Keblish's lateral surgical approach enhances patellar tilt in valgus knee arthroplasty

Filho, José Roberto Tonelli; Passarelli, Marcus Ceregatti; Brito, João Alberto Salles; Campos, Gustavo Constantino de; Zorzi, Alessandro Rozim; Miranda, João Batista de

doi:10.1016/j.rboe.2016.10.010

Cited by 7 publications

(8 citation statements)

References 24 publications

(29 reference statements)

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“…When comparing the results of the surgeries performed with and without a tourniquet, no clear benefit was observed for either, as the greater amount of pain exhibited by the non-tourniquet group was only evident for a short period, and the improved mobility in the latter was not observed at a clinically relevant level. The lateral via provided better postoperative lateral patellar tilt in valgus knee arthroplasties 55 . The ERAS Program is safer and more effective in elderly patients with TKA compared to the traditional route.…”

Section: Discussionmentioning

confidence: 93%

Strategies for the management of postoperative pain in total knee arthroplasty: integrative review

Morete-Pinto¹,

Sousa-Correa²

2021

Brazilian Journal of Pain

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BACKGROUND AND OBJECTIVES:Total knee arthroplasty is one of the most common surgeries performed on patients with osteoarthritis or rheumatic arthritis of the knee. However, total knee arthroplasty is associated with moderate to severe pain after the operation. In orthopedics, the prevalence of chronic pain after total knee arthroplasty is much higher than after total hip arthroplasty. The aim of this study was to analyze the current knowledge about postoperative pain in knee arthroplasty. CONTENTS: An integrative review of clinical trials published in English and Portuguese was carried out in the Scielo, Pubmed and LILACS databases. The inclusion criteria consisted of articles published in the last five years, available in full, that addressed the proposed theme. Editorials, letters to the editor, dissertations, repeated articles that did not correspond to the theme were excluded. The search and selection process of the studies followed the PRISMA recommendations. Of the 155 articles found, 58 articles were selected for the present study following the above-mentioned recommendations. CONCLUSION: Several classes of local and systemic drugs, including non-steroidal anti-inflammatory drugs, opioids, and local anesthetics have been used to fight the nociceptive component of postoperative pain. Furthermore, early rehabilitation contributes to better quality of life, self-esteem and reduce the time of hospitalization and hospital expenses.

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Section: Discussionmentioning

confidence: 93%

Strategies for the management of postoperative pain in total knee arthroplasty: integrative review

Morete-Pinto¹,

Sousa-Correa²

2021

Brazilian Journal of Pain

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“…Filho et al. 21 found that a lateral approach provided better patellar tilt following TKA in valgus osteoarthritic knees. Finally, Niki et al.…”

Section: Discussionmentioning

confidence: 99%

“…Chalidis et al 31 found that a lateral approach combined with TTO was an effective technique for addressing non-correctable valgus deformity during TKA. Filho et al 21 found that a lateral approach provided better patellar tilt following TKA in valgus osteoarthritic knees. Finally, Niki et al 19 found that lateral minimally invasive TKA might offer a useful technical option that can be utilized for most patients with valgus deformity.…”

Section: Discussionmentioning

confidence: 99%

“…Both lateral and medial approaches resulted in significant changes in mean postoperative valgus angle compared with the mean preoperative values. Some studies showed no significant differences in outcome measures between the two approaches, 17,[19][20][21][22] while other studies showed superior VAS score, KSS score, postoperative ROM, and knee flexion in groups using a lateral approach. 16,18…”

Section: Complications Using the Lateral Or Medial Approachmentioning

confidence: 99%

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Lateral or medial approach for valgus knee in total knee arthroplasty - which one is better? A systematic review

Wang

Xing

et al. 2019

J Int Med Res

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ObjectiveTo identify whether the medial or lateral approach is superior for patients with valgus knees undergoing primary total knee arthroplasty (TKA).MethodsStudies evaluating the 2 approaches were sourced from the PUBMED, EMBASE, Web of Science, and OVID databases. The quality of included studies was assessed using a modified quality evaluation method, and differences between approaches were systematically reviewed.ResultsSeventeen observational studies were included. The studies were published between 1991 and 2016, and included 5 retrospective studies and 12 prospective studies. Sixteen evaluation methods for the study outcomes were identified. Twelve and eight complication types were identified by studies reporting the lateral and medial approaches for valgus knee, respectively. Several studies showed that pain scores and knee function were superior using a lateral approach.ConclusionThe lateral approach (combined with a tibial tubercle osteotomy or proximal quadriceps snip) was more useful and safer than the medial approach in the treatment of severe uncorrectable valgus knee deformity in patients undergoing TKA. Most of the available evidence supports the use of a lateral approach provided that the surgeon is familiar with the pathological anatomy of the valgus knee.

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“…It is recognized that the correction of a valgus deformity has technical particularities that need to be recognized by the knee surgeon when performing a TKA. It comprises surgical approach, bone cuts, and mostly ligament balance [1,2,4].…”

Section: Introductionmentioning

confidence: 99%

Total Knee Arthroplasty in Valgus Knee

Zorzi¹,

Brito²,

Campos³

et al. 2023

Arthroplasty - Advanced Techniques and Future Perspectives

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Total knee arthroplasty in valgus knee deformities continues to be a challenge. It comprises only 10% of patients who undergo total knee arthroplasty. The surgeon should be aware of the technical aspects that differentiate it from the varus deformity: surgical exposure, bone cuts, ligament balancing, gap balancing, joint line obliquity, patellar tracking, preserving fibular nerve function, and selection of the implant. The aim of this chapter is to provide step-by-step comprehensive knowledge about different surgical techniques for the correction of severe valgus deformity in total knee arthroplasty.

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Keblish's lateral surgical approach enhances patellar tilt in valgus knee arthroplasty

Cited by 7 publications

References 24 publications

Strategies for the management of postoperative pain in total knee arthroplasty: integrative review

Strategies for the management of postoperative pain in total knee arthroplasty: integrative review

Lateral or medial approach for valgus knee in total knee arthroplasty - which one is better? A systematic review

Total Knee Arthroplasty in Valgus Knee

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