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8 résultat(s) recherche sur le mot-clé 'Total knee arthroplasty'
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Bicruciate retaining total knee arthroplasty : results throughout history / Jef De Mulder in Acta Orthopaedica Belgica, Vol.87/1 (Mars 2021)
[article]
Titre : Bicruciate retaining total knee arthroplasty : results throughout history Type de document : texte imprimé Auteurs : Jef De Mulder ; Pieter Berger ; Hilde Vandenneucker Année de publication : 2021 Article en page(s) : p. 73-83 Note générale : https://doi.org/10.52628/87.1.10 Langues : Anglais (eng) Mots-clés : Bicruciate retaining total knee arthroplasty Vanguard XP Résumé : Approximately 20% amongst patients are dissatisfied after total knee arthroplasty (TKA). Bicruciate retaining (BCR) TKA offers superior knee kinematics and proprioception, but many surgeons abandoned its use because of complications and technical difficulties. Recently, two new BCR implant designs were introduced : Vanguard XP (Zimmer Biomet) and Journey XR (Smith&Nephew).
We searched Pubmed, Limo, Embase and Cochrane, screened reference lists of eligible studies and included studies that met the inclusion criteria. We included 35 articles reporting on ten different BCR implants, including three articles presenting results of the Vanguard XP prosthesis. Unfortunately, no articles reporting on the results of the Journey XR prosthesis had been published.
The BCR implants of the early 1970s showed good functional results, but a high rate of complications, mainly loosening and infections. The Townley Anatomic TKA was the first BCR implant with good clinical results, a low incidence of loosening and a high survivorship. One article of the three reporting on the Vanguard XP yielded high patient satisfaction (94%) with two revisions (1.4%). The two other articles reported three revisions (5%) after one year of follow-up and 19 revisions (13.4%) after three years of follow-up.
Throughout history, the functional results of BCR TKA improved, with lessening of the complications. The short-term results of the Vanguard XP implant showed good functional results, but two out of three articles reported a high rate of loosening. Based on the results reported in this review, the use of BCR TKA is still debatable. Further high-level evidence research is necessary to assess the clinical benefit of BCR TKA.Permalink : ./index.php?lvl=notice_display&id=96589
in Acta Orthopaedica Belgica > Vol.87/1 (Mars 2021) . - p. 73-83[article] Bicruciate retaining total knee arthroplasty : results throughout history [texte imprimé] / Jef De Mulder ; Pieter Berger ; Hilde Vandenneucker . - 2021 . - p. 73-83.
https://doi.org/10.52628/87.1.10
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol.87/1 (Mars 2021) . - p. 73-83
Mots-clés : Bicruciate retaining total knee arthroplasty Vanguard XP Résumé : Approximately 20% amongst patients are dissatisfied after total knee arthroplasty (TKA). Bicruciate retaining (BCR) TKA offers superior knee kinematics and proprioception, but many surgeons abandoned its use because of complications and technical difficulties. Recently, two new BCR implant designs were introduced : Vanguard XP (Zimmer Biomet) and Journey XR (Smith&Nephew).
We searched Pubmed, Limo, Embase and Cochrane, screened reference lists of eligible studies and included studies that met the inclusion criteria. We included 35 articles reporting on ten different BCR implants, including three articles presenting results of the Vanguard XP prosthesis. Unfortunately, no articles reporting on the results of the Journey XR prosthesis had been published.
The BCR implants of the early 1970s showed good functional results, but a high rate of complications, mainly loosening and infections. The Townley Anatomic TKA was the first BCR implant with good clinical results, a low incidence of loosening and a high survivorship. One article of the three reporting on the Vanguard XP yielded high patient satisfaction (94%) with two revisions (1.4%). The two other articles reported three revisions (5%) after one year of follow-up and 19 revisions (13.4%) after three years of follow-up.
Throughout history, the functional results of BCR TKA improved, with lessening of the complications. The short-term results of the Vanguard XP implant showed good functional results, but two out of three articles reported a high rate of loosening. Based on the results reported in this review, the use of BCR TKA is still debatable. Further high-level evidence research is necessary to assess the clinical benefit of BCR TKA.Permalink : ./index.php?lvl=notice_display&id=96589 Exemplaires (1)
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Exclu du prêtEarly follow-up after primary total knee and total hip arthroplasty with rapid recovery?: Focus groups / Jeroen C. VAN EGMOND in Acta Orthopaedica Belgica, Vol. 81/3 (Septembre 2015)
[article]
Titre : Early follow-up after primary total knee and total hip arthroplasty with rapid recovery?: Focus groups Type de document : texte imprimé Auteurs : Jeroen C. VAN EGMOND, Auteur ; Hennie VERBURG, Auteur ; Stephan B.W. VEHMEIJER, Auteur Année de publication : 2015 Article en page(s) : p.447-453 Langues : Anglais (eng) Mots-clés : Total knee arthroplasty total hip arthroplasty rapid recovery focus group rehabilitation qualitative study Résumé : Rapid recovery protocols reduce the length of hospital stay after Total Knee Arthroplasty (TKA) and Total Hip Arthroplasty (THA). However, little is known about the early postoperative phase. The purpose of this study was to examine which problems patients encountered during the first six weeks after primary TKA or THA surgery with rapid recovery.
