Unexplained pain after total knee arthroplasty

Parratte, S.; Kornilov, N.N.; Тиенпонт, Э.; Baldini, Andrea; Тихилов, Р. М.; Аргенсон, Ж. .; Куляба, Т. А.

doi:10.21823/2311-2905-2013--4-92-96

Cited by 12 publications

(12 citation statements)

References 29 publications

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“…However, these measurements were performed before surgery or bone resection [1,3,9,16,20]. Therefore, surgeons try to correct intraoperative imbalance by releasing the medial soft tissues.…”

Section: Discussionmentioning

confidence: 99%

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Lateral Soft Tissue Laxity Increases but Medial Laxity Does Not Contract With Varus Deformity in Total Knee Arthroplasty

Okamoto

Okazaki

Mitsuyasu

et al. 2013

Clinical Orthopaedics &Amp; Related Research

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Section: Discussionmentioning

confidence: 99%

“…tissue would result in the use of a thicker insert that may cause elevation of the joint line [25,27], and the looser soft tissue may create postoperative instability [12,20]. Some surgeon may consider allowing slight varus postoperative alignment in the safe zone, as described by Fang et al [5] (2.4°-7.2°valgus in tibiofemoral angle).…”

Section: Discussionmentioning

confidence: 99%

Lateral Soft Tissue Laxity Increases but Medial Laxity Does Not Contract With Varus Deformity in Total Knee Arthroplasty

Okamoto

Okazaki

Mitsuyasu

et al. 2013

Clinical Orthopaedics &Amp; Related Research

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“…More common in cruciate retaining (CR) implants [5,12], it can occur in posterior stabilized (PS) also [18]. In CR implants, instability can be led by surgical errors (undersized femoral component, excessive tibial slope, and misdiagnosed previous PCL rupture) or later PCL failure.…”

Section: Flexion Instabilitymentioning

confidence: 99%

Painful knee arthroplasty: current practice

Cottino

Rosso

Pastrone

et al. 2015

Curr Rev Musculoskelet Med

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Primary total knee arthroplasty is the treatment for end-stage arthritis of the knee; in the last years, it is becoming more common and reliable, due to technical and implant improvement. With larger implant rates, the overall complications will increase and pain is the most common sign of implant failure. Pain can be related to a lot of different clinical findings, and the surgeon has to be aware of the various etiologies that can lead to failure. Pain does not always mean revision, and the patient has to be fully evaluated to have a correct diagnosis; if surgery is performed for the wrong reason, this will surely lead to a failure. In this paper, the authors revised the more common causes of failure that can have a painful onset proposing an approach for diagnosis and treatment.

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“…The correction of deformities and establishing ligament balance are priority mechanical objectives in the implantation of total knee prostheses (TKPs) to ensure a good, durable and functional result. [3][4][5][6] In this study we aim to study the surgical outcome of total knee replacement in valgus deformity via standard medial parapatellar approach using various techniques like Pie-Crusting release of lateral structures or combined technique of pie crusting and standard release of lateral structures.…”

Section: Introductionmentioning

confidence: 99%

To study surgical outcome of various surgical procedures of lateral release in valgus knee in total knee arthroplasty

Patel

Shah

et al. 2017

Int J Res Orthop

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Background: Fixed valgus deformity presents a major challenge in total knee arthroplasty (TKA), especially in moderate or severe cases. In knee arthritis, fixed-varus deformity (50 to 55%) is three times more frequent than fixed-valgus deformity (10 to 15%). Valgus deformity occurs more commonly in rheumatoid arthritis and also in osteoarthritis with hypoplasia of the lateral femoral condyle. Valgus deformity is often associated with flexion or external rotation contracture of the knee. In this study we aim to study the surgical outcome of total knee replacement in valgus deformity via standard medial parapatellar approach using various techniques like Pie –Crusting release of lateral structures or combined technique of pie crusting and standard release of lateral structures. Aim: To evaluate surgical outcome of various surgical techniques via standard medial parapatellar approach in fixed valgus deformity in Total Knee Arthroplasty.Methods: The present study involved both male and female patients with osteoarthritis of knee with valgus deformity. In present series, 26 consecutive patients of osteoarthritis with valgus deformity operated with total knee replacement were included. Previously operated cases of high tibial osteotomy and patients having contraindication for TKA were excluded from the study.Results: Valgus angle in this study was between 13 to 27 degree with average 17.84 degree. These results were comparable to many such similar studies. In our study, post operatively, knee society score was average 87.69 and function knee score was 82.5. Mean range of motion was 105 degree. In our study, mean tibiofemoral alignment improved from 17.84 valgus to 4.7 valgus.Conclusions: Knee society score is excellent with both techniques and there is no difference in both techniques Iliotibial band and posterolateral capsule are most common structures that require release. Initial ligament balancing should be done with pie crusting and then sequential lateral release if require.

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Unexplained pain after total knee arthroplasty

Abstract: обзоры и рецензии т р а в м а т о л о г и я и о р т о п е д и я р о с с и и 2013-4 (70)

Cited by 12 publications

References 29 publications

Lateral Soft Tissue Laxity Increases but Medial Laxity Does Not Contract With Varus Deformity in Total Knee Arthroplasty

Lateral Soft Tissue Laxity Increases but Medial Laxity Does Not Contract With Varus Deformity in Total Knee Arthroplasty

Painful knee arthroplasty: current practice

To study surgical outcome of various surgical procedures of lateral release in valgus knee in total knee arthroplasty

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