Ability to kneel after total knee replacement

Palmer, Sylvain; Servant, Chris; Parish, E. N.; Cross, Marita

doi:10.1302/0301-620x.84b2.12568

Cited by 40 publications

(26 citation statements)

References 17 publications

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“…They preferred good range of movement to some amount of instability. 6 The average flexion in our study is 90.4°. Residual fixed flexion deformity of up to 10° was seen in two knees (4%) and this had corrected after 1 year of surgery.…”

Section: Discussionmentioning

confidence: 53%

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Early Results of Total Condylar Knee Arthroplasty using Indian-designed Prostheses

Salgotra¹,

Kohli²,

Vishwakarma³

et al. 2017

MGM Journal of Medical Sciences

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The present study was undertaken to evaluate the results of 50 total knee replacements performed at Military Hospital Kirkee, Pune, India, using Indian-manufactured prostheses, from November 2001 to November 2005. The study group consisted of 18 males and 28 females in the mean age of 63 years for osteoarthritis and 48 years for rheumatoid arthritis (RA): 41 knees of osteoarthritis and RA in 9 knees. The followup period was 6 months to 2 years, with a mean of 14 months. Good correction of deformities was achieved for all the knees. Postoperatively, there was improvement in Knee Society Score by 69 points for osteoarthritic knees and 65 points for rheumatoid knees. Excellent results were achieved in 88% of the cases. Average postoperative range of movements achieved was 90°. The results are comparable with those following use of far costlier imported prostheses.

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Section: Discussionmentioning

confidence: 53%

“…Two patients (4%) had Residual fixed flexion deformity of up to 10° was seen in two knees (4%) and this had corrected after 1 year of surgery. 6,7 Superficial wound infection was present in four knees which healed with dressings. Manipulation under epidural anesthesia was required for improving the range of motion in 2 patients.…”

Section: Resultsmentioning

confidence: 99%

Early Results of Total Condylar Knee Arthroplasty using Indian-designed Prostheses

Salgotra¹,

Kohli²,

Vishwakarma³

et al. 2017

MGM Journal of Medical Sciences

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“…A limited number of studies exist on the ability to kneel after surgery for osteoarthritis of the knee compared with studies on other knee functions [6][7][8][9]. In a previous work by Hassaballa et al on kneeling ability after different arthroplasty procedures, a patientbased questionnaire was used to collect data and demonstrated a low rate of kneeling ability [7].…”

Section: Introductionmentioning

confidence: 99%

Perceptions of Kneeling Ability After TKA

Benfayed¹,

Moran²,

Simpson³

et al. 2017

Orthop Muscular Syst

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Background: Kneeling is an important function for many activities of daily life including employment, social and religious practices. Different activities require different patterns of kneeling (upright and high flex kneeling patterns). This study investigates patients' perception of kneeling ability. Methods:Three hundred consecutive patients undergoing Total Knee Arthroplasty (TKA) in Royal Infirmary of Edinburgh received patient specific kneeling ability questionnaires along with the Oxford Knee Score (OKS) preoperatively and one year after surgery. The 'kneeling ability questionnaire was constructed to determine: (1) The ability to adopt one or more of 4 kneeling positions demonstrated in 4 simple illustrations rated on a 4-point Likert scale (0= Impossible, 1=with extreme difficulty, 2=with moderate difficulty, 3=with little difficulty, 4=Easily) pre-operatively and one-year postoperative. The kneeling positions represent different degrees of knee flexion and knee contact with the ground. (2) If unable to kneel, the reason for the inability to kneel. (3) Specific instructions about kneeling given by health care professionals before and after surgery.Results: 251 patients (147 women and 104 men) responded and completed the questionnaires (response rate 84%). The main reasons for kneeling difficulties were pain (111/251), medical problems (77/251), and numbness around the knee (41/251). Most of the patients (147/251 i.e., 63.6%), received advice regarding kneeling before or after TKA; 132 patients (59%) were advised not to kneel after TKAs from the arthroplasty nurse practitioner, 45 patients (20%) received the advice not to kneel after TKAs from their consultants, 29 patients (13%) received the advice not to kneel from their GPs and 9 patients (4%) received the advice not to kneel from their physiotherapists. One hundred and eighty three patients responded to both OKS kneeling question and the kneeling questionnaire preoperatively, and one year after surgery, 15 patients could kneel easily before TKA, this number decreased to 5 patients after TKA; on the other hand 51 patients answered impossible to kneel before TKA and this number increased to 72 patients after TKA. The positive correlation noticed between the OKS kneeling question and the kneeling questionnaire responses showed the strong correlation with the upright kneeling patterns. The data suggest that a high percentage of TKA patients experience postoperative kneeling difficulties. 96% of patients responded that were advised by a health care professionals not to kneel. Conclusion:1. Kneeling is a problem to many patients after TKA. This may have important consequences for work/religious and social life after TKA. 2. Patients are frequently advised not to kneel after TKA. The higher percentage could be because of miss-understanding of the advice. 3. Kneeling questionnaire correlates well with OKS kneeling question. 4. Kneeling is not a single position of the knee and can be interpreted in different ways by different patients.

