Document Detail


The early results of gender-specific total knee arthroplasty in Thai patients.
MedLine Citation:
PMID:  21041089     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We prospectively evaluated a consecutive series of 314 patients (265 females and 49 males) who underwent unilateral TKA and received an average of 2 years of follow-up. In all patients, a standard (STD) or a gender-specific (GS) femoral component was selected based on the presentation of intra-operative medio-lateral overhanging of the femoral cutting guide over the femoral condyle. There were no significant differences in the pre-operative parameters of both groups. At the last follow-up, both STD and GS groups had similarly improved KS clinical scores (92.9 vs. 92.1 points), function scores (89.5 vs. 89.7 points) and ROM (133.5° vs. 134.1°) with no difference in the rate of lateral retinacular release. The overall percentage of the GS component selection was 52.5% (165/314) and was significantly higher in female patients than male patients (60.8% vs. 8.2%, p<0.0001). In addition, selected GS prostheses increased significantly with increasing femoral size (25% for size C, 53% for size D, 86% for size E, and 100% for size F, respectively). There were no complications or early loosening related to the GS prosthesis. The mean post-operative limb alignment was 5.5° of the anatomical valgus with no difference between groups. We concluded that the GS femoral component did not provide better clinical outcomes than the standard femoral component; however, it provided surgical ease to minimize prosthesis overhanging in patients with narrow femoral condyles.
Authors:
Aree Tanavalee; Thana Rojpornpradit; Sukree Khumrak; Srihatach Ngarmukos
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-10-30
Journal Detail:
Title:  The Knee     Volume:  18     ISSN:  1873-5800     ISO Abbreviation:  Knee     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-10-28     Completed Date:  2012-02-21     Revised Date:  2012-06-08    
Medline Journal Info:
Nlm Unique ID:  9430798     Medline TA:  Knee     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  483-7     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Elsevier B.V. All rights reserved.
Affiliation:
Department of Orthopaedics, Faculty of Medicine, Chulalongkorn University, 1873 Rama IV Road, Bangkok 10330, Thailand. areetana@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Arthroplasty, Replacement, Knee / methods*,  rehabilitation
Bone Malalignment / prevention & control
Female
Femur / anatomy & histology,  radiography
Humans
Knee Joint / physiopathology,  radiography,  surgery*
Knee Prosthesis*
Male
Prospective Studies
Prosthesis Design*
Recovery of Function
Sex Factors
Thailand
Treatment Outcome
Comments/Corrections
Erratum In:
Knee. 2012 Jun;19(3):227

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


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