We invited twenty patients for a focus group meeting which discussed various subjects regarding the first six weeks after hospital discharge. The focus group meetings were analysed qualitatively.
Patients were mostly satisfied by the short length of hospital stay. Patients who lived alone needs more care and would like to stay longer in the hospital.
After THA surgery all patients complained of inability to sleep. More patients experienced pain after TKA surgery compared to THA surgery. All patients had various experiences regarding physical therapy therefore an evidence based rehabilitation protocol might be needed.Permalink : ./index.php?lvl=notice_display&id=40920
in Acta Orthopaedica Belgica > Vol. 81/3 (Septembre 2015) . - p.447-453[article] Early follow-up after primary total knee and total hip arthroplasty with rapid recovery?: Focus groups [texte imprimé] / Jeroen C. VAN EGMOND, Auteur ; Hennie VERBURG, Auteur ; Stephan B.W. VEHMEIJER, Auteur . - 2015 . - p.447-453.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 81/3 (Septembre 2015) . - p.447-453
Mots-clés : Total knee arthroplasty total hip arthroplasty rapid recovery focus group rehabilitation qualitative study Résumé : Rapid recovery protocols reduce the length of hospital stay after Total Knee Arthroplasty (TKA) and Total Hip Arthroplasty (THA). However, little is known about the early postoperative phase. The purpose of this study was to examine which problems patients encountered during the first six weeks after primary TKA or THA surgery with rapid recovery.
We invited twenty patients for a focus group meeting which discussed various subjects regarding the first six weeks after hospital discharge. The focus group meetings were analysed qualitatively.
Patients were mostly satisfied by the short length of hospital stay. Patients who lived alone needs more care and would like to stay longer in the hospital.
After THA surgery all patients complained of inability to sleep. More patients experienced pain after TKA surgery compared to THA surgery. All patients had various experiences regarding physical therapy therefore an evidence based rehabilitation protocol might be needed.Permalink : ./index.php?lvl=notice_display&id=40920 Exemplaires (1)
Cote Support Localisation Section Disponibilité Revue Revue Centre de Documentation HELHa Campus Montignies Armoires à volets Document exclu du prêt - à consulter sur place
Exclu du prêtFunctional outcome following primary total knee arthroplasty cannot be predicted using the initial post-operative radiograph / Quen O. Tang in Acta Orthopaedica Belgica, Vol. 81/1 (Mars 2015)
[article]
Titre : Functional outcome following primary total knee arthroplasty cannot be predicted using the initial post-operative radiograph Type de document : texte imprimé Auteurs : Quen O. Tang, Auteur ; Panagiotis D. Gikas, Auteur ; Philippa A. Tyler, Auteur Année de publication : 2015 Article en page(s) : p. 131-140 Langues : Anglais (eng) Mots-clés : Primary knee arthroplasty Functional outcome Plain radiograph Total knee arthroplasty Functional score Résumé : Obtaining standardised post-operative radiographs following total knee arthroplasty is common practice. Little is known regarding how measurements taken from the initial post-operative radiograph correlate to functional outcome. The initial post-operative radiographs for 110 primary total knee arthroplasties were reviewed retrospectively. Femoral and tibial component alignment was measured by two independent consultant radiologists. Functional outcome was assessed by the Oxford Knee Score pre-operatively and one year post-operatively. Correlation was determined by Pearson correlation analysis. There was no significant correlation between the radiographic measurements with the one year post-operative Oxford Knee Score nor was there significant correlation with the difference in pre-operative and post-operative scores. The initial post-operative radiograph cannot be used as a tool to reliably predict functional outcome at one year. Permalink : ./index.php?lvl=notice_display&id=36009
in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 131-140[article] Functional outcome following primary total knee arthroplasty cannot be predicted using the initial post-operative radiograph [texte imprimé] / Quen O. Tang, Auteur ; Panagiotis D. Gikas, Auteur ; Philippa A. Tyler, Auteur . - 2015 . - p. 131-140.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 131-140
