Postoperative numbness of the knee following total knee arthroplasty

Black, Rachelle; Green, C; Sochart, David H.

doi:10.1308/003588413x13629960049009

Cited by 14 publications

(11 citation statements)

References 12 publications

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“…The differences between the two assessment methods may be due to psychological factors; one study observed that patients were more than three times more likely to report numbness if it was discussed during the consent process. 27 For our patients, difficulty in kneeling correlated moderately with worse PROM scores. A study of 206 TKRs also found a significant moderate correlation between kneeling ability and WOMAC ® score at 1 and 2 years 28 but other studies found no correlation.…”

Section: Discussionmentioning

confidence: 54%

The effect of numbness on outcome from total knee replacement

Blackburn

Wylde

Greenwood

et al. 2017

annals

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INTRODUCTION Some patients report continuing pain and functional limitations after total knee replacement (TKR). While numbness around the TKR scar is common, the impact of numbness is less clear. One particular activity that could be influenced by numbness is kneeling. The aim of this study was to explore the impact of numbness around TKR scars on health related quality of life and kneeling ability. METHODS Fifty-six patients were recruited one year after primary TKR. Sensation around the knee was assessed through patient self-reporting, monofilament testing and vibration, and patients' distress was measured on a visual analogue scale. Patient reported outcome measures (PROMs) including the Western Ontario and McMaster Universities (WOMAC) index, the Knee injury and Osteoarthritis Outcome Score (KOOS), the painDETECT (Pfizer, Berlin, Germany) questionnaire and the EQ-5D™ (EuroQol, Rotterdam, Netherlands) questionnaire were used. Participants were also asked about kneeling ability. RESULTS While 68% of patients reported numbness around their TKR scar, there was no statistically significant correlation between numbness and distress at numbness (self-report: 0.23, p=0.08; monofilament: 0.15, p=0.27). Furthermore, numbness did not correlate significantly with joint specific PROMs (WOMAC: 0.21, p=0.13; KOOS: 0.18, p=0.19). However, difficulty with kneeling did correlate with both self-reported numbness (0.36, p=0.020) and worse PROM scores (WOMAC pain subscale: 0.62, p<0.001; KOOS: 0.64, p<0.001). CONCLUSIONS Numbness after knee replacement is common but is not associated with worse patient reported outcomes.

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Section: Discussionmentioning

confidence: 54%

The effect of numbness on outcome from total knee replacement

Blackburn

Wylde

Greenwood

et al. 2017

annals

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“…1,8,12,28,33,34 Our clinical study of 109 patients revealed no such complications. Our anatomic study showed that the medial and lateral epicondyles can serve as dependable landmarks for portal placement (± 4.7 mm and ± 3.8 mm, respectively).…”

Section: Discussionmentioning

confidence: 66%

Retropatellar Accessory Portals for Improved Access to the Patella; Anatomic Description and Evaluation of Safety

Logli¹,

Koh²

2016

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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“…• Presence of an intra-articular hematoma It has been shown that the risk of nerve injury is increased in patients with rheumatoid arthritis [20]. However, none of these risk factors is directly related to nerve injury [18].…”

Section: Neurologic Complicationsmentioning

confidence: 99%

“…In the presence of postoperative nerve injury, physical therapy should be planned immediately. EMG examination is recommended after 3 months [20]. If no improvement is observed, nerve exploration may be planned in the future.…”

Section: Neurologic Complicationsmentioning

confidence: 99%

“…The extensor mechanism in the knee joint consists of quadriceps muscle group, quadriceps tendon, patella, patellar retinaculum, patellar tendon, and tuberositas tibia. Extensor mechanism integrity may be impaired during surgery [20]. Although extensor mechanism injuries occur more frequently postoperatively, they may also occur intraoperative.…”

Section: Extensor Mechanism Injuriesmentioning

confidence: 99%

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Complications after Total Knee Arthroplasty

Ayas¹,

Kalkışım²,

Köse³

et al. 2020

Knee Surgery - Reconstruction and Replacement

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Nowadays, the incidence of knee arthritis increases with the prolongation of human life and the increase in world population. As a result, total knee arthroplasty application rates increased and surgeons gained more experience. There have also been technical advances and total knee arthroplasty operations have been performed using better implants. However, despite these developments, the number and variety of complications are increasing. In addition to performing total knee arthroplasty correctly, it is now becoming more important to recognize complications that may or may develop. Variety of complications after total knee replacement; from minor skin problems to life-threatening complications. In this review article, we aimed to investigate early and late complications during and after total knee replacement surgery.

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Postoperative numbness of the knee following total knee arthroplasty

Cited by 14 publications

References 12 publications

The effect of numbness on outcome from total knee replacement

The effect of numbness on outcome from total knee replacement

Retropatellar Accessory Portals for Improved Access to the Patella; Anatomic Description and Evaluation of Safety

Complications after Total Knee Arthroplasty

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