Kinematic versus mechanically aligned total knee arthroplasty: no difference in frequency of arthroscopic lysis of adhesions for arthrofibrosis

Stake, Seth; Fassihi, Safa C.; Gioia, Casey; Gu, Alex; Agarwal, Amil R.; Akman, Alex E; Sparks, Andrew; Argintar, Evan

doi:10.1007/s00590-020-02836-7

Cited by 2 publications

(2 citation statements)

References 24 publications

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“…Kinematically aligned TKA has emerged as an alternative method to the mechanically aligned procedure, basing bony cuts off the patient’s pre-arthritic anatomy while limiting the need for soft tissue and ligamentous releases ( 28 , 29 ). While this less scarring and invasive technique could potentially affect PJI risk, data on revision rates using kinematically aligned TKA is still scarce.…”

Section: Discussionmentioning

confidence: 99%

Risk factors for revision due to prosthetic joint infection following total knee arthroplasty based on 62,087 knees in the Finnish Arthroplasty Register from 2014 to 2020

Keemu

Alakylä

Клен

et al. 2023

ActaO

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Background and purpose: Periprosthetic joint infection (PJI) is the commonest reason for revision after total knee arthroplasty (TKA). We assessed the risk factors for revision due to PJI following TKA based on the Finnish Arthroplasty Register (FAR). Patients and methods: We analyzed 62,087 primary condylar TKAs registered between June 2014 and February 2020 with revision for PJI as the endpoint. Cox proportional hazards regression was used to estimate hazard ratios (HR) with 95% confidence intervals (CI) for the first PJI revision using 25 potential patient- and surgical-related risk factors as covariates.Results: 484 knees were revised for the first time during the first postoperative year because of PJI. The HRs for revision due to PJI in unadjusted analysis were 0.5 (0.4–0.6) for female sex, 0.7 (0.6–1.0) for BMI 25–29, and 1.6 (1.1–2.5) for BMI > 40 compared with BMI < 25, 4.0 (1.3–12) for preoperative fracture diagnosis compared with osteoarthritis, and 0.7 (0.5–0.9) for use of an antimicrobial incise drape. In adjusted analysis the HRs were 2.2 (1.4–3.5) for ASA class III–IV compared with class I, 1.7 (1.4–2.1) for intraoperative bleeding ≥ 100 mL, 1.4 (1.2–1.8) for use of a drain, 0.7 (0.5–1.0) for short duration of operation of 45–59 minutes, and 1.7 (1.3–2.3) for long operation duration > 120 min compared with 60–89 minutes, and 1.3 (1.0–1.8) for use of general anesthesia.Conclusion: We found increased risk for revision due to PJI when no incise drape was used. The use of drainage also increased the risk. Specializing in performing TKA reduces operative time and thereby also the PJI rate.

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Section: Discussionmentioning

confidence: 99%

Risk factors for revision due to prosthetic joint infection following total knee arthroplasty based on 62,087 knees in the Finnish Arthroplasty Register from 2014 to 2020

Keemu

Alakylä

Клен

et al. 2023

ActaO

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“…Many patients cannot receive early rehabilitation after joint surgery and trauma, so the incidence of knee joint dysfunction is high [ 4 ]. The main reason for knee joint adhesion is postoperative lower extremity immobilization, and knee joint dysfunction caused by knee joint adhesion can seriously affect the patient's ability to perform activities of daily living [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Effect of Remote Control Augmented Reality Multimedia Technology for Postoperative Rehabilitation of Knee Joint Injury

2022

Computational and Mathematical Methods in Medicine

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This study was aimed at exploring the application value of augmented reality (AR) in postoperative rehabilitation training for patients with knee joint injury. 40 patients who underwent knee joint injury surgery were selected as the research objects, and the patients were randomly divided into two groups: an experimental group (20 cases) and a control group (20 cases). Patients in the experimental group were treated with AR-based rehabilitation methods, while those in the control group were treated with traditional rehabilitation methods. Afterwards, the two groups of patients were compared with various indicators such as pain value, swelling, structural and functional recovery, time to complete weight bearing, time to return to work, and X-ray examination results. The main evaluation tools used were Hospital for Special Surgery (HSS) score and Visual Analogue Scale (VAS) score. The results showed that after six weeks, the HSS score of the control group was 82.88 ± 3.07 , and the HSS score of the experimental group was 85.46 ± 3.21 . The difference between the two groups was statistically significant ( P < 0.05 ). After three months, the HSS score of the control group was 89.96 ± 3.76 , and that of the experimental group was 93.21 ± 4.33 . The difference between the two groups was statistically significant ( P < 0.05 ). There was a significant difference in pain scores between the two groups at 7 days ( 3.81 ± 0.48 vs. 5.06 ± 0.66 ) and 14 days ( 2.03 ± 0.45 vs. 3.61 ± 0.63 ) after surgery, with statistical significances ( P < 0.05 ). There were statistically significant differences between the two groups in terms of time to complete weight bearing ( 7 ± 0.87 weeks vs. 8.82 ± 0.88 weeks) and time to return to work ( 8.69 ± 0.94 vs. 9.93 ± 0.88 weeks) ( P < 0.05 ). One month after surgery, the X-ray examination results of both groups showed recovery. The AR-based rehabilitation training system showed a good application effect and prospect in the postoperative structural and functional recovery of patients with knee joint injury.

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Kinematic versus mechanically aligned total knee arthroplasty: no difference in frequency of arthroscopic lysis of adhesions for arthrofibrosis

Cited by 2 publications

References 24 publications

Risk factors for revision due to prosthetic joint infection following total knee arthroplasty based on 62,087 knees in the Finnish Arthroplasty Register from 2014 to 2020

Risk factors for revision due to prosthetic joint infection following total knee arthroplasty based on 62,087 knees in the Finnish Arthroplasty Register from 2014 to 2020

Effect of Remote Control Augmented Reality Multimedia Technology for Postoperative Rehabilitation of Knee Joint Injury

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