Mots-clés : Primary knee arthroplasty Functional outcome Plain radiograph Total knee arthroplasty Functional score Résumé : Obtaining standardised post-operative radiographs following total knee arthroplasty is common practice. Little is known regarding how measurements taken from the initial post-operative radiograph correlate to functional outcome. The initial post-operative radiographs for 110 primary total knee arthroplasties were reviewed retrospectively. Femoral and tibial component alignment was measured by two independent consultant radiologists. Functional outcome was assessed by the Oxford Knee Score pre-operatively and one year post-operatively. Correlation was determined by Pearson correlation analysis. There was no significant correlation between the radiographic measurements with the one year post-operative Oxford Knee Score nor was there significant correlation with the difference in pre-operative and post-operative scores. The initial post-operative radiograph cannot be used as a tool to reliably predict functional outcome at one year. Permalink : ./index.php?lvl=notice_display&id=36009 Exemplaires (1)
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Exclu du prêtInfluence of outpatient total knee arthroplasty compared to inpatient surgery on medical and economic outcomes / Vincent Tomasi in Acta Orthopaedica Belgica, Vol.87/1 (Mars 2021)
[article]
Titre : Influence of outpatient total knee arthroplasty compared to inpatient surgery on medical and economic outcomes Type de document : texte imprimé Auteurs : Vincent Tomasi ; Alex Demurie ; Ignace Ghijselings ; Olivier Cornu ; Hans Van Den Wyngaert Année de publication : 2021 Article en page(s) : p. 103-109 Note générale : https://doi.org/10.52628/87.1.13 Langues : Anglais (eng) Mots-clés : Total knee arthroplasty outpatient fast-track program complications discharge criteria Résumé : Firstly, this study compared the rate of readmission after a total knee arthroplasty between selected out- patients (no hospitalization, directly sent home after surgery) and inpatients (3 days hospitalization) at 6 weeks. Secondly, it examined the mobility and the complications in the two groups after the same period of time.
The rate of readmission, complications and knee mobility of 32 outpatients (M-age : 61 years ± 10 ; 10 females), were compared against those of 32 birth- matched inpatients (M-age : 64 years ± 8.6 ; 10 females).
No patient was re-admitted in either group. Post- surgical complications included one hematoma resorbed at 6 weeks in the outpatient group and three joint effusions in the inpatient group. There were no instances of deep venous thrombosis, failure of primary fixation, infection, or wound dehiscence. Knee mobility was identical between the two groups.
This is the first study to compare inpatient and outpatient total knee arthroplasty in a Belgian setting. Our study suggests that day-care total knee arthroplasty in selected patients is possible without increasing the rate of re-admission and complications, and without affecting the mobility at 6 weeks. However, the Belgian financial incentives do not seem to currently promote this surgical approach. These results should be confirmed with a larger sample to define the adequate length of stay after a total knee arthroplasty.Permalink : ./index.php?lvl=notice_display&id=96592
in Acta Orthopaedica Belgica > Vol.87/1 (Mars 2021) . - p. 103-109[article] Influence of outpatient total knee arthroplasty compared to inpatient surgery on medical and economic outcomes [texte imprimé] / Vincent Tomasi ; Alex Demurie ; Ignace Ghijselings ; Olivier Cornu ; Hans Van Den Wyngaert . - 2021 . - p. 103-109.
https://doi.org/10.52628/87.1.13
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol.87/1 (Mars 2021) . - p. 103-109
Mots-clés : Total knee arthroplasty outpatient fast-track program complications discharge criteria Résumé : Firstly, this study compared the rate of readmission after a total knee arthroplasty between selected out- patients (no hospitalization, directly sent home after surgery) and inpatients (3 days hospitalization) at 6 weeks. Secondly, it examined the mobility and the complications in the two groups after the same period of time.
The rate of readmission, complications and knee mobility of 32 outpatients (M-age : 61 years ± 10 ; 10 females), were compared against those of 32 birth- matched inpatients (M-age : 64 years ± 8.6 ; 10 females).
No patient was re-admitted in either group. Post- surgical complications included one hematoma resorbed at 6 weeks in the outpatient group and three joint effusions in the inpatient group. There were no instances of deep venous thrombosis, failure of primary fixation, infection, or wound dehiscence. Knee mobility was identical between the two groups.
