Search results for "Total Knee Arthroplasty"
showing 10 items of 24 documents
Expectativas del paciente ante la artroplastia total de rodilla.
2020
espanolIntroduccion: La artroplastia total de rodilla es una de las cirugias mas realizadas en ortopedia y su incidencia esta en aumento, siendo la indicacion principal en patologias como la artrosis y la artritis reumatoide cuando estas no responden al tratamiento conservador. Ademas, en los ultimos anos esta tomando especial relevancia la opinion y satisfaccion de los pacientes respecto a la intervencion, siendo estos parte esencial en el proceso asistencial. Material y metodos: En el presente trabajo se ha realizado un estudio con 30 pacientes intervenidos de artroplastia total de rodilla. Estos han respondido a dos encuestas, una de ellas acerca de la importancia que otorgaban a distint…
Medidas de Tromboprofilaxis en Artroplastia Total de Rodilla. Práctica habitual en la Comunidad Valenciana y revisión bibliográfica.
2020
espanolAntecedentes: El tromboembolismo es una complicacion de la cirugia de artroplastia total de rodilla. Para su prevencion disponemos de multiples medidas fisicas y farmacologicas.Objetivo:Conocer quemedidas de prevencion tromboembolica son las empleadas por los cirujanos ortopedicos en cirugia protesica de rodilla primaria en diferentes centros hospitalarios de nuestra region.Metodo: Estudio transversal descriptivo observacional basado en encuesta dirigida a especialistas COT de 9 hospitales publicos de la Comunidad Valenciana y busqueda bibliografica.Resultados: Se obtuvieron 64 encuestas. Todos los cirujanos eligen HBPM durante un mes como medida de tromboprofilaxis, descartando anti…
Inestabilidad de la articulación tibio-peronea proximal como causa de dolor en artroplastia total de rodilla primaria.
2020
espanolLa inestabilidