Interpretation of Kneeling

Benfayed, R; Hamilton, David F.; Moran, Matthew D.; Simpson, Ahrw; MacDonald, D. A.

doi:10.4172/2161-0533.1000240

Cited by 5 publications

(3 citation statements)

References 15 publications

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“…For example, an individual following the Islamic practices is expected to pray 5 times a day and may regularly flex their knees as often as 70 times/day, with their knees fully flexed up to 150-165°. [15][16][17] This degree of flexion exceeds that found in the population without kneeling customs by an average of 15°. [15][16][17] Donor site morbidity is an important deciding factor in patient satisfaction, who routinely kneel as in our study group.…”

Section: Discussionmentioning

confidence: 99%

“…[15][16][17] This degree of flexion exceeds that found in the population without kneeling customs by an average of 15°. [15][16][17] Donor site morbidity is an important deciding factor in patient satisfaction, who routinely kneel as in our study group. The BPTB autograft is well known to be associated with anterior knee pain and patellofemoral symptoms affecting kneeling activities.…”

Section: Discussionmentioning

confidence: 99%

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Recognizing the better autograft and the factors influencing outcomes of revision anterior cruciate ligament reconstruction

Supreeth

Ghanami

Riyami

et al. 2021

JMSR

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Objectives: The outcome of revision anterior cruciate ligament reconstruction (ACLR) is inferior to that of the primary reconstruction and is influenced by multiple factors. The purpose of this study was to identify the better autograft suited for revision ACLR and to assess the factors influencing the outcome of revision. Methods: A total of 102 patients who underwent revision ACLR were enrolled in this study. The patients were grouped based on the type of autograft used for revision. The mechanism of injury and the cause of the primary ACLR failure, meniscal, and chondral status were noted. All patients’ Tegner Lysholm functional scores were assessed at 2 years of follow-up. Results: Almost 37.3% of the patients underwent revision ACLR with bone-patellar tendon bone, 41.3% with semitendinosus-gracilis, and 21.3% with quadriceps tendon autografts. The mean Tegner-Lysholm score was 85.4 ± 15.8, with the majority achieving good to excellent scores. Chondral defect of Grade 3/4 was associated with an inferior poorer functional outcome (P = 0.03). At a 2-year follow-up, the non-contact mechanism of primary ACLR failure was associated with worse scores compared to the contact mechanism of failure (P = 0.03). On comparison of Lysholm functional score between different autografts using the Kruskal-Wallis test, the p-value was insignificant (P = 0.9). Conclusion: Non-contact mechanism of primary ACLR failure and Grade 3/4 chondral defects was associated with a poorer functional outcome at 2 years post-revision ACLR. The overall functional outcome of revision ACLR was good to excellent in our Middle East Asian population, with no one autograft found to be superior to the other.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Recognizing the better autograft and the factors influencing outcomes of revision anterior cruciate ligament reconstruction

Supreeth

Ghanami

Riyami

et al. 2021

JMSR

View full text Add to dashboard Cite

show abstract

“…Activities of daily living as well as many leisure activities, such as cleaning, decorating, gardening, sports, and exercise, are impacted by an inability to kneel, with patients often needing adjustments or relying on support from friends and family to compensate, negatively impacting their emotional state, social independence, and well-being [ 11 ]. Kneeling is also an important function for dining and social participation in east Asian cultures [ 12 ] and of religious practice among both the Christian and Islamic faith, with followers of the latter requiring high flexion kneeling for daily prayer [ 13 , 14 ]. Many occupations require kneeling, such as plumbing, cleaning, roofing and floor laying [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

Patellar resurfacing and kneeling ability after total knee arthroplasty: a systematic review

et al. 2023

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Background Difficulty kneeling following total knee arthroplasty (TKA) remains highly prevalent, and has cultural, social, and occupational implications. With no clear evidence of superiority, whether or not to resurface the patella remains debatable. This systematic review examined whether resurfacing the patella (PR) or not (NPR) influences kneeling ability following TKA. Methods This systematic review was conducted by following PRISMA guidelines. Three electronic databases were searched utilizing a search strategy developed with the aid of a department librarian. Study quality was assessed using MINROS criteria. Article screening, methodological quality assessment and data extraction were performed by two independent authors, and a third senior author was consulted if consensus was not reached. Results A total of 459 records were identified, with eight studies included in the final analysis, and all deemed to be level III evidence. The average MINORS score was 16.5 for comparative studies and 10.5 for non-comparative studies. The total number of patients was 24,342, with a mean age of 67.6 years. Kneeling ability was predominantly measured as a patient-reported outcome measure (PROM), with two studies also including an objective assessment. Two studies demonstrated a statistically significant link between PR and kneeling, with one demonstrating improved kneeling ability with PR and the other reporting the opposite. Other potential factors associated with kneeling included gender, postoperative flexion, and body mass index (BMI). Re-operation rates were significantly higher in the NPR cohort whereas PR cohorts had higher Feller scores, patient-reported limp and patellar apprehension. Conclusion Despite its importance to patients, kneeling remains not only under-reported but also ill-defined in the literature, with no clear consensus regarding the optimum outcome assessment tool. Conflicting evidence remains as to whether PR influences kneeling ability, and to clarify the situation, large prospective randomized studies are required.

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Revision anterior cruciate ligament reconstruction and outcomes with different autografts in a population with kneeling customs

et al. 2022

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Interpretation of Kneeling

Cited by 5 publications

References 15 publications

Recognizing the better autograft and the factors influencing outcomes of revision anterior cruciate ligament reconstruction

Recognizing the better autograft and the factors influencing outcomes of revision anterior cruciate ligament reconstruction

Patellar resurfacing and kneeling ability after total knee arthroplasty: a systematic review

Revision anterior cruciate ligament reconstruction and outcomes with different autografts in a population with kneeling customs

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