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Functional outcome following an ankle or subtalar arthrodesis in adults / Adnan A. Faraj in Acta Orthopaedica Belgica, Vol.80/2 (Juin 2014)
[article]
Titre : Functional outcome following an ankle or subtalar arthrodesis in adults Type de document : texte imprimé Auteurs : Adnan A. Faraj, Auteur ; David T. LOVEDAY, Auteur Année de publication : 2014 Article en page(s) : p.276-279 Langues : Anglais (eng) Mots-clés : ankle subtalar joint fusion outcome questionnaire Permalink : ./index.php?lvl=notice_display&id=34640
in Acta Orthopaedica Belgica > Vol.80/2 (Juin 2014) . - p.276-279[article] Functional outcome following an ankle or subtalar arthrodesis in adults [texte imprimé] / Adnan A. Faraj, Auteur ; David T. LOVEDAY, Auteur . - 2014 . - p.276-279.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol.80/2 (Juin 2014) . - p.276-279
Mots-clés : ankle subtalar joint fusion outcome questionnaire Permalink : ./index.php?lvl=notice_display&id=34640 Exemplaires (1)
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Exclu du prêtCognitive and behavioural post-traumatic impairments: What is the specificity of a brain injury ? A study within the ESPARR cohort / S. NASH in Annals of physical and rehabilitation medicine, Vol. 57, n°9-10 (Décembre 2014)
[article]
Titre : Cognitive and behavioural post-traumatic impairments: What is the specificity of a brain injury ? A study within the ESPARR cohort Titre original : Troubles cognitifs et comportementaux post-traumatiques : quelle est la spécificité du traumatisme crânien ? Étude au sein de la cohorte ESPARR Type de document : texte imprimé Auteurs : S. NASH, Auteur ; Jacques Luauté, Auteur Année de publication : 2014 Article en page(s) : p.600-617 Langues : Français (fre) Mots-clés : Traumatic brain injury ESPARR Neurobehavioral Rating Scale Revised Outcome Motor vehicle accident Traumatisme crânien Devenir Accident de la voie publique Résumé : Objective
The variety and extent of impairments occurring after traumatic brain injury vary according to the nature and severity of the lesions. In order to better understand their interactions and long-term outcome, we have studied and compared the cognitive and neurobehavioral profile one year post onset of patients with and without traumatic brain injury in a cohort of motor vehicle accident victims.
Method
The study population is composed of 207 seriously injured persons from the ESPARR cohort. This cohort, which has been followed up in time, consists in 1168 motor vehicle accident victims (aged 16 years or more) with injuries with all degrees of severity. Inclusion criteria were: living in Rhone county, victim of a traffic accident having involved at least one wheel-conducted vehicle and having occurred in Rhone county, alive at the time of arrival in hospital and having presented in one of the different ER facilities of the county. The cohort's representativeness regarding social and geographic criteria and the specificities of the accidents were ensured by the specific targeting of recruitment. Deficits and impairments were assessed one year after the accident using the Neurobehavioral Rating Scale - Revised and the Trail-Making Test. Within our seriously injured group, based on the Glasgow Score, the presence of neurological deficits, aggravation of neurological condition in the first 72hours and/or abnormal cerebral imaging, we identified three categories: (i) moderate/severe traumatic brain injury (n=48), (ii) mild traumatic brain injury (n=89), and (iii) severely injured but without traumatic brain injury (n=70).
Results
The most frequently observed symptoms were anxiety, irritability, memory and attention impairments, depressive mood and emotional lability. While depressive mood and irritability were observed with similar frequency in all three groups, memory and attention impairments, anxiety and reduced initiative were more specific to traumatic brain injury whereas executive disorders were associated with moderate/severe traumatic brain injury.
Discussion-Conclusion
The presence and the initial severity of a traumatic brain injury condition the nature and frequency of residual effects after one year. Some impairments such as irritability, which is generally associated with traumatic brain injury, do not appear to be specific to this population, nor does depressive mood. Substantial interactions between cognitive, affective and neurobehavioral disorders have been highlighted.
Objectif
La diversité et l’étendue des déficits observés après un traumatisme crânien varient suivant la nature des lésions et leur gravité. Afin de mieux en comprendre les interactions et leurs conséquences à long terme, nous avons étudié et comparé le profil cognitif et neuro-comportemental d’une cohorte de victimes d’accidents de la voie publique avec et sans traumatisme crânien, un an après l’accident.
