Management of periprosthetic fractures of knee arthroplasty with revision surgery

Kamal, Ahmad; Dong, Ren Jiang; Shah, Rafiq; Cao, Li

doi:10.1016/j.jor.2020.03.061

Cited by 11 publications

(8 citation statements)

References 33 publications

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“…To accomplish a more profound approach to address the often-observed weakness of the quadriceps muscle, Werner et al 13 , for instance, suggested a multiphasic approach, including an early correction of imbalance between the vastus medialis and vastus lateralis for physically active individuals with AKP 14 . A significant association of the thickness of the tibial inlay with AKP was observed when comparing the samples and, in addition, as part of the logistic regression analysis as an independent variable, it was found that an independent association of the thickness of the tibial inlay with AKP [15][16] ,where by participants having a thinner inlay implanted were more susceptible to experience postsurgical AKP [17][18] . Furthermore, it is not conclusively possible to clarify if the observed limited strength of the quadriceps muscle in participants with AKP is responsible for the postsurgical AKP or if the postsurgical AKP results in less loading of the leg, which impairs quadriceps muscle strength [19][20] .…”

Section: Discussionmentioning

confidence: 90%

Frequency of Anterior Knee Pain (AKP) in Different Gender Groups after Total Knee Replacement (TKR)

Khan¹,

Hanif²,

Ishaq³

et al. 2023

PJMHS

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Introduction: Anterior Knee Pain (AKP) is one of the most common causes of persistent problems after knee replacement. Total Knee Arthroplasty (TKA) is a surgical procedure in which artificial joint or prosthesis replace the damage knee. A significant proportion of the patients experience AKP after surgery. Objective: To find out the frequency of Anterior Knee Pain after Total Knee Arthroplasty. Study Setting: Department of Orthopedics, KTH Khyber Teaching Hospital, Peshawar. Study Design: A Cross sectional study. Study Duration: June -2020 to February -2021. Subjects and Methods: After recording complete history, physical examination and routine baseline investigations were done. Patients were put on OT list and surgeries were performed in all patients by expert orthopedic surgeon designated for performing total knee arthroplasty. Post-operatively, patients were kept under observations for 5 days in ward and were discharged if indicated. Patients were followed at regular intervals and finally at the end of 3rd month to measure the intensity of pain on VAS. Results: Out of 205 patients, 69.3% were males and 30.7% were females. Means ± SD calculated for age was 48.62±7.98 years, for BMI was 24.63±3.07 and for Pain on VAS was 1.31±1.39. Most patients (51.7%) were recorded in 51-60 years age group. Rheumatoid Arthritis (RA) in 18% while Osteoarthritis (OA) was found in 82% patients. 21.5% patients were diabetic while 31.7% patients were hypertensive. AKP at 3rd month was found in 8.8% patients. Conclusion: It is evident that anterior knee pain (AKP) after the total knee arthroplasty (TKA), or total knee replacement (TKR) is prevalent and clinically relevant. There is an absolute need for further investigations to find out ways to decrease or eliminate the AKP after TKA in order to improve the quality of life after this surgery. Keywords: Anterior Knee Pain, Total Knee Replacement, Total Knee Arthroplasty.

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Section: Discussionmentioning

confidence: 90%

Frequency of Anterior Knee Pain (AKP) in Different Gender Groups after Total Knee Replacement (TKR)

Khan¹,

Hanif²,

Ishaq³

et al. 2023

PJMHS

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“…For periprosthetic knee fractures, the average age is 70-76 years. Rorabeck type II fracture is the most frequent, followed by Rorabeck III and I 30 . According to Herrera et al, angular-stable plates give better long-term results than traditional plates.…”

Section: Resultsmentioning

confidence: 99%

Current evidence and new challenges in periprosthetic hip and knee fractures

et al. 2021

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“…In addition to fixation, revision arthroplasty is also a consideration. This broad treatment category encompasses a spectrum of reconstruction options ranging from revision arthroplasty with augments and stemmed or constrained devices to distal femoral replacement (DFR) [21][22][23][24]. Distal femoral replacement has also demonstrated promising outcomes in limited series [22,25].…”

Section: Introductionmentioning

confidence: 99%

Distal femoral replacement or internal fixation for management of periprosthetic distal femur fractures: A systematic review

et al. 2022

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Management of periprosthetic fractures of knee arthroplasty with revision surgery

Cited by 11 publications

References 33 publications

Frequency of Anterior Knee Pain (AKP) in Different Gender Groups after Total Knee Replacement (TKR)

Frequency of Anterior Knee Pain (AKP) in Different Gender Groups after Total Knee Replacement (TKR)

Current evidence and new challenges in periprosthetic hip and knee fractures

Distal femoral replacement or internal fixation for management of periprosthetic distal femur fractures: A systematic review

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