Clinical outcomes after high-flex versus conventional total knee arthroplasty

Arirachakaran, Alisara; Wande, Tana; Pituckhanotai, Kwanchai; Predeeprompan, Pradit; Kongtharvonskul, Jatupon

doi:10.1007/s00167-015-3557-0

Cited by 8 publications

(5 citation statements)

References 22 publications

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“…Several large-scale RCTs have been performed recently evaluating outcome after primary TKA [2,[5][6][7]10]. Patient-reported outcome of these studies gives a postoperative OKS of 33-35, which is comparable to the outcome we have found in our patients after simultaneous TKA and osteotomy.…”

Section: Discussionsupporting

confidence: 81%

Single-stage total knee arthroplasty and osteotomy as treatment of secondary osteoarthritis with severe coronal deviation of joint surface due to extra-articular deformity

Veltman

Wensen

Defoort

et al. 2015

Knee Surg Sports Traumatol Arthrosc

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Section: Discussionsupporting

confidence: 81%

Single-stage total knee arthroplasty and osteotomy as treatment of secondary osteoarthritis with severe coronal deviation of joint surface due to extra-articular deformity

Veltman

Wensen

Defoort

et al. 2015

Knee Surg Sports Traumatol Arthrosc

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“…Although navigation has enhanced the accuracy of the component position and overall leg alignment [13, 16], it did not improve patient satisfaction or ROM in most studies [12, 18]. Latest techniques including partially navigated modified gap‐balancing techniques [2], PCL preservation [25] and newer implants like custom fit [23] or high‐flex implants [1] could not achieve a significant improvement in PRO or ROM either.…”

Section: Discussionmentioning

confidence: 99%

Clinical outcome of increased flexion gap after total knee arthroplasty. Can controlled gap imbalance improve knee flexion?

Ismailidis

Kuster

Jost

et al. 2016

Knee Surg Sports Traumatol Arthrosc

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“…Total hip and knee arthroplasty (THA and TKA) are well-proven solutions in case of end-stage osteoarthritis of hip and knee 1 - 5 . Although, presence of complications can be devastating for the patient, especially periprosthetic joint infection (PJI) 6 - 8 .…”

Section: Introductionmentioning

confidence: 99%

Antibiotic Prophylaxis and DAIR Treatment in Primary Total Hip and Knee Arthroplasty, A National Survey in The Netherlands

Veltman

Moojen

Nelissen

et al. 2018

J. Bone Joint Infect.

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Background: To prevent postoperative infection the use of systemic antibiotic prophylaxis is common ground. Type of antibiotic used and duration of prophylaxis are subject to debate. In case of suspected early periprosthetic infection a debridement, antibiotics and implant retention (DAIR) procedure is treatment of first choice. This study evaluated the antibiotic prophylaxis and DAIR treatment protocols nationwide as well as reporting of these DAIR procedures to the national joint registry.Methods: All institutions that performed total hip or knee arthroplasty were contacted to complete a 16-question online survey. Questions included availability of a protocol, type and duration of antibiotic prophylaxis used and tendency to register infectious complications in the Dutch Arthroplasty Register.Results: All ninety-nine consulted institutions responded to this survey. All but one institutions have a standardized hospital based protocol for antibiotic prophylaxis in primary total hip or knee arthroplasty. Cefazolin was antibiotic prophylaxis of choice in ninety-four institutions for both primary hip and knee arthroplasty. In ten institutions one preoperative gift of antibiotic prophylaxis was administered. A protocol describing treatment when suspecting early periprosthetic joint infection was present in seventy-one institutions. When performing a DAIR procedure modular parts were exchanged in seventy institutions in case of a hip prosthesis and in eighty-one institutions in case of a knee prosthesis. Sixty-three institutions register DAIR procedures in the Dutch Arthroplasty Register.Interpretation: In contradiction to the results of a recent study in Great Britain, we have found only little variety in availability of protocols and in the type of antibiotic used as prophylaxis in primary total hip and knee arthroplasty in The Netherlands. Not every institution has a protocol for treatment in suspicion of early infection. Although mobile parts are exchanged in the majority of cases, there appears to be an underreporting of DAIR procedures in the Dutch Arthroplasty Register.

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Clinical outcomes after high-flex versus conventional total knee arthroplasty

Abstract: I.

Cited by 8 publications

References 22 publications

Single-stage total knee arthroplasty and osteotomy as treatment of secondary osteoarthritis with severe coronal deviation of joint surface due to extra-articular deformity

Single-stage total knee arthroplasty and osteotomy as treatment of secondary osteoarthritis with severe coronal deviation of joint surface due to extra-articular deformity

Clinical outcome of increased flexion gap after total knee arthroplasty. Can controlled gap imbalance improve knee flexion?

Antibiotic Prophylaxis and DAIR Treatment in Primary Total Hip and Knee Arthroplasty, A National Survey in The Netherlands

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