P. Sculco, Indomethacin for the prevention of heterotopic ossification following total hip arthroplasty Journal of Arthroplasty. ,vol. 3, pp. 229- 234 ,(1988) , 10.1016/S0883-5403(88)80020-2
Kelly G. Vince, Michael A. Kelly, Janis Beck, John N. Insall, Continuous passive motion after total knee arthroplasty Journal of Arthroplasty. ,vol. 2, pp. 281- 284 ,(1987) , 10.1016/S0883-5403(87)80060-8
Richard D. Scott, Treatment of patellar instability associated with total knee replacement Techniques in Orthopaedics. ,vol. 3, pp. 9- 14 ,(1988) , 10.1097/00013611-198807000-00004
Lee F. Rogers, Fractures and dislocations of the elbow Seminars in Roentgenology. ,vol. 13, pp. 97- 107 ,(1978) , 10.1016/0037-198X(78)90028-7
James A. Rand, Ramon B. Gustilo, Technique of patellar resurfacing in total knee arthroplasty Techniques in Orthopaedics. ,vol. 3, pp. 57- 66 ,(1988) , 10.1097/00013611-198807000-00010