A Brief History of Total Knee Arthroplasty

Makridis, Konstantinos G.; Karachalios, Theofilos

doi:10.1007/978-1-4471-6660-3_1

Cited by 4 publications

(5 citation statements)

References 26 publications

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“…Total knee arthroplasty has been the most common surgery for treating patients with end-stage knee osteoarthritis since early 1980 [ 41 ]. Although multiple studies have shown that TKA improves patients’ pain and physical function [ 1 , 2 , 42 ], up to 60% of post-TKA patients experience falls within the first year after surgery [ 5 , 43 , 44 ].…”

Section: Discussionmentioning

confidence: 99%

Acceptability and feasibility of a community-based strength, balance, and Tai Chi rehabilitation program in improving physical function and balance of patients after total knee arthroplasty: study protocol for a pilot randomized controlled trial

Brodie

Tsang

et al. 2021

Trials

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Background The rate of falls in patients after total knee arthroplasty (TKA) is high and related to lower limb muscle weakness and poor balance control. However, since routine post-TKA rehabilitation is uncommon, it is paramount to explore alternative strategies to enhance balance and physical functioning in post-TKA patients. As Tai Chi is a proven strategy for improving balance in older people, the proposed study aims to determine the feasibility and acceptability of a 12-week community-based post-TKA multimodal Tai Chi program and to collect preliminary data with respect to the efficacy of such a program in improving balance and physical functioning in post-TKA patients as compared to usual postoperative care. Methods A single-blinded 2-arm pilot randomized controlled trial will recruit 52 community-dwelling post-TKA patients (aged > 60 years) in Hong Kong. In addition, 26 untreated asymptomatic controls will be recruited for comparison purposes. The TKA patients will be randomized into either a 12-week multimodal Tai Chi rehabilitation group or a postoperative usual care group (26 each). Participants will perform the outcome assessments at baseline, 6, 12, 24, and 52 weeks after TKA, while asymptomatic controls will have the same assessments at baseline, 12, and 52 weeks after baseline. The rate of recruitment, retention, and attrition, as well as adherence to the intervention, will be measured and used to determine the feasibility of the study and whether a full-scale effectiveness trial is warranted. Further, qualitative interviews will be conducted to explore the acceptability and possible barriers to the implementation of the intervention. Primary and secondary outcomes including both patient-reported surveys and performance-based tests will be compared within and between groups. Discussion The study will determine the feasibility and acceptability/potential efficacy of community-based rehabilitation for post-TKA patients and assess whether the intervention has the potential to be assessed in a future fully powered effectiveness trial. The findings will also be used to refine the study design and guide the conduction of a future definitive randomized controlled trial. Trial registration ClinicalTrials.gov NCT03615638. Registered on 30 May 2018. https://clinicaltrials.gov/ct2/show/NCT03565380

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Section: Discussionmentioning

confidence: 99%

Acceptability and feasibility of a community-based strength, balance, and Tai Chi rehabilitation program in improving physical function and balance of patients after total knee arthroplasty: study protocol for a pilot randomized controlled trial

Brodie

Tsang

et al. 2021

Trials

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“…In the 1860s, Verneuil introduced knee arthroplasty to treat diseased knee rigidity by establishing a septum in the joint space using surrounding soft tissue or fascia. 2 Gluck performed a total hip arthroplasty (THA) in 1891 using a femoral head and acetabular cup constructed from ivory, subsequently fixed with Nickel plated screws. 3 The significance of the stiffness and durability of implantations in bearing joints emerged over time, leading to the utilization of metallic insertion.…”

Section: History and Characteristics Of The Metallic Prosthesismentioning

confidence: 99%

“…Attempts to use materials like nylon and glass in diseased knees likewise failed. 2 Smith Peterson debuted the first acetabular cup in 1938 constructed using Cobalt-Chromium-Molybdenum alloy (Co-Cr-Mo), inspired by dental materials. 6 However, a single metallic cup worsened friction between itself and the femoral head, resulting in bone necrosis and pain.…”

