Tourniquet effectively reduced blood and avoided excessive postoperative inflammation and muscle damage. Tarwala et al[ 26 ]. Effects of tourniquet use on blood loss and soft-tissue damage in total knee arthroplasty: No difference between the 2 groups in terms of anterior knee pain, knee pain score, Knee Society score and knee function score Pilling et al[ 44 ] Meta-analysis of randomized controlled trials. Elaboration of french clinical practice guidelines. Thesis topics on tkr – Current position. Furthermore, Arnout et al[ 51 ] in , in a prospective randomized study, concluded that patellar dislocation without eversion improved the active and passive range of knee motion up to 1 year postoperatively and recommended this procedure as safe.
PS TKR superior to CR TKR in weight-bearing maximum flexion and posterior femoral roll-back Kim et al[ 11 ] Prospective randomized trial, comparing ROM and functional outcome in knees receiving either a high-flexion posterior cruciate-retaining or a high-flexion posterior cruciate-substituting TKR No differences among groups Chaudhary et al[ 10 ] Prospective randomized study comparing range of motion of posterior CR vs posterior cruciate-substituting PS TKA No differences among groups Harato et al[ 9 ] Prospective, randomized clinical trial comparing midterm outcomes of posterior CR vs posterior cruciate-substituting PS procedures using the Genesis II TKA No significant difference in knee function, postoperative complications and patient satisfaction. Order Journal Institutional subscription Personal subscription. Patellar retention vs patellar resurfacing in primary TKR. Double-blind, randomized controlled trial. Patellar resurfacing or not No significant differences between groups with regard to the incidence of anterior knee pain. Systematic review of patellar resurfacing in total knee arthroplasty. Published online Sep
Thus, further research is required to clarify these ambiguous aspects of tourniquet use and to construct definite guidelines.
A meta-analysis of randomized controlled trials. Finally, Chen et al[ 48 ] also inpublished a meta-analysis of randomized controlled trials which supported the point of view that patellar resurfacing reduced the risk of reoperation and, moreover, gave better results in Knee Society Score in a follow-up of 5 years or tke, but the overall benefits of the method were not sufficient to convince the authors to prefer this method over patellar non-resurfacing[ 48 ].
A literature review has been conducted in an effort to present the best topocs evidence of the last decade and to shed light on some of the most controversial subjects related to total knee replacement surgery.
Search for dissertations about: “thesis on total knee replacement”
Patella resurfacing or not? Meta-analysis of randomized, controlled trials. At the same time, it is apparent that, irrespective of the variations in the operative techniques, certain parameters may contribute more to long-term successful results fhesis TKR surgery.
Continuous passive motion for preventing venous thromboembolism after total knee arthroplasty.
: THESIS ON TOTAL KNEE REPLACEMENT
No difference in anterior knee pain Breeman et al[ 39 ] Multicenter, randomized controlled trial. Kim et al[ 11 ].
These conflicting results indicate that larger and more well conducted high quality trials are needed in order to gain more secure evidence.
Prospective, randomized study comparing high-flexion CR design implanted in one knee and high-flexion PS design implanted in the other knee in simultaneous bilateral TKA. To use a tourniquet during operation or not?
Avoidance of patellar eversion improves range of motion after total knee replacement: Grading the evidence through an updated meta-analysis of gkr, controlled trials. No differences in clinical outcomes.
Recent Journal of Arthroplasty Articles
All other studied parameters were not significantly different. Inthe randomized controlled trial by Pulavarti et al[ 47 ] shed more light on the subject of patellar denervation without resurfacing: The industry median WACC of 8.
Cochrane Db Syst Rev. The first high-quality study that we noted in the last decade concerning toppics dilemma about the use of a tourniquet or not is the prospective randomized trial of Li et al[ 18 ] in Range of motion was 2. Popular searches suicide arkeologi Extent phytoplankton and primary production basis function phagocytosis Conditional cooperation Engine Control Self-reported health data integration common ground lab experiment. Patellar resurfacing or not No significant differences between groups with regard to the incidence of anterior knee pain.
Knee osteoarthritis OA is a very common condition with prevalence increasing with age. Double-blind, randomized controlled trial. PS prosthesis better in postoperative knee tpics, posterior knee pain at passive flexion and patient satisfaction.
Tarwala et al[ 26 ]. No significant difference was observed for the function component of the Knee Society Score or for any other reported knee score. Recent Journal of Arthroplasty Articles.
Timing of tourniquet release in knee arthroplasty. A randomized clinical trial.
Common controversies in total knee replacement surgery: Current evidence
To use a tourniquet or not Tourniquet effective for reducing intraoperative blood loss but not for reducing the postoperative blood loss and total blood loss Olivecrona et al[ 24 ] Randomized controlled trial. The authors concluded that tourniquet release before wound closure caused a significant increase in total blood loss. Efficacy of continuous passive motion following total knee arthroplasty: The high quality papers that we collected began with the review of Jacobs et al[ 8 ] inwho concluded thesus sacrificing the PCL leads to superior results concerning the range of knee motion, although they mention that the methodological quality of the studies that were included was highly variable and the results should be interpreted with caution.
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