Intraoperative patellar maltracking and postoperative radiographic patellar malalignment were more frequent in cases of complete medial collateral ligament release in cruciate-retaining total knee arthroplasty

Noh, Jung Ho; Kim, Nam Yeop; Song, Ki Ill

doi:10.1186/s43019-021-00091-6

Cited by 9 publications

(5 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…First, most patients in our study were women. Women have a high proportion of osteoarthritis of the knee joint [ 35 , 36 , 37 , 38 , 39 , 40 , 41 ]. Second, the follow-up period was six weeks, which might be too short to clearly grasp the effects of IV TXA.…”

Section: Discussionmentioning

confidence: 99%

Intravenous Tranexamic Acid Has Benefit for Reducing Blood Loss after Open-Wedge High Tibial Osteotomy: A Randomized Controlled Trial

Kim

Koh

Sung

et al. 2021

JCM

View full text Add to dashboard Cite

(1) Background: the purpose of this study was to investigate the efficacy and safety of intravenous (IV) administration of tranexamic acid (TXA) in patients undergoing medial opening wedge high tibial osteotomy (MOWHTO). (2) Methods: a total of 73 patients were randomly allocated into two groups (TXA group and control group). The primary outcome was total perioperative calculated blood loss after MOWHTO. Secondary outcomes included self-reported pain severity using a 10-point visual analog scale (VAS) and the EuroQol-5 Dimension (EQ-5D) questionnaire. The postoperative allogeneic transfusion rate and wound complications were compared. Deep vein thrombosis (DVT) incidence was compared by conducting DVT computed tomography imaging. (3) Results: the total blood loss after surgery was 470.9 mL in the TXA group and 739.3 mL in the control group, showing a significant difference (p < 0.001). There were no differences in pain VAS scores between the two groups (all p > 0.05). No difference in preoperative EQ-5D scores for any items existed between the two groups. No transfusion was performed in either group. There was no difference in DVT incidence or the rate of wound complications between the two groups. (4) Conclusion: in patients undergoing MOWHTO, IV TXA reduces total blood loss and drainage amount. However, no additional benefits in clinical outcomes, transfusion rate, or wound complications were apparent, with similar DVT incidence rates.

show abstract

Section: Discussionmentioning

confidence: 99%

Intravenous Tranexamic Acid Has Benefit for Reducing Blood Loss after Open-Wedge High Tibial Osteotomy: A Randomized Controlled Trial

Kim

Koh

Sung

et al. 2021

JCM

View full text Add to dashboard Cite

show abstract

“…It can lead to undesirable complications, such as anterior knee pain, instability, loosening, and fracture. This may also induce patient dissatisfaction and early prosthesis failure [ 44 – 47 ]. However, confirming the rotational alignment intraoperatively can be difficult.…”

Section: Discussionmentioning

confidence: 99%

Learning curve of robot-assisted total knee arthroplasty and its effects on implant position in asian patients: a prospective study

Jung¹,

Kang²,

Lee³

et al. 2023

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background Robot-assisted total knee arthroplasty (r-TKA) can reportedly achieve more accurate implant positioning than conventional total knee arthroplasty (c-TKA), although its learning curve is controversial. Moreover, few studies have investigated r-TKA in Asians, who have different anatomical characteristics. This study aimed to determine the learning curve for r-TKA and compare implant positions between r-TKA and c-TKA according to the learning curve in Asian patients. Methods This prospective study included 50 consecutive c-TKAs (group C), followed by 50 consecutive r-TKAs conducted using the MAKO robotic system (Stryker, USA). Cumulative summation analyses were performed to assess the learning curve for operative time in r-TKA. Accordingly, the r-TKA cases were divided into the initial (group I) and proficiency cases (group P). The femoral and tibial component positions in the coronal, sagittal, and axial planes and lower limb alignment were compared among the three groups. Results r-TKA was associated with a learning curve for operative time in 18 cases. The operative time was significantly shorter in groups C and P than that in group I, with no significant difference between groups C and P. Groups I and P demonstrated fewer outliers with respect to lower limb alignment, femoral component coronal position, axial position, and tibial component sagittal position than those in group C, with no significant difference between groups I and P. Conclusion The operative time did not differ significantly between r-TKA and c-TKA after the learning curve. Surgeons could expect more accurate and reproducible lower limb alignment and implant positioning with r-TKA in Asian patients, irrespective of the learning curve.

show abstract

“…It can lead to undesirable complications, such as anterior knee pain, instability, loosening, and fracture. This may also induce patient dissatisfaction and early prosthesis failure [39][40][41][42]. However, con rming the rotational alignment intraoperatively can be di cult.…”

Section: Discussionmentioning

confidence: 99%

Learning curve of robot-assisted total knee arthroplasty and its effects on implant position in Asian patients: A prospective study

Jung,

Kang,

Lee

et al. 2022

Preprint

View full text Add to dashboard Cite

Background Robot-assisted total knee arthroplasty (r-TKA) can reportedly achieve a more accurate implant position than conventional total knee arthroplasty (c-TKA), although its learning curve is controversial. Moreover, there are few studies on Asians with different anatomical characteristics. This study aimed to determine the learning curve for r-TKA and compare implant positions between r-TKA and c-TKA according to the learning curve in Asian patients. Methods This prospective study included 50 consecutive c-TKAs (C group), followed by 50 consecutive r-TKAs using the MAKO robotic system (Stryker, USA). Cumulative summation analyses were performed to assess the learning curve for operative time in r-TKAs. Accordingly, the r-TKA cases were divided into initial cases (I group) and proficiency cases (P group). Femoral and tibial component positions in the coronal, sagittal, and axial planes and lower limb alignment were compared among all groups. Results r-TKA was associated with a learning curve for operative time in 18 cases. Operative time was significantly shorter in the C and P groups than in the I group, with no significant difference between the C and P groups. The I and P groups demonstrated fewer outliers regarding lower limb alignment, femoral component coronal position, axial position, and tibial component sagittal position than the C group, with no significant difference between C and P groups. Conclusion Operative time was not significantly different between r-TKA and c-TKA after the learning curve. Surgeons could expect more accurate and reproducible lower limb alignment and implant position with r-TKA in Asian patients regardless of the learning curve.

show abstract

Intraoperative patellar maltracking and postoperative radiographic patellar malalignment were more frequent in cases of complete medial collateral ligament release in cruciate-retaining total knee arthroplasty

Cited by 9 publications

References 20 publications

Intravenous Tranexamic Acid Has Benefit for Reducing Blood Loss after Open-Wedge High Tibial Osteotomy: A Randomized Controlled Trial

Intravenous Tranexamic Acid Has Benefit for Reducing Blood Loss after Open-Wedge High Tibial Osteotomy: A Randomized Controlled Trial

Learning curve of robot-assisted total knee arthroplasty and its effects on implant position in asian patients: a prospective study

Learning curve of robot-assisted total knee arthroplasty and its effects on implant position in Asian patients: A prospective study

Contact Info

Product

Resources

About