Minimally Invasive: Total Knee Arthroplasty

Haas, S B; Lehman, Andrew P; Cook, Scott

doi:10.1007/3-540-27658-0_44

Cited by 4 publications

(1 citation statement)

References 11 publications

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“…The 2018 AAOS textbook on postoperative orthopedic rehabilitation states that it generally takes 10-12 weeks of time coupled with formal therapy to achieve 110-120 degrees ROM (Haas, Ricciardi, and Reyes 2018). This study shows that using a home based protocol, the mean ROM was 109 degrees at 3 weeks and 115 at 6 weeks.…”

Section: Discussionmentioning

confidence: 67%

23-hour TKA in 10 opioid pills or less through 90 days: A non-selected prospective consecutive one year cohort

Stevenson,

Wickline

2020

Journal of Orthopaedic Experience &Amp; Innovation

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Background Modern treatment protocols for pain management following total knee arthroplasty (TKA) rely heavily on opioid medications. The growing concerns over the opioid epidemic and complications from their use remain problematic. The primary purpose of this study was to enhance multimodal perioperative pain control to reduce opioid consumption after TKA. Methods 386 prospective and consecutive patients who consented for unilateral TKA were enrolled in a 4 month long multi-modal protocol including a robust education and optimization program with home-based physical therapy. Patients also received a continuous adductor canal block (CACB) with ropivacaine. Opioid consumption, Numeric Rating Scale (NRS) Pain scores, KOOS Jr, and ROM was recorded at baseline and postoperative days 1,2,3 and 3 weeks, 6 weeks, and 12 week. Results Though 12 weeks, 86.3% of patients undergoing TKA required 10 pills or less and 18.9% required no opioid pills. 50.5% took only tramadol rather than stronger opioids. Additionally, 85.4% of patients required no formal physical therapy (PT) through 12 weeks. 63.2% of patients were discharged the day of surgery, and 91.2% were discharged by the first postoperative day. 311 of 386 (80.6%) patients completed all KOOS Jr. evaluations. The mean KOOS Jr score increased from 53.1 at baseline to 71.8 at 6 weeks and 90.0 at 12 weeks. Mean flexion was 109.2 deg at 3 weeks and 115.8deg at 6 weeks. The 90 day readmission rate was 1.2%. Conclusion A novel multimodal protocol combining consistent and patient specific preoperative education, CACB, and self-directed and unsupervised postoperative rehabilitation dramatically reduces narcotic needs, formal physical therapy needs, and decreases length of stay following TKA.

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Section: Discussionmentioning

confidence: 67%

23-hour TKA in 10 opioid pills or less through 90 days: A non-selected prospective consecutive one year cohort

Stevenson,

Wickline

2020

Journal of Orthopaedic Experience &Amp; Innovation

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Low Invasive Knee Arthroplasty

Сикилинда¹,

Алабут²

2013

N.N. Priorov Journal of Traumatology and Orthopedics

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Short Term Result of Minimally Invasive Total Knee Arthroplasty with Mini-Midvastus Approach

Yoo

Yoon

Han

et al. 2009

J Korean Orthop Assoc

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Purpose:To investigate the effectiveness of minimally invasive total knee arthroplasty using the mini-midvastus approach through analyzing the short-term clinical outcomes. Materials and Methods: Seventy-seven consecutive total knee arthroplasties were performed with the mini-midvastus surgical technique from August 2005 to February 2006 and were followed for more than 1 year after the procedure. All operations were performed with the Nexgen LPS-flex total knee system using a MIS quad-sparing instrument. The evaluation included preoperative and postoperative clinical data, surgical and radiological outcomes. Conclusion:If proper surgical procedures are performed using the appropriate surgical instruments, minimally invasive total knee arthroplasty with the assistance of the mini-midvastus approach, can result in good clinical outcomes and alignment of the implants.

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Minimally Invasive: Total Knee Arthroplasty

Cited by 4 publications

References 11 publications

23-hour TKA in 10 opioid pills or less through 90 days: A non-selected prospective consecutive one year cohort

23-hour TKA in 10 opioid pills or less through 90 days: A non-selected prospective consecutive one year cohort

Low Invasive Knee Arthroplasty

Short Term Result of Minimally Invasive Total Knee Arthroplasty with Mini-Midvastus Approach

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