Comparison of muscle strength of posterior cruciate-retained versus cruciate-sacrificed total knee arthroplasty

Huang, Chun‐Hsiung; Lee, Ye-Ming; Liau, Jiann‐Jong; Cheng, Cheng‐Kung

doi:10.1016/s0883-5403(98)90030-4

Cited by 33 publications

(15 citation statements)

References 8 publications

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“…The authors had the opinion that, whatever design used in a knee replacement, the improvement regarding the range of motion decreased with increasing range of preoperative motion. Huang et al 1998 could not find that presence of the ligament had any influence on the strength of the hamstring muscles after a knee replacement. Neither could Lattanzio et al (1998) demonstrate any improvement of knee-joint proprioception and suggested that retention of the PCL did not improve the function after TKA.…”

Section: Retention Equal To Resectionmentioning

confidence: 73%

Knee joint kinematics, fixation and function related to joint area design in total knee arthroplasty

Uvehammer¹

2001

Acta Orthopaedica Scandinavica

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Section: Retention Equal To Resectionmentioning

confidence: 73%

Knee joint kinematics, fixation and function related to joint area design in total knee arthroplasty

Uvehammer¹

2001

Acta Orthopaedica Scandinavica

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“…20 Patients after TKA are often plagued with quadriceps femoris weakness and functional deficits that continue for years after surgery. 2,4,15,39 These limitations in strength and function are thought to result from a combination of preexisting weakness before surger y and pain and swelling postsurgery. 18,22,26 After bilateral TKA, patients are doubly affected by this persistent quadriceps weakness, which may result in serious functional limitations.…”

mentioning

confidence: 99%

Neuromuscular Electrical Stimulation for Quadriceps Muscle Strengthening After Bilateral Total Knee Arthroplasty: A Case Series

Stevens¹,

Mizner²,

Snyder‐Mackler³

2004

J Orthop Sports Phys Ther

179

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Study Design: A case series. Objectives: The purpose of this case series was to assess the effect of high-intensity neuromuscular electrical stimulation (NMES) on quadriceps strength and voluntary activation following total knee arthroplasty (TKA). Background: Following TKA, patients exhibit long-term weakness of the quadriceps and diminished functional capacity compared to age-matched healthy controls. The pain and swelling that results from surgery may contribute to quadriceps weakness. The use of high-intensity NMES has previously been shown to be effective in quickly restoring quadriceps strength in patients with weakness after surgery. Methods and Measures: All patients were treated for 6 weeks, 2 to 3 visits per week, in outpatient rehabilitation. Five patients (NMES group) participated in a voluntary exercise program for both knees and NMES for the weaker knee. Three patients (exercise group) participated in a voluntary exercise program for both knees without NMES. For each treatment session, 10 isometric electrically elicited muscle contractions were administered at maximally tolerated doses to the initially weaker leg of the NMES group. Quadriceps strength and muscle activation were repeatedly assessed up to 6 months after surgery using burst superimposition techniques. Results: At 6 months, the weak NMES-treated legs of 4 of 5 patients in the NMES group had surpassed the strength of the contralateral leg. In contrast, none of the weak legs in the exercise group were stronger than the contralateral leg at 6 months. Changes in quadriceps muscle activation mirrored the changes exhibited in strength. Conclusion: When NMES was added to a voluntary exercise program, deficits in quadriceps muscle strength and activation resolved quickly after TKA.

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“…Eine der zentralen Kontroversen der primären Knieendoprothetik kreist um die Frage, ob das HKB zu erhalten oder zu resezieren sei [1,2]. Das wesentliche Charakteristikum dabei scheint weniger die reine physische An-oder Abwesenheit, sondern vielmehr die verbleibende Funktion zu sein [14].…”

Section: Diskussionunclassified

“…Die Knieendoprothetik mittels bi-und trikompartimentellem Oberflächenersatz ist als das Standardverfahren in der operativen Behandlung degenerativer Erkrankungen des Kniegelenks etabliert. Strittig ist allerdings die Behandlung des hinteren Kreuzbandes im Rahmen des primären Gelenkersatzes [1,2]. Von Bedeutung ist dies, da vorderem (VKB) und hinterem Kreuzband (HKB) eine zentrale Rolle in der Biomechanik des Kniegelenks, die durch die konträren Aspekte von Mobilität und Stabilität gekennzeichnet ist, zukommt [3].…”

Section: Introductionunclassified

In-vitro-Untersuchung der Spannung des hinteren Kreuzbandes nach primärer Knieendoprothetik

Siebel¹,

Käfer²

2006

Z Orthop Ihre Grenzgeb

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Comparison of muscle strength of posterior cruciate-retained versus cruciate-sacrificed total knee arthroplasty

Cited by 33 publications

References 8 publications

Knee joint kinematics, fixation and function related to joint area design in total knee arthroplasty

Knee joint kinematics, fixation and function related to joint area design in total knee arthroplasty

Neuromuscular Electrical Stimulation for Quadriceps Muscle Strengthening After Bilateral Total Knee Arthroplasty: A Case Series

In-vitro-Untersuchung der Spannung des hinteren Kreuzbandes nach primärer Knieendoprothetik

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