Arthroscopic Treatment of Symptomatic Total Knee Arthroplasty

Bocell, James R.; Thorpe, C D; Tullós, Hugh S.

doi:10.1097/00003086-199110000-00018

Cited by 83 publications

(40 citation statements)

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“…Each author certifies that his or her institution has approved the human protocol for this investigation, that all investigations were conducted in conformity with ethical principles of research, and that informed consent for participation in the study was obtained. [1,5,7,11,15,[17][18][19][20], its usefulness in evaluating and treating the chronically painful hip arthroplasty (after a negative standard workup) is not known.…”

Section: Introductionmentioning

confidence: 99%

The Role of Arthroscopy in Evaluation of Painful Hip Arthroplasty

McCarthy

Jibodh

Lee

2009

Clinical Orthopaedics &Amp; Related Research

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Section: Introductionmentioning

confidence: 99%

The Role of Arthroscopy in Evaluation of Painful Hip Arthroplasty

McCarthy

Jibodh

Lee

2009

Clinical Orthopaedics &Amp; Related Research

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“…These include design of prosthesis, extent of surgical trauma, alteration of joint line, patellar height, patellar thickness, and patellar tracking [1,3,4]. Arthroscopic treatment for patellar clunk syndrome has been reported with some encouraging results [2,3,6].…”

Section: Introductionmentioning

confidence: 99%

Arthroscopic treatment of patellar symptoms in posterior stabilized total knee replacement

Wong

Yau

Chiu

2002

International Orthopaedics (SICOT)

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Twenty-one patients with patellar symptoms had arthroscopic treatment. Symptoms included frank patellar clunk and painful patellofemoral crepitus. All patients had posterior stabilized total knee replacement (TKR). The average onset of symptoms following TKR was 17 (range 3-75) months. All patients were referred to physiotherapy treatment before arthroscopic treatment. The average duration of symptoms prior to arthroscopic treatment was 23 (range 4-92) months. All patients were satisfied with resolution of symptoms at average followup of 32 (range 12-52) months. No complications were encountered; however, one patient had recurrence of a painful patellar crepitus 8 months after arthroscopy.Résumé Vingt et un malades avec des symptômes rotuliens ont eu un traitement arthroscopique. Tous les malades avaient une arthroplastie totale du genou postéro -stabilisée. Les symptômes ont inclus le ressaut patellaire audible (clunk syndrome) et crepitement patellaire douloureux. Le début moyen des symptômes après le remplacement prothétique du genou était de 17 mois (3-75 mois). Tous les malades ont eu de la physiothérapie avant le traitement arthroscopique. La durée moyenne des symptômes avant l'arthroscopie était 23 mois (4-92 mois). Tous les malades ont été satisfaits avec disparition des symptômes à un délai moyen de 32 mois (12-52 mois). Aucune complication n'a été rencontrée. Cependant, un malade a eu la récidive d'un crépitement rotulien douloureux 8 mois après l'arthroscopie.

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“…This is where arthroscopy plays an important role enabling a progress in the diagnosis and a potential treatment in certain patients whose prostheses, although apparently properly implanted, continue to cause pain (McCarthy et al, 2009). This is already being used as a diagnostic and therapeutic tool in some painful complications associated with total knee replacements (Bocell et al, 1991;Johnson et al, 1990;Lawrence & Kan, 1992;Lucas et al, 1999;Markel et al, 1996;Scranton, 2001;Tzagarakis et al, 2001;Wasilewski & Frankl, 1989a, 1989b. Access can be gained to the prosthetic joint using the arthroscopic technique and instruments.…”

Section: Discussionmentioning

confidence: 99%

“…There is a clear similarity between the aforementioned sources of ongoing pain after hip replacement and those reported in relation to persistence of pain after knee replacement. Since 1989, several authors have reported the use of arthroscopy as a diagnostic and therapeutic tool in painful complications of knee implants, Wasilewski being the earliest (Bocell et al, 1991;Johnson et al, 1990;Lawrence & Kan, 1992;Lucas et al, 1999;Markel et al, 1996;Scranton, 2001;Tzagarakis et al, 2001;Wasilewski & Frankl, 1989a, 1989b. The use of arthroscopy in selected patients with hip implants represents a step forward in diagnosis and possible treatment of painful, apparently well implanted prostheses (Cuéllar et al, 2009;McCarthy et al, 2009;Bajwa & Villar, 2011).…”

Section: Introductionmentioning

confidence: 99%