Document Detail


Computer-assisted total knee replacement in patients with arthritis and a recurvatum deformity.
MedLine Citation:
PMID:  22529084     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
We retrospectively reviewed the records of 1150 computer-assisted total knee replacements and analysed the clinical and radiological outcomes of 45 knees that had arthritis with a pre-operative recurvatum deformity. The mean pre-operative hyperextension deformity of 11° (6° to 15°), as measured by navigation at the start of the operation, improved to a mean flexion deformity of 3.1° (0° to 7°) post-operatively. A total of 41 knees (91%) were managed using inserts ≤ 12.5 mm thick, and none had mediolateral laxity > 2 mm from a mechanical axis of 0° at the end of the surgery. At a mean follow-up of 26.4 months (13 to 48) there was significant improvement in the mean Knee Society, Oxford knee and Western Ontario and McMaster Universities Osteoarthritis Index scores compared with the pre-operative values. The mean knee flexion improved from 105° (80° to 125°) pre-operatively to 131° (120° to 145°), and none of the limbs had recurrent recurvatum. These early results show that total knee replacement using computer navigation and an algorithmic approach for arthritic knees with a recurvatum deformity can give excellent radiological and functional outcomes without recurrent deformity.
Authors:
A Mullaji; A P Lingaraju; G M Shetty
Related Documents :
22750804 - Early enteral nutrition in adults receiving venoarterial extracorporeal membrane oxygen...
22502654 - Study on the health-related quality of life in patients after surgery for malignant bon...
22849984 - Indications for knee arthroplasty have remained consistent over time.
22300784 - Cardiac resynchronization therapy in the real world: comparison with the companion study.
8773004 - Long-term results of two schedules of treatment for toxic multinodular goitre with radi...
2009754 - Pneumatic chest wall compression. a cause of respiratory failure from massive subcutane...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. British volume     Volume:  94     ISSN:  0301-620X     ISO Abbreviation:  J Bone Joint Surg Br     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-04-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375355     Medline TA:  J Bone Joint Surg Br     Country:  England    
Other Details:
Languages:  eng     Pagination:  642-7     Citation Subset:  AIM; IM    
Affiliation:
Breach Candy Hospital, B Desai Road, Breach Candy, Mumbai 400026, India.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  The correctness of fit of current total knee prostheses compared with intra-operative anthropometric...
Next Document:  A randomised controlled clinical trial and gait analysis of fixed- and mobile-bearing total knee rep...