Amplitude de movimento após artroplastia total do joelho

Júnior, Lúcio Honório de Carvalho; Castro, Cézar Augusto Costa de; Gonçalves, Matheus Braga Jacques; Rodrigues, Leonardo Costa Martins; Cunha, Felipe Vieira Pinto da; Lopes, Fernando de Lima

doi:10.1590/s1413-78522005000500004

Cited by 11 publications

(12 citation statements)

References 8 publications

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“…The mean arc of motion (104.7°) observed in our study is considered satisfactory and is similar to results found in the literature, such as a study by Carvalho Júnior et al, 28 in which the reported mean of postoperative flexion arc was 108.6°.…”

Section: Discussionsupporting

confidence: 91%

Medium-term evaluation of total knee arthroplasty without patellar replacement

Vasconcelos

Leite

Sousa

et al. 2013

Revista Brasileira de Ortopedia (English Edition)

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Objective To mid-term evaluate patients who were submitted to total knee arthroplasty without patellar resurfacing. Methods It was realized a retrospective cross-sectional study of patients who were submitted to total knee arthroplasty without patellar resurfacing. In all patients clinical examination was done based on the protocol of the Knee Society Scoring System, which assessed pain, range of motion, stability, contraction, knee alignment and function, and radiological evaluation. Results A total of 36 patients were evaluated. Of these, 07 were operated only on left knee, 12 only on right knee and 17 were operated bilaterally, totaling 53 knees. Ages ranged from 26 to 84 years. Of the 53 knees evaluated, 33 (62.26%) had no pain. The maximum flexion range of motion averaged 104.7°. No knee had difficulty in active extension. As to the alignment for anatomical axis twelve knees (22.64%) showed deviation between 0° and 4° varus. Thirty-nine (75.49%) knees showed pace without restriction and the femorotibial angle ranged between 3° varus and 13° valgus with an average of 5° valgus. The patellar index ranged from 0.2 to 1.1. Conclusion Total knee arthroplasty whitout patellar resurfacing provides good results in mid-term evaluation.

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Section: Discussionsupporting

confidence: 91%

Medium-term evaluation of total knee arthroplasty without patellar replacement

Vasconcelos

Leite

Sousa

et al. 2013

Revista Brasileira de Ortopedia (English Edition)

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“…Several factors may influence the post-TKA ROM, including pre- and perioperative ROM, surgical technique, posterior cruciate ligament (PCL) resection, prosthesis design, and postoperative rehabilitation 8, 9, 10, 11. In some groups and in certain situations, even ROM loss has been described after TKA 9, 11, 12, 13, 14. Some studies also discuss the importance of the perioperative ROM as an indicator of the final movement; to the best of the authors’ knowledge, there are no studies using medial pivot prostheses 12, 13, 15…”

Section: Introductionmentioning

confidence: 99%

Range of motion predictability after total knee arthroplasty with medial pivot prosthesis

Júnior

Teixeira

Bernardes

et al. 2017

Revista Brasileira de Ortopedia (English Edition)

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ObjectiveTo assess whether there the final range of motion (ROM) results achieved by patients undergoing total knee arthroplasty (TKA) with prosthesis using Medial Pivot design are predictable.MethodsBetween January and August of 2014, 155 patients with primary osteoarthritis of knee who underwent TKA using the prosthesis ADVANCE® Medial Pivot were prospectively assessed. All ROM measures were made and recorded before, during, and after surgery. All patients were clinically assessed preoperatively and postoperatively (15, 45 days, three months, six months, one year, and annually thereafter after surgery); their functional status was assessed using the WOMAC questionnaire.ResultsSignificant differences (p < 0.001) were observed between the means and medians of ROM in the preoperative when compared with those during the perioperative; the perioperative values, when compared with those after six months postoperative, were also different (p < 0.001). No significant differences were found between the means and medians ROM between the intraoperative period and at the 45-day assessment (ns) and between the means and medians ROM between the preoperative period and at the six-month evaluation (ns).ConclusionThe final ROM achieved by patients that underwent TKA with medial pivot prosthesis can be predicted. The perioperative ROM correlates with that at 45 days after surgery. The final ROM is correlated with that of the pre-operative period.