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“…In addition to the potential impact of IPFP resection on anterior knee pain after TKA, it may also have an impact on patients' ability to kneel. TKA alone can improve patients' ability to kneel, from approximately 2-4% prior to the procedure [21,22] to between 41 and 73% following the procedure [9,[23][24][25][26]. Notably, however, some of these patients will experience some degree of difficulty with kneeling following the procedure [21,23,25].…”

Section: Introductionmentioning

confidence: 99%

“…TKA alone can improve patients' ability to kneel, from approximately 2-4% prior to the procedure [21,22] to between 41 and 73% following the procedure [9,[23][24][25][26]. Notably, however, some of these patients will experience some degree of difficulty with kneeling following the procedure [21,23,25]. This level of difficulty is important, because kneeling is a function that many people require in order to successfully perform everyday tasks, such as professional duties (e.g., carpet laying and plumbing) and recreational activities (e.g., gardening and playing lawn bowls) [21].…”

Section: Introductionmentioning

confidence: 99%

The Impact of an Intact Infrapatellar Fat Pad on Outcomes after Total Knee Arthroplasty

White

Hartnell

Hennessy

et al. 2015

Advances in Orthopedic Surgery

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Background. The infrapatellar fat pad (IPFP) is currently resected in approximately 88% of Total Knee Arthroplasties (TKAs). We hypothesised that an intact IPFP would improve outcomes after TKA. Methods. Patients with an intact IPFP participated in this cross-sectional study by completing two surveys, at 6 and 12 months after TKA. Both surveys included questions regarding kneeling, with the Oxford Knee Score also included at 12 months. Results. Sixty patients participated in this study. At 6 and 12 months, a similar number of patients were able to kneel, 40 (66.7%) and 43 (71.7%), respectively. Fifteen (25.0%) patients were unable to kneel due to knee pain at 6 months; of these, nine (15%) were unable to kneel at 12 months. Moreover, at 12 months, 90.0% of the patients reported minimal or no knee pain. There was no correlation between the inability to kneel and knee pain ( = 0.13). There was a significant correlation between the inability to kneel and reduced overall standardised knee function scores ( = 0.02). Conclusions. This was the first study to demonstrate improved kneeling and descending of stairs after TKA with IPFP preservation. These results in the context of current literature show that IPFP preservation reduces the incidence of knee pain 12 months after TKA.

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Ability to kneel after total knee replacement

Cited by 40 publications

References 17 publications

Early Results of Total Condylar Knee Arthroplasty using Indian-designed Prostheses

Early Results of Total Condylar Knee Arthroplasty using Indian-designed Prostheses

Perceptions of Kneeling Ability After TKA

The Impact of an Intact Infrapatellar Fat Pad on Outcomes after Total Knee Arthroplasty

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