Pre‐operative Functional Parameters of Patients Undergoing Total Knee Arthroplasty

Tambascia, Rafael Andrade; Vasconcelos, Rodrigo Antunes de; Mello, Wilson; Teixeira, Paulo P.; Bevilaqua-Grossi, Débora

doi:10.1002/pri.1622

Cited by 16 publications

(10 citation statements)

References 27 publications

(31 reference statements)

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“…Knee replacement surgery (KR) is the last surgical intervention to deal with severe knee injuries such as advanced knee osteoarthritis [ 1 , 2 ]. The main outcomes of this surgery are reducing the pain and increasing the quality of life and the physical activity (PA) level of the patients [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Effect of the knee replacement surgery on activity level based on ActivPAL: a systematic review and meta-analysis study

Alfatafta

Onchonga

et al. 2022

BMC Musculoskelet Disord

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Background The knee replacement (KR) surgery aims to restore the activity level and reduce the risk of experiencing disabilities. The outcomes of this surgery are evaluated mainly with subjective tools or low validity objective tools. However, the effect of the surgery on activity level using high validity objective accelerometer is still in question. Methods A systematic review and meta-analysis were conducted to evaluate the benefit of KR surgery alone to enhance physical activity recommendations based on high validity accelerometer. Two independent reviewers evaluated five electronic databases (Cochrane-Central-Register-of-Controlled Trials, EMBASE, PubMed, Web of Science, and Scopus) to find relative studies between January 2000 and October 2021. The quality assessments and risk of bias assessments were examined. Results Three articles were included with 202 participants (86 males, 116 females), with an average age of 64 years and an average 32 kg/m2 body mass index. The results found that the number of steps was significantly improved up to 36.35 and 45.5% after 6-months and 1-year of the surgery, respectively. However, these changes did not meet the recommended activity level guideline and could be related to the patients’ health status and their activity level before the surgery. No significant changes were seen in sedentary time, standing time, and upright time after 6-months and 1-year follow-ups. Heterogeneity among studies was low to moderate (0–63%). Conclusion Knee replacement surgery is an effective treatment for improving patients’ quality of life with severe knee injuries. However, various factors impact the success of surgical and achieving maximum benefit of the surgery. One factor, sedentary time, can be reduced by implementing pre-and post-surgery exercise or physical activity recommendations. Further studies are needed to understand the benefit of surgery with or without rehabilitation assessed using high validity monitors.

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Section: Introductionmentioning

confidence: 99%

Effect of the knee replacement surgery on activity level based on ActivPAL: a systematic review and meta-analysis study

Alfatafta

Onchonga

et al. 2022

BMC Musculoskelet Disord

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“…Total knee arthroplasty (TKA) is the gold standard for the treatment of advanced knee osteoarthritis [ 1 , 2 ]. However, among the postoperative complications of TKA, patellofemoral pain, knee instability, and reduction of movement range are still common, which resulted from abnormal patellar height to some extent [ 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

A new method for evaluation of patellar height and the position of the joint line before and after total knee arthroplasty

Han

Zhang

2020

BMC Musculoskelet Disord

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Background The measurement of patellar height and restoration of the natural position of the joint line are crucial to total knee arthroplasty (TKA). However, there remains a lack of consensus on an optimal measurement method to associate the patellar height with the joint line position. The objective of this study was to introduce a new method and validate the application in TKA both preoperatively and postoperatively. Methods Instead of taking marginal landmarks as the tibial references, the tibial shaft axis was used to construct the new measurement method, which comprises the axis-patella (AP), joint axis-patella (jAP) indices and joint line height (JLH). Patellar heights were measured using the Insall-Salvati (IS), modified Insall-Salvati (mIS), Blackburne-Peel (BP), Caton-Deschamps (CD) indices, and the new method in 175 knees both preoperatively and postoperatively. Intraclass correlation coefficients and Pearson’s correlation analyses were respectively used to evaluate the reliabilities and correlations. Results There were good correlations between the proposed method and the mIS, CD, and BP indices. High inter-observer reproducibility was found for AP (preoperative and postoperative 0.83), jAP (preoperative 0.82; postoperative 0.86) indices and JLH (preoperative 0.88; postoperative 0.95). High intra-observer repeatability was also found for AP (preoperative 0.85; postoperative 0.87), jAP (preoperative 0.83; postoperative 0.87) indices and JLH (preoperative 0.80; postoperative 0.92). Conclusions The new method is reliable for measuring patellar height before and after TKA, providing an alternative to distinguish between true and pseudo patella baja. Furthermore, JLH can be applied to assess and restore the joint line position in TKA.

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“…Total knee arthroplasty (TKA) is the gold standard for the treatment of advanced knee osteoarthritis [1,2]. However, among the postoperative complications of TKA, patellofemoral pain, knee instability, and reduction of movement range are still common, which resulted from abnormal patellar height to some extent [3,4].…”

Section: Introductionmentioning

confidence: 99%

A new method for evaluation of patellar height and the position of the joint line before and after total knee arthroplasty

Han

Zhang

2020

Preprint

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Abstract Background: The measurement of patellar height and restoration of the natural position of the joint line are crucial to total knee arthroplasty (TKA). However, there remains a lack of consensus on an optimal measurement method to associate the patellar height with the joint line position. The objective of this study was to introduce a new method and validate the application in TKA both preoperatively and postoperatively.Methods: Instead of taking marginal landmarks as the tibial references, the tibial shaft axis was used to construct the new measurement method, which comprises the axis-patella (AP), joint axis-patella (jAP) indices and joint line height (JLH). Patellar heights were measured using the Insall-Salvati (IS), modified Insall-Salvati (mIS), Blackburne-Peel (BP), Caton-Deschamps (CD) indices, and the new method in 175 knees both preoperatively and postoperatively. Intraclass correlation coefficients and Pearson’s correlation analysis were respectively used to evaluate the reliabilities and correlations.Results: There was good correlation between the proposed method and the mIS, CD, and BP indices. High inter-observer reproducibility was found for AP (preoperative and postoperative 0.83), jAP (preoperative 0.82; postoperative 0.86) indices and JLH (preoperative 0.88; postoperative 0.95). High intra-observer repeatability was also found for AP (preoperative 0.85; postoperative 0.87), jAP (preoperative 0.83; postoperative 0.87) indices and JLH (preoperative 0.80; postoperative 0.92). Conclusions: The new method is reliable for measuring patellar height before and after TKA, providing an alternative to distinguish between true and pseudo patella baja. Furthermore, JLH can be applied to assess and restore the joint line position in TKA.

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Pre‐operative Functional Parameters of Patients Undergoing Total Knee Arthroplasty

Cited by 16 publications

References 27 publications

Effect of the knee replacement surgery on activity level based on ActivPAL: a systematic review and meta-analysis study

Effect of the knee replacement surgery on activity level based on ActivPAL: a systematic review and meta-analysis study

A new method for evaluation of patellar height and the position of the joint line before and after total knee arthroplasty

A new method for evaluation of patellar height and the position of the joint line before and after total knee arthroplasty

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