Section: History and Characteristics Of The Metallic Prosthesismentioning

confidence: 99%

“… 6 Different types of metallic molds were also utilized as femoral or tibial hemiarthroplasties in knee replacements until the mid-twentieth century, inspired by the application of Co-Cr-Mo alloy in diseased hip joints. 2 After 1950, knee prosthesis development focused more on biomechanics than on materials. The transition from fully restrictive hinged prostheses to semi-restrictive and non-restrictive total condylar prostheses for total knee arthroplasty (TKA) today was a result of such focus.…”

Section: History and Characteristics Of The Metallic Prosthesismentioning

confidence: 99%

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Prosthetic Metals: Release, Metabolism and Toxicity

Zhong,

Pan,

Chen

et al. 2024

IJN

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The development of metallic joint prostheses has been ongoing for more than a century alongside advancements in hip and knee arthroplasty. Among the materials utilized, the Cobalt-Chromium-Molybdenum (Co-Cr-Mo) and Titanium-Aluminum-Vanadium (Ti-Al-V) alloys are predominant in joint prosthesis construction, predominantly due to their commendable biocompatibility, mechanical strength, and corrosion resistance. Nonetheless, over time, the physical wear, electrochemical corrosion, and inflammation induced by these alloys that occur post-implantation can cause the release of various metallic components. The released metals can then flow and metabolize in vivo, subsequently causing potential local or systemic harm. This review first details joint prosthesis development and acknowledges the release of prosthetic metals. Second, we outline the metallic concentration, biodistribution, and elimination pathways of the released prosthetic metals. Lastly, we discuss the possible organ, cellular, critical biomolecules, and significant signaling pathway toxicities and adverse effects that arise from exposure to these metals.

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“…TKA has been proven to be an effective surgical treatment for end stage osteoarthritis with substantial improvements in functional outcome and quality of life [20]. However, with an increasingly ageing population that is staying active after retirement, there is a paradigm shift in patients’ long term expectations after TKA [23].…”

Section: Introductionmentioning

confidence: 99%

Improvements in functional outcome and quality of life are not sustainable for patients ≥ 68 years old 10 years after total knee arthroplasty

Woo

Chen

Lai

et al. 2020

Knee Surg Sports Traumatol Arthrosc

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Purpose The aims of this study are to evaluate whether improvements in functional outcome and quality of life are sustainable 10 years after total knee arthroplasty (TKA), and the age cutoff for clinical deterioration in outcomes Methods Prospectively collected registry data of 120 consecutive patients who underwent TKA at a tertiary hospital in 2006 was analysed. All patients were assessed at 6 months, 2 years and 10 years using the Knee Society Function Score, Knee Society Knee Score, Oxford Knee Score, Short-Form 36 Physical/Mental Component Scores and postoperative satisfaction. One-way ANOVA was used to compare continuous variables, while Chi-squared test to compare categorical variables. Multivariate logistic regression and receiver operating curve analysis was performed to evaluate the predictive factors associated with deterioration of scores postoperatively. Results Significant improvements were noted in all functional outcome and quality of life scores at 6 months after TKA. Between 6 months and 2 years, the KSFS and OKS continued to improve but the KSKS, PCS and MCS plateaued. Between 2 and 10 years, there was a deterioration in the KSFS and OKS, whilst KSKS, PCS and MCS were maintained. Increasing age was noted to be a significant risk factor for deterioration of KSFS at 10 years with age ≥ 68 as the cutoff value. 91.7% of patients with KSFS Minimally Clinically Important Difference(MCID) (≥ 7 points) continued to be satisfied after 10 years compared to 100.0% who did not experience KSFS MCID deterioration (p = 0.02). Conclusion Patients ≥ 68 years experience deterioration in functional outcomes and quality of life from 2 to 10 years after TKA. Level of evidence Retrospective study, Level III.

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A Brief History of Total Knee Arthroplasty

Cited by 4 publications

References 26 publications

Acceptability and feasibility of a community-based strength, balance, and Tai Chi rehabilitation program in improving physical function and balance of patients after total knee arthroplasty: study protocol for a pilot randomized controlled trial

Acceptability and feasibility of a community-based strength, balance, and Tai Chi rehabilitation program in improving physical function and balance of patients after total knee arthroplasty: study protocol for a pilot randomized controlled trial

Prosthetic Metals: Release, Metabolism and Toxicity

Improvements in functional outcome and quality of life are not sustainable for patients ≥ 68 years old 10 years after total knee arthroplasty

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