Early Recovery After Total Knee Arthroplasty Performed with and without Patellar Eversion and Tibial Translation

Dalury, David F.; Mulliken, B. D.; Adams, Mary Jo; Lewis, Christina; Sauder, Rebecca R; Bushey, Jennifer A

doi:10.2106/jbjs.h.00435

Cited by 33 publications

(50 citation statements)

References 9 publications

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“…Medial parapatellar arthrotomy with patellar eversion vs same approach without eversion Patellar dislocation without eversion improved range of motion at 1 yr postoperatively. All other studied parameters were not significantly different Dalury et al [50] Prospective randomized trial. Patellar eversion and anterior tibial translation vs patellar subluxation and no tibial translation No significant differences between the treatment groups at 6 wk, 12 wk or 6 mo after surgery Walter et al [49] Prospective, randomized, blinded study.…”

Section: Ref Type Of Study Outcomementioning

confidence: 79%

“…Initially, in 2007, Walter et al [49] performed a study which led them to the conclusion that avoiding patellar eversion led to earlier return of quadriceps function and a decrease in the length of patient stay in hospital. On the other hand, in 2009, Dalury et al [50] claimed that patellar eversion and anterior tibial translation showed no significant difference to patellar subluxation and avoiding tibial translation on range of knee motion, quadriceps strength and patient's knee preference, up to 6 mo after surgery. Furthermore, Arnout et al [51] in 2009, in a prospective randomized study, concluded that patellar dislocation without eversion improved the active and passive range of knee motion up to 1 year postoperatively and recommended this procedure as safe.…”

Section: Patellar Eversion or Not?mentioning

confidence: 99%

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Common controversies in total knee replacement surgery: Current evidence

Nikolaou¹

2014

WJO

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Total knee replacement (TKR) is a widely used operation that has radically improved the quality of life of millions of people during the last few decades. However, some technical details, concerning the surgical procedure and the rehabilitation following total knee arthroplasty, are still a matter of a strong debate. In this review of the literature, we have included the best evidence available of the last decade, in an effort to shed light on some of the most controversial subjects related to TKR surgery. Posterior-stabilized or cruciate-retaining prosthesis? To use a tourniquet during operation or not? Do patients need continuous passive motion for their post-surgery rehabilitation? To resurface patella or not? These are some of the most controversial topics that until now have been persistent dilemmas for the orthopedic surgeon. Results of this systematic review of the literature are highly controversial. These conflicting results are an indication that larger and more well conducted high quality trials are needed in order to gain more secure answers. At the same time, it is becoming apparent that a meticulous operative technique, respecting the soft tissue envelope and knowing the principles of alignment and soft tissue balancing, are some of the parameters that might contribute more to achieving the optimal results for the patients. Key words: Total knee replacement; Controversy; Literature review; Patella resurfacing; Patella eversion; Posterior stabilized; Cruciate retaining; Tourniquet; Continuous passive motion Core tip: A literature review has been conducted in an effort to present the best available evidence of the last decade and to shed light on some of the most controversial subjects related to total knee replacement surgery. Patella resurfacing or not? Posterior cruciate retaining or sacrificing? Continuous passive motion or not? Tourniquet or not? These are some of the most debatable topics that until now have been persistent dilemmas for the orthopedic surgeon. Results of this systematic review of the literature are highly controversial. These conflicting results are an indication that larger and better conducted high quality trials are needed in order to gain more secure answers.Nikolaou VS, Chytas D, Babis GC. Common controversies in total knee replacement surgery: Current evidence. World J Orthop 2014; 5(4

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Section: Ref Type Of Study Outcomementioning

confidence: 79%

Section: Patellar Eversion or Not?mentioning

confidence: 99%

Common controversies in total knee replacement surgery: Current evidence

Nikolaou¹

2014

WJO

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“…Avoiding eversion of the patella also has been shown to lead to improved knee ROM [1], earlier return of SLR [2,4,7], better early knee flexion [2], avoidance of patella baja [3,6], and shorter hospital stays [7]. There are very few prospective, randomized studies comparing eversion and non-eversion of the patella in TKA using the same approach [7,10]. While one study [10] has reported objective numeric data on patellar eversion and non-eversion using the medial parapatellar approach, patellar eversion was combined with tibial translation and noneversion without tibial translation.…”

Section: Discussionmentioning

confidence: 99%

“…Only in one study have objective numeric data regarding effects of patellar eversion using a single approach been reported, but the operations were performed by two different surgeons [10]. However, our study is the first to compare the effects of TKA with or without patellar eversion using objective numeric data regarding quadriceps force and power with all of the surgeries performed by a single surgeon using the same approach and at least 1 year of follow-up for all patients.…”

mentioning

confidence: 99%

Patellar Eversion Does Not Adversely Affect Quadriceps Recovery Following Total Knee Arthroplasty

Umrani

Cho

Kim

2013

The Journal of Arthroplasty

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“…The pathophysiological mechanism of anterior knee pain after implantation of an artificial knee joint can have many reasons: an oversized femoral part of the implant, malposition, malrotation, over-forcing of the lateral or medial part of the retinaculum patellae, retropatellar arthrosis, and so on (Barrack et al, 2001;Calvisi et al, 2009;Dalury et al, 2009;Kessler et al, 2008;Mahoney and Kinsey, 2010;Muoneke et al, 2003;Torga-Spak et al, 2004).…”

Section: Introductionmentioning

confidence: 99%

Thermal Imaging as a Noninvasive Diagnostic Tool for Anterior Knee Pain Following Implantation of Artificial Knee Joints

Glehr¹,

Stibor²,

Sadoghi³

et al. 2011

Int. J. Thermo

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The variety of radiographic diagnostics used to diagnose pain localised close to metal implants is still limited. Especially magnetic resonance results can not be analysed because of artefacts. In this article we present for the first time a direct correlation between an increase in skin temperature and existent frontal (anterior) knee pain after implantation of artificial knee joints measured with thermography. In a standardised way 26 knees were analysed. Thermographic photos were taken from frontal, inner (medial) and outer (lateral) directions with a computer-assisted infrared thermograph. Temperatures in locations with pain were significantly higher compared to the reference field in inner location (median 0.95 °C, p=0.0043), as well as in outer location (median 0.5 °C, p=0.032). Median temperature difference between pain localization and localizations without pain was 0.7 °C and ranged from 0.1 °C to 1.7 °C. In the receiver operating characteristic (ROC) analysis the sensitivity of this method was 1.0 and specificity was 0.917. The evidence of a significant increase in skin temperature on the painful sites opens up the possibility to localize and assess pain more precisely in patients with joint prosthesis. We consider this novel, rapid, inexpensive and non-invasive technology to posses the potential to become a useful and objective tool for diagnosis of pain and inflammation and to generate digital data that can be stored and analysed in clinical practice.

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Early Recovery After Total Knee Arthroplasty Performed with and without Patellar Eversion and Tibial Translation

Cited by 33 publications

References 9 publications

Common controversies in total knee replacement surgery: Current evidence

Common controversies in total knee replacement surgery: Current evidence

Patellar Eversion Does Not Adversely Affect Quadriceps Recovery Following Total Knee Arthroplasty

Thermal Imaging as a Noninvasive Diagnostic Tool for Anterior Knee Pain Following Implantation of Artificial Knee Joints

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