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“…Carvalho Júnior et al 6 tiveram como objetivo do trabalho avaliar a amplitude de movimentos (ADM) do joelho após seis meses de pós-operatório de artroplastia total, comparando-a com o seu valor pré-operatório. Foi analisada a amplitude de movimento de 80 artroplastias, com acompanhamento pós-operatório médio de 21,9 meses.…”

Section: Discussionunclassified

Reabilitação de pacientes submetidos à artroplastia total de joelho: revisão de literatura

Ioshitake

Mendes

Rossi

et al. 2016

Rev. Fac. Ciênc. Méd. Sorocaba

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RESUMOA osteoartrose é uma doença degenerativa comum, em que a articulação do joelho sofre um desgaste de seus componentes, a tíbia, o fêmur, a patela e os meniscos, provocando, assim, um quadro de dor, deformidade e rigidez articular. A artroplastia total de joelho (ATJ) apresenta-se como um tratamento eficaz para os casos mais avançados de osteoartrose. A técnica consiste na substituição dos componentes danificados da articulação por próteses inorgânicas, constituídas de bases metálicas e polietileno. A fisioterapia no paciente pós-ATJ tem a finalidade de restabelecer a função articular, melhorando a qualidade de vida e devolvendo a independência funcional ao paciente. Palavras-chave: artroplastia do joelho; joelho; reabilitação; fisioterapia. ABSTRACTOsteoarthritis is a degenerative joint disease, where the knee joint undergoes wear of its components; the tibia, the femur, the patella and the menisci, thus causing a painful condition, deformity and joint stiffness. Total knee arthroplasty (TKA) presents itself as an effective treatment for advanced cases of osteoarthritis. The technique involves replacing the damaged components of the joint inorganic prostheses, made of metal and polyethylene bases. Physical therapy in the post TKA patients, aims to restore joint function, improving the quality of life and functional independence returning to the patient. Keywords: arthroplasty, replacement, knee; knee; rehabilitation; physical therapy specialty. INTRODUÇÃOOs ossos que formam a articulação do joelho são: fêmur, tíbia e patela, estruturas ósseas que formam duas articulações distintas, a femoropatelar e a tibiofemoral; todavia, funcionalmente, essas duas articulações não podem ser sempre consideradas separadamente, pois existe uma relação mecânica entre elas, e são articulações que proporcionam sustentação ao corpo e podem, com o tempo, sofrer grande desgaste e degeneração, sendo assim necessário um procedimento cirúrgico em que se faz a troca da articulação degenerada por uma artificial.1 A artroplastia total de joelho (ATJ) é uma técnica que vem sido utilizada desde o final dos anos 1950 e o começo dos anos 1960, a qual visa substituir a articulação do joelho por uma prótese metálica. É dividida, de acordo com os componentes articulares a serem substituídos, em dois tipos: a artroplastia total, em que são substituídos todos os três compartimentos articulares (femorotibial medial, femorotibial lateral e o femoropatelar), e a unicompartimental, em que apenas um dos compartimentos, seja o femorotibial medial, seja o lateral, é substituído. A técnica tem indicação em pacientes com dor intensa e comprometimento das habilidades funcionais, destruição das superfícies articulares do joelho, instabilidade e diminuição de amplitude de movimento e vem ajudando no tratamento da osteoartrose e da artrite reumatoide, melhorando a qualidade de vida, a dor, a incapacidade e a rigidez causadas por essas doenças. 2A fisioterapia tem sido de fundamental importância para a reabilitação do pós-cirúrgico da ATJ, principalmente por...

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Amplitude de movimento após artroplastia total do joelho

Cited by 11 publications

References 8 publications

Medium-term evaluation of total knee arthroplasty without patellar replacement

Medium-term evaluation of total knee arthroplasty without patellar replacement

Range of motion predictability after total knee arthroplasty with medial pivot prosthesis

Reabilitação de pacientes submetidos à artroplastia total de joelho: revisão de literatura

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