Méthode
La population d’étude est constituée de 207 blessés graves de la cohorte ESPARR. Cette cohorte, qui a été suivie dans le temps, est composée de 1168 accidentés de la route dans le Rhône âgés de 16ans et plus et de toutes gravités, inclus selon certains critères : résidant dans le Rhône, victime d’un accident de la circulation impliquant au moins un véhicule à roues, ayant eu lieu dans le Rhône, vivant au moment de son arrivée à l’hôpital, et se présentant dans l’un des différents services d’urgences du Rhône. La représentativité de cette cohorte en termes de critères sociogéographiques et de caractéristiques de l’accident a été assurée par la nature spécifique du recrutement. Les plaintes et déficiences cognitivo-comportementales ont été évaluées un an après l’accident avec la Neurobehavioral Rating Scale-Revised et le Trail Making Test. Nous avons distingué, dans notre population d’étude de blessés graves, trois catégories de patients : les traumatisés crâniens modérés/graves (n=48), les traumatisés crâniens légers (n=89) et les blessés graves sans traumatisme crânien (n=70), basées sur le score de Glasgow, la présence de déficits neurologiques, d’une aggravation de l’état neurologique dans les 72heures et/ou d’une imagerie cérébrale anormale.
Résultats
Les symptômes les plus fréquemment observés étaient l’anxiété, l’irritabilité, les troubles mnésiques et attentionnels, la dépression et la labilité de l’humeur. L’humeur dépressive et l’irritabilité sont relevées aussi fréquemment dans les trois groupes. Les troubles de mémoire, d’attention, l’anxiété et la diminution des initiatives sont plus spécifiques au traumatisme crânien et les troubles exécutifs sont typiques d’un traumatisme crânien modéré/grave.
Discussion-Conclusion
La présence et la sévérité initiale du TC conditionnent la nature et la fréquence des séquelles à un an d’évolution. Certains troubles comme l’irritabilité, habituellement associée à un traumatisme crânien, n’apparaissent pas comme spécifiques à cette population, tout comme l’humeur dépressive. Ainsi, les interactions entre troubles cognitifs, émotivo-affectifs et neuro-comportementaux sont mises en avant.Permalink : ./index.php?lvl=notice_display&id=34544
in Annals of physical and rehabilitation medicine > Vol. 57, n°9-10 (Décembre 2014) . - p.600-617[article] Cognitive and behavioural post-traumatic impairments: What is the specificity of a brain injury ? A study within the ESPARR cohort = Troubles cognitifs et comportementaux post-traumatiques : quelle est la spécificité du traumatisme crânien ? Étude au sein de la cohorte ESPARR [texte imprimé] / S. NASH, Auteur ; Jacques Luauté, Auteur . - 2014 . - p.600-617.
Langues : Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 57, n°9-10 (Décembre 2014) . - p.600-617
Mots-clés : Traumatic brain injury ESPARR Neurobehavioral Rating Scale Revised Outcome Motor vehicle accident Traumatisme crânien Devenir Accident de la voie publique Résumé : Objective
The variety and extent of impairments occurring after traumatic brain injury vary according to the nature and severity of the lesions. In order to better understand their interactions and long-term outcome, we have studied and compared the cognitive and neurobehavioral profile one year post onset of patients with and without traumatic brain injury in a cohort of motor vehicle accident victims.
Method
The study population is composed of 207 seriously injured persons from the ESPARR cohort. This cohort, which has been followed up in time, consists in 1168 motor vehicle accident victims (aged 16 years or more) with injuries with all degrees of severity. Inclusion criteria were: living in Rhone county, victim of a traffic accident having involved at least one wheel-conducted vehicle and having occurred in Rhone county, alive at the time of arrival in hospital and having presented in one of the different ER facilities of the county. The cohort's representativeness regarding social and geographic criteria and the specificities of the accidents were ensured by the specific targeting of recruitment. Deficits and impairments were assessed one year after the accident using the Neurobehavioral Rating Scale - Revised and the Trail-Making Test. Within our seriously injured group, based on the Glasgow Score, the presence of neurological deficits, aggravation of neurological condition in the first 72hours and/or abnormal cerebral imaging, we identified three categories: (i) moderate/severe traumatic brain injury (n=48), (ii) mild traumatic brain injury (n=89), and (iii) severely injured but without traumatic brain injury (n=70).
