Preserving knee function following osteoarthritis diagnosis: A sustainability theory and social ecology clinical commentary

Nyland, John; Wera, Jeff; Henzman, Cameron; Miller, Thomas W.; Jakob, R.; Caborn, David N.M.

doi:10.1016/j.ptsp.2014.07.003

Cited by 8 publications

(2 citation statements)

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“…Although biologic treatment methods should be chosen primarily in young and active patients, HTO procedures have been ignored by most surgeons due to the technological improvements and the early term success of the resurfacing and unicompartmental knee arthroplasty procedures [11, 12]. HTO is a good option in middle-aged or older patients who are not good candidates for arthroplasty procedures due to the social differentiation and habits of the patients or the reluctance of the patients to undergo arthroplasty [13, 14]. …”

Section: Introductionmentioning

confidence: 99%

Long-term results and comparison of the three different high tibial osteotomy and fixation techniques in medial compartment arthrosis

et al. 2017

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BackgroundThe purpose of this study is to report and analyze the long-term outcomes of the patients who underwent high tibial osteotomy (HTO) with three different techniques for the treatment of medial compartment arthrosis.MethodsA total of 187 patients (195 knees) who underwent HTO between 1990 and 2010 were retrospectively evaluated. Eighty-eight knees, opening-wedge osteotomy with Puddu plate (group A); 51 knees, transverse osteotomy below the tubercle with external fixator (group B); and 29 knees, closing-wedge osteotomy with staple fixation (group C) were included in the study. The patients (mean age 44.9 ± 10.6 years, mean follow-up of 12.4 ± 3.2 years) were called for final controls and survival rates of the knees, and functional evaluations of the patients were performed using Knee Society Score (KSS) and Hospital for Special Surgery (HSS) knee score assessments.ResultsIn the comparison of the three groups, there were no differences regarding the mean age, preoperative arthrosis levels, or preoperative deformity analyses (n.s.). The main finding of these comparisons showed that the closing-wedge osteotomy has the greatest lateralization effect on mechanical axis deviation (MAD) (p = 0.024), the greatest valgization effect on medial proximal tibial angles (MPTA) (p = 0.026), and the lowest posterior tibial slope (PTS) angles (p = 0.032) in comparison to the other groups. There were no functional differences between the three groups in the long-term assessment of patients with KSS and HSS knee scores. According to the Kaplan–Meier survival analysis, the probability of the survival of the native knee joint after HTO was 93.4% in 5 years and 71.2% in 10 years in our study group. During the follow-up of the 168 knees, revision surgery with total knee replacement was needed in 27 knees (16%). The mean time from HTO to total knee replacement was 8.9 years in these patients.ConclusionsHTO has acceptable long-term clinical and functional results that should not be underestimated by orthopedic surgeons under pressure to perform arthroplasty operations.

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Section: Introductionmentioning

confidence: 99%

Long-term results and comparison of the three different high tibial osteotomy and fixation techniques in medial compartment arthrosis

et al. 2017

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“…Loss of proprioception, balance, sensation as joint position and kinesthetic are frequently observed in patients with knee osteoarthritis [78,79]. Shakoor et al [80] described significant sensory deficits associated with hip osteoarthritis, and these deficiencies involved both upper and lower limbs.…”

Section: Hip Jointmentioning

confidence: 99%

Proprioception and Clinical Correlation

Gelener¹,

İyigün²,

Özmanevra³

2021

Proprioception

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Proprioception is the sense of position or the motion of the limbs and body in the absence of vision. It is a complex system having both conscious and unconscious components involving peripheral and central pathways. The complexity of sensorimotor systems requires deep knowledge of anatomy and physiology to analyze and localize the symptoms and the signs of the patients. Joint sense and vibration sense examination is an important component of physical examination. This chapter consists anatomy, motor control, postural control related to proprioception with neurologic clinical correlation and also the information about the changes of proprioception after orthopedic surgeries and discuss with the available literature.

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