This is the first study to compare inpatient and outpatient total knee arthroplasty in a Belgian setting. Our study suggests that day-care total knee arthroplasty in selected patients is possible without increasing the rate of re-admission and complications, and without affecting the mobility at 6 weeks. However, the Belgian financial incentives do not seem to currently promote this surgical approach. These results should be confirmed with a larger sample to define the adequate length of stay after a total knee arthroplasty.Permalink : ./index.php?lvl=notice_display&id=96592 Exemplaires (1)
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Exclu du prêtMedial pivot versus (cam post) posterior stabilised total knee arthroplasty, systematic review and meta-analysis of 3837 knees / Hany Elbardesy in Acta Orthopaedica Belgica, Vol. 87/4 (Décembre 2021)
[article]
Titre : Medial pivot versus (cam post) posterior stabilised total knee arthroplasty, systematic review and meta-analysis of 3837 knees Type de document : texte imprimé Auteurs : Hany Elbardesy ; Hazem M. Salamah ; André McLeod Année de publication : 2021 Article en page(s) : p. 665-680 Note générale : https://doi.org/10.52628/87.7.12 Langues : Anglais (eng) Mots-clés : Medial pivot posterior stabilised total knee arthroplasty meta-analysis Résumé : In the current literature, there is no consensus as to whether the medial pivot (MP) or posterior-stabilised (PS) knee provides the best result for the patient in the context of post-operative range of motion (ROM) and patient reported outcome measures (PROMs). The aim of this systematic review is to provide this equipoise with some clarity. We conducted this study following both the Preferred Reporting Items for Systematic Reviews and Meta-analyses Statement (PRISMA) and the Cochrane Handbook for systematic reviews and meta-analysis. Studies comparing the MP and PS knees from all regions and written in any language were included. Twenty- one studies were included in this meta-analysis. They were prepared and analysed using Review Manager V5.0 [Computer Program] (RevMan5). We calculated the risk ratio to measure the treatment effect, taking the heterogeneity of the studies into consideration. Random-effect models were also utilised. MP knees were found to have a significant advantage over PS knees in terms of WOMAC score at the midterm follow up, and insignificant advantages over PS knees in terms of ROM and FJS at one and two years follow- up. Additionally, the PS knees demonstrated an in significantly higher Knee Society Score (KSS) at short and midterm follow up. In terms of ROM, KSS, OKS and FJS this meta-analysis suggests a non-significant advantages for the MP knee compared with the PS prothesis in the short term. The MP implant also showed a significantly superior WOMAC score at short-term follow-up. An extended follow-up period is required to evaluate whether the MP knee is superior than the PS in the long-term. Permalink : ./index.php?lvl=notice_display&id=102017
in Acta Orthopaedica Belgica > Vol. 87/4 (Décembre 2021) . - p. 665-680[article] Medial pivot versus (cam post) posterior stabilised total knee arthroplasty, systematic review and meta-analysis of 3837 knees [texte imprimé] / Hany Elbardesy ; Hazem M. Salamah ; André McLeod . - 2021 . - p. 665-680.
https://doi.org/10.52628/87.7.12
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 87/4 (Décembre 2021) . - p. 665-680
Mots-clés : Medial pivot posterior stabilised total knee arthroplasty meta-analysis Résumé : In the current literature, there is no consensus as to whether the medial pivot (MP) or posterior-stabilised (PS) knee provides the best result for the patient in the context of post-operative range of motion (ROM) and patient reported outcome measures (PROMs). The aim of this systematic review is to provide this equipoise with some clarity. We conducted this study following both the Preferred Reporting Items for Systematic Reviews and Meta-analyses Statement (PRISMA) and the Cochrane Handbook for systematic reviews and meta-analysis. Studies comparing the MP and PS knees from all regions and written in any language were included. Twenty- one studies were included in this meta-analysis. They were prepared and analysed using Review Manager V5.0 [Computer Program] (RevMan5). We calculated the risk ratio to measure the treatment effect, taking the heterogeneity of the studies into consideration. Random-effect models were also utilised. MP knees were found to have a significant advantage over PS knees in terms of WOMAC score at the midterm follow up, and insignificant advantages over PS knees in terms of ROM and FJS at one and two years follow- up. Additionally, the PS knees demonstrated an in significantly higher Knee Society Score (KSS) at short and midterm follow up. In terms of ROM, KSS, OKS and FJS this meta-analysis suggests a non-significant advantages for the MP knee compared with the PS prothesis in the short term. The MP implant also showed a significantly superior WOMAC score at short-term follow-up. An extended follow-up period is required to evaluate whether the MP knee is superior than the PS in the long-term. Permalink : ./index.php?lvl=notice_display&id=102017 Réservation
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