Results
The most frequently observed symptoms were anxiety, irritability, memory and attention impairments, depressive mood and emotional lability. While depressive mood and irritability were observed with similar frequency in all three groups, memory and attention impairments, anxiety and reduced initiative were more specific to traumatic brain injury whereas executive disorders were associated with moderate/severe traumatic brain injury.
Discussion-Conclusion
The presence and the initial severity of a traumatic brain injury condition the nature and frequency of residual effects after one year. Some impairments such as irritability, which is generally associated with traumatic brain injury, do not appear to be specific to this population, nor does depressive mood. Substantial interactions between cognitive, affective and neurobehavioral disorders have been highlighted.
Objectif
La diversité et l’étendue des déficits observés après un traumatisme crânien varient suivant la nature des lésions et leur gravité. Afin de mieux en comprendre les interactions et leurs conséquences à long terme, nous avons étudié et comparé le profil cognitif et neuro-comportemental d’une cohorte de victimes d’accidents de la voie publique avec et sans traumatisme crânien, un an après l’accident.
Méthode
La population d’étude est constituée de 207 blessés graves de la cohorte ESPARR. Cette cohorte, qui a été suivie dans le temps, est composée de 1168 accidentés de la route dans le Rhône âgés de 16ans et plus et de toutes gravités, inclus selon certains critères : résidant dans le Rhône, victime d’un accident de la circulation impliquant au moins un véhicule à roues, ayant eu lieu dans le Rhône, vivant au moment de son arrivée à l’hôpital, et se présentant dans l’un des différents services d’urgences du Rhône. La représentativité de cette cohorte en termes de critères sociogéographiques et de caractéristiques de l’accident a été assurée par la nature spécifique du recrutement. Les plaintes et déficiences cognitivo-comportementales ont été évaluées un an après l’accident avec la Neurobehavioral Rating Scale-Revised et le Trail Making Test. Nous avons distingué, dans notre population d’étude de blessés graves, trois catégories de patients : les traumatisés crâniens modérés/graves (n=48), les traumatisés crâniens légers (n=89) et les blessés graves sans traumatisme crânien (n=70), basées sur le score de Glasgow, la présence de déficits neurologiques, d’une aggravation de l’état neurologique dans les 72heures et/ou d’une imagerie cérébrale anormale.
Résultats
Les symptômes les plus fréquemment observés étaient l’anxiété, l’irritabilité, les troubles mnésiques et attentionnels, la dépression et la labilité de l’humeur. L’humeur dépressive et l’irritabilité sont relevées aussi fréquemment dans les trois groupes. Les troubles de mémoire, d’attention, l’anxiété et la diminution des initiatives sont plus spécifiques au traumatisme crânien et les troubles exécutifs sont typiques d’un traumatisme crânien modéré/grave.
Discussion-Conclusion
La présence et la sévérité initiale du TC conditionnent la nature et la fréquence des séquelles à un an d’évolution. Certains troubles comme l’irritabilité, habituellement associée à un traumatisme crânien, n’apparaissent pas comme spécifiques à cette population, tout comme l’humeur dépressive. Ainsi, les interactions entre troubles cognitifs, émotivo-affectifs et neuro-comportementaux sont mises en avant.Permalink : ./index.php?lvl=notice_display&id=34544 Exemplaires (1)
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Exclu du prêtDoes botulinum toxin treatment improve upper limb active function? / Jonathan Lévy in Annals of physical and rehabilitation medicine, Vol. 62, n°4 (Juillet 2019)
[article]
Titre : Does botulinum toxin treatment improve upper limb active function? Type de document : texte imprimé Auteurs : Jonathan Lévy Année de publication : 2019 Article en page(s) : p. 234-240 Note générale : https://doi.org/10.1016/j.rehab.2018.05.1320 Langues : Anglais (eng) Mots-clés : Spasticity Botulinum toxin Rehabilitation Outcome Upper limb Stroke Résumé : Background
Spasticity following lesions of the central nervous system such as stroke is a major cause of impairment and disability, especially when it affects the upper limb, and can be focally relieved by intramuscular injections of botulinum toxin (BT). Functional improvements of the affected upper limb after a BT focal treatment remain controversial.
Objective
We aimed to assess the functional effects of BT treatment on upper-limb spasticity in the literature, identify flaws and deficiencies in proving these effects and propose leads for future trials.
Methods
We searched the MEDLINE and Cochrane databases for trials, reviews and meta-analyses assessing the effect of BT injection in upper-limb spasticity. This was a non-systematic narrative review, and the selection of articles was based on the authors’ expertise. The review focused on stroke-related spasticity and disability.
Results
Patients’ therapeutic targets involved use of the disability assessment scale (DAS) or goal attainment scale (GAS). Impairments and passive function goals prevailed for active function and participation and were more frequently achieved for the former than the latter. Meta-analyses showed no to mild effect sizes for improvement in upper-limb function but failed to show higher and/or better use of the paretic upper limb in activities of daily living after BT injection.
Conclusion
BT injections for impairment and passive function are related to improved kinematic parameters; however, the relation between relief of spasticity and improved upper-limb activity has not been established. Possible explanations for the lack of functional effect in studies are first, disability is mainly due to muscle weakness rather than spasticity, so patients with the best underlying motricity may benefit the most from BT injections; second, assessment methods may not be adapted to screen eligible patients; third, most studies’ endpoints were at 4 to 12 weeks after a single injection, but repeated treatment sessions might be needed to observe functional outcome on the upper limbs; and finally, the association of rehabilitation programs or non-pharmacological treatments may enhance the functional effects of BT injections.En ligne : https://www.sciencedirect.com/science/article/pii/S187706571831409X Permalink : ./index.php?lvl=notice_display&id=84128
in Annals of physical and rehabilitation medicine > Vol. 62, n°4 (Juillet 2019) . - p. 234-240[article] Does botulinum toxin treatment improve upper limb active function? [texte imprimé] / Jonathan Lévy . - 2019 . - p. 234-240.
https://doi.org/10.1016/j.rehab.2018.05.1320
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 62, n°4 (Juillet 2019) . - p. 234-240
Mots-clés : Spasticity Botulinum toxin Rehabilitation Outcome Upper limb Stroke Résumé : Background
Spasticity following lesions of the central nervous system such as stroke is a major cause of impairment and disability, especially when it affects the upper limb, and can be focally relieved by intramuscular injections of botulinum toxin (BT). Functional improvements of the affected upper limb after a BT focal treatment remain controversial.
Objective
We aimed to assess the functional effects of BT treatment on upper-limb spasticity in the literature, identify flaws and deficiencies in proving these effects and propose leads for future trials.
Methods
We searched the MEDLINE and Cochrane databases for trials, reviews and meta-analyses assessing the effect of BT injection in upper-limb spasticity. This was a non-systematic narrative review, and the selection of articles was based on the authors’ expertise. The review focused on stroke-related spasticity and disability.
Results
Patients’ therapeutic targets involved use of the disability assessment scale (DAS) or goal attainment scale (GAS). Impairments and passive function goals prevailed for active function and participation and were more frequently achieved for the former than the latter. Meta-analyses showed no to mild effect sizes for improvement in upper-limb function but failed to show higher and/or better use of the paretic upper limb in activities of daily living after BT injection.
Conclusion
BT injections for impairment and passive function are related to improved kinematic parameters; however, the relation between relief of spasticity and improved upper-limb activity has not been established. Possible explanations for the lack of functional effect in studies are first, disability is mainly due to muscle weakness rather than spasticity, so patients with the best underlying motricity may benefit the most from BT injections; second, assessment methods may not be adapted to screen eligible patients; third, most studies’ endpoints were at 4 to 12 weeks after a single injection, but repeated treatment sessions might be needed to observe functional outcome on the upper limbs; and finally, the association of rehabilitation programs or non-pharmacological treatments may enhance the functional effects of BT injections.En ligne : https://www.sciencedirect.com/science/article/pii/S187706571831409X Permalink : ./index.php?lvl=notice_display&id=84128 Exemplaires (1)
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Exclu du prêtFactors influencing balance improvement in multiple sclerosis rehabilitation: A pragmatic multicentric trial / Davide Cattaneo in Annals of physical and rehabilitation medicine, Vol. 63, n°2 (Mars 2020)
[article]
Titre : Factors influencing balance improvement in multiple sclerosis rehabilitation: A pragmatic multicentric trial Type de document : texte imprimé Auteurs : Davide Cattaneo ; Susan Coote ; Kamila Rasova ; Elisa Gervasoni ; Elisabetta Groppo ; Terezie Prokopiusova ; Jitka Reznickova ; Angelo Montesano ; Johanna Jonsdottir Année de publication : 2020 Article en page(s) : p. 93-98 Note générale : doi.org/10.1016/j.rehab.2019.05.007 Langues : Anglais (eng) Mots-clés : Multiple sclerosis Rehabilitation Outcome Balance improvement Résumé : Objectives
Treatment for progressive multiple sclerosis (pMS) is a key area of research. To date, whether MS type and the rehabilitation setting are associated with worse or better response to rehabilitation is unclear. We aimed to understand the association between balance and MS type, in/outpatient treatment and specificity of the intervention.
