The early results of gender-specific total knee arthroplasty in Thai patients

Tanavalee, Aree; Rojpornpradit, Thana; Khumrak, Sukree; Ngarmukos, Srihatach

doi:10.1016/j.knee.2010.10.005

Cited by 28 publications

(24 citation statements)

References 19 publications

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“…While there are a few studies assessing clinical outcomes of gender-specific TKA [10,31,32,45], albeit at short followup periods, there are even fewer reports on the results of gender-specific THA [33,46]. This is more of a failure of the surgeons and manufacturers who advocate the need for gender-specific knee designs to conduct large-scale prospective trials to compare these outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…Of these 20 reports, there were 15 focusing on the knee and five focusing on the hip (Table 1). There were four reports specifically on clinical outcomes after genderspecific TKA [10,31,32,45] (two of which had a prospective, randomized design [31,32]), and one additional study assessing whether women received benefit from expanded prosthesis sizes [16]. Four studies reported on the effect of gender and modularity on clinical outcomes in THA [25,33,36,46].…”

Section: Methodsmentioning

confidence: 99%

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Do We Need Gender-specific Total Joint Arthroplasty?

Johnson

Costa

Mont

2011

Clinical Orthopaedics &Amp; Related Research

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Background Gender-specific differences in knee and hip anatomy have been well documented. Although it has been accepted these differences exist, there is controversy regarding if and how these differences should be addressed with gender-specific implant designs. Questions/purposes (1) What are the anatomic and morphologic differences, if any, in the knee and hip between men and women? (2) Do gender-specific TKA designs provide better clinical functioning, survivorship, and improved fit in women? (3) How have anatomic differences in the hip been addressed, if at all, by THA? Methods We conducted a systematic review of the MEDLINE database to identify all articles reviewing basic science and clinical outcomes of gender-specific total knee and total hip implants. From these, we reviewed 253 studies.Results The anatomic studies elucidated multiple differences in the anatomy of knees and hips between men and women. All reviewed studies report similar clinical function and satisfaction scores between men and women for gender-specific TKA and no improvement in these scores when comparing gender-specific TKA to unisex TKA.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Do We Need Gender-specific Total Joint Arthroplasty?

Johnson

Costa

Mont

2011

Clinical Orthopaedics &Amp; Related Research

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“…The greatly contemplated gender specific knee system is Zimmer Gender Solutions NexGen Knee (Zimmer Inc., Warsaw, IN). Such examinations comprised unilateral as well as bilateral studies in female and Indian as well as Tai patients [8][9][10][11][12][13][14]. Although, the available literature, supports a little of gender specific prostheses.…”

Section: Introductionmentioning

confidence: 99%

Gender comparison of clinical outcomes post high-flex total knee arthroplasty

Hui¹,

Lu²,

Bai³

et al. 2018

biomedicalresearch

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Background: Although it is normally perceived that knee morphometry contrasts exist amongst the female as well as male populations, the literature normally disproves the need for gender specific totalknee prosthesis clinically. It was noted that standard/unisex knee performs alike or better in female than male. As of late, high flex knees became accessible, that mechanically accommodate raised flexion but not many studies have contrasted these devices' results in male and female to find out if there is any gender based contrast.

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“…14 In a Thai population, 86% of patients with a size E prosthesis and all patients with a size F prosthesis had mediolateral overhang of the femoral component with soft tissue impingement. 21 Nonetheless, some studies report no significant difference in outcome between conventional and gender-specific TKA. 19,21,22 We hypothesised that the higher aspect ratio should lead to more severe mediolateral overhang of the femoral component.…”

Section: Introductionmentioning

confidence: 99%

“…21 Nonetheless, some studies report no significant difference in outcome between conventional and gender-specific TKA. 19,21,22 We hypothesised that the higher aspect ratio should lead to more severe mediolateral overhang of the femoral component. Asian women using a size E and larger prosthesis should achieve better outcome after gender-specific TKA than conventional TKA.…”

Section: Introductionmentioning

confidence: 99%

Gender-Specific Total Knee Arthroplasty in Singaporean Women

Lim

Chong

Ling

et al. 2015

J Orthop Surg (Hong Kong)

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Purpose.To compare the outcome of 145 women who underwent conventional total knee arthroplasty (TKA) with 77 women who underwent genderspecific TKA. Methods. Records of 222 women who underwent primary TKA using a conventional (n=145) or genderspecific (n=77) size E or F prosthesis for end-stage osteoarthritis were reviewed. The gender-specific prosthesis has a narrower mediolateral dimension. Patients were assessed for flexion, Oxford Knee Score, Knee Society function and knee scores, and Short Form-36 Health Survey preoperatively and postoperatively (at 6 months and 2 years). Results. The 2 groups were comparable in terms of age (67.8 vs. 68.1 years, p=0.789), body mass index (28.6 vs. 27.8 kg/m 2 , p=0.189), and preoperative scores. 12 women with conventional TKA and 4 women with gender-specific TKA were lost to followup. Compared with women with conventional TKA, women with gender-specific TKA had better flexion at 6 months (116° vs. 121.9°, p=0.007) and 2 years (118.7° vs. 124.6°, p=0.006), better bodily pain score at 2 years

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The early results of gender-specific total knee arthroplasty in Thai patients

Cited by 28 publications

References 19 publications

Do We Need Gender-specific Total Joint Arthroplasty?

Do We Need Gender-specific Total Joint Arthroplasty?

Gender comparison of clinical outcomes post high-flex total knee arthroplasty

Gender-Specific Total Knee Arthroplasty in Singaporean Women

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