Methods
We assessed 150 people with MS before and after in/outpatient rehabilitation. The Berg Balance Scale (BBS) was used to discriminate between responders (≥ +3-point improvement in BBS score; a clinically meaningful improvement) and non-responders to specific or non-specific balance rehabilitation. Factors associated with balance were analyzed by univariate and multivariable logistic regression analyses, estimating odds ratios (ORs) and 95% confidence intervals (CIs).
Results
Balance improved after rehabilitation: median (quartile 1 [Q1]–Q3) BBS score pre- and post-rehabilitation of 49 (45–53) and 52 (47–55) (P < 0.001). Univariate logistic analysis revealed a clinically meaningful improvement in balance associated with pMS (OR 2.21 [95% CI 1.09–4.05]), inpatient therapy (0.41 [0.19–0.84]), using a walking aid (1.68 [1.06–2.69]), and low baseline BBS score (0.86 [0.81–0.92]). On multivariable analysis, probability of improvement was similar for participants with pMS and the relapsing-remitting form but was associated with low baseline BBS score and specific treatment (OR 0.81 [95% CI 0.74–0.89] and 5.66 [1.79–21.5]).
Conclusion
A clinically meaningful improvement in balance was more likely when MS individuals with moderate to high disability had specific exercises targeting balance, but MS type did not influence the outcome.Permalink : ./index.php?lvl=notice_display&id=90777
in Annals of physical and rehabilitation medicine > Vol. 63, n°2 (Mars 2020) . - p. 93-98[article] Factors influencing balance improvement in multiple sclerosis rehabilitation: A pragmatic multicentric trial [texte imprimé] / Davide Cattaneo ; Susan Coote ; Kamila Rasova ; Elisa Gervasoni ; Elisabetta Groppo ; Terezie Prokopiusova ; Jitka Reznickova ; Angelo Montesano ; Johanna Jonsdottir . - 2020 . - p. 93-98.
doi.org/10.1016/j.rehab.2019.05.007
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°2 (Mars 2020) . - p. 93-98
Mots-clés : Multiple sclerosis Rehabilitation Outcome Balance improvement Résumé : Objectives
Treatment for progressive multiple sclerosis (pMS) is a key area of research. To date, whether MS type and the rehabilitation setting are associated with worse or better response to rehabilitation is unclear. We aimed to understand the association between balance and MS type, in/outpatient treatment and specificity of the intervention.
Methods
We assessed 150 people with MS before and after in/outpatient rehabilitation. The Berg Balance Scale (BBS) was used to discriminate between responders (≥ +3-point improvement in BBS score; a clinically meaningful improvement) and non-responders to specific or non-specific balance rehabilitation. Factors associated with balance were analyzed by univariate and multivariable logistic regression analyses, estimating odds ratios (ORs) and 95% confidence intervals (CIs).
Results
Balance improved after rehabilitation: median (quartile 1 [Q1]–Q3) BBS score pre- and post-rehabilitation of 49 (45–53) and 52 (47–55) (P < 0.001). Univariate logistic analysis revealed a clinically meaningful improvement in balance associated with pMS (OR 2.21 [95% CI 1.09–4.05]), inpatient therapy (0.41 [0.19–0.84]), using a walking aid (1.68 [1.06–2.69]), and low baseline BBS score (0.86 [0.81–0.92]). On multivariable analysis, probability of improvement was similar for participants with pMS and the relapsing-remitting form but was associated with low baseline BBS score and specific treatment (OR 0.81 [95% CI 0.74–0.89] and 5.66 [1.79–21.5]).
Conclusion
A clinically meaningful improvement in balance was more likely when MS individuals with moderate to high disability had specific exercises targeting balance, but MS type did not influence the outcome.Permalink : ./index.php?lvl=notice_display&id=90777 Exemplaires (1)
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Exclu du prêtSuperior clinical results and higher satisfaction after customized compared with conventional TKA / Alexander Zeh in Acta Orthopaedica Belgica, Vol. 87/4 (Décembre 2021)
[article]
Titre : Superior clinical results and higher satisfaction after customized compared with conventional TKA Type de document : texte imprimé Auteurs : Alexander Zeh ; Valentina Gehler ; Natalia Gutteck Année de publication : 2021 Article en page(s) : p. 649-658 Note générale : https://doi.org/10.52628/87.4.10 Langues : Anglais (eng) Mots-clés : customized implants individual total knee arthroplasty outcome off-the-shelf implants patients expectations Résumé : Investigation of functional outcome and patient`s satisfaction after implantation of a customized versus conventional TKA. In 31 consecutively enrolled patients with primary gonarthrosis, 33 customized TKA (custTKA) and in 31 patients, a conventional TKA (convTKA) was implanted. Perioperative and postoperative management were identical. Radio- graphic evaluation, ROM, KSS (Knee society score) and WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index) were performed and patients satisfaction was evaluated after 3 and 12 months. Groups were comparable for age, sex, body mass index and extension/flexion.
After 92 days average flexion in the convTKA group was significantly higher (119 vs. 113 degrees; unpaired t-test). At 375 days, mean flexion in both groups was 120 degrees. There was a significant higher number of outliers of neutral mechanical axis for convTKA patients (11 vs. 3; Chi-squared test). After 92 days there was no difference for KSS (convTKA: 160, custTKA: 167) but significant better results for WOMAC (19 vs. 40) in the custTKA group (unpaired t-test, p= 0.02). In addition, significantly better KSS (181 vs. 156) and WOMAC (99 vs. 42) were found for the custTKA group at 375 days (unpaired t-test, p= 0.002 and 0.001). Patients with the custTKA implant reported significant higher fulfillment of their ex- pectations regarding function and knee strength. In the present study, the patients with a custTKA implant showed significantly superior short-term clinical results and fulfillment of their expectations regarding knee function.Permalink : ./index.php?lvl=notice_display&id=102015
in Acta Orthopaedica Belgica > Vol. 87/4 (Décembre 2021) . - p. 649-658[article] Superior clinical results and higher satisfaction after customized compared with conventional TKA [texte imprimé] / Alexander Zeh ; Valentina Gehler ; Natalia Gutteck . - 2021 . - p. 649-658.
https://doi.org/10.52628/87.4.10
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 87/4 (Décembre 2021) . - p. 649-658
Mots-clés : customized implants individual total knee arthroplasty outcome off-the-shelf implants patients expectations Résumé : Investigation of functional outcome and patient`s satisfaction after implantation of a customized versus conventional TKA. In 31 consecutively enrolled patients with primary gonarthrosis, 33 customized TKA (custTKA) and in 31 patients, a conventional TKA (convTKA) was implanted. Perioperative and postoperative management were identical. Radio- graphic evaluation, ROM, KSS (Knee society score) and WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index) were performed and patients satisfaction was evaluated after 3 and 12 months. Groups were comparable for age, sex, body mass index and extension/flexion.
After 92 days average flexion in the convTKA group was significantly higher (119 vs. 113 degrees; unpaired t-test). At 375 days, mean flexion in both groups was 120 degrees. There was a significant higher number of outliers of neutral mechanical axis for convTKA patients (11 vs. 3; Chi-squared test). After 92 days there was no difference for KSS (convTKA: 160, custTKA: 167) but significant better results for WOMAC (19 vs. 40) in the custTKA group (unpaired t-test, p= 0.02). In addition, significantly better KSS (181 vs. 156) and WOMAC (99 vs. 42) were found for the custTKA group at 375 days (unpaired t-test, p= 0.002 and 0.001). Patients with the custTKA implant reported significant higher fulfillment of their ex- pectations regarding function and knee strength. In the present study, the patients with a custTKA implant showed significantly superior short-term clinical results and fulfillment of their expectations regarding knee function.Permalink : ./index.php?lvl=notice_display&id=102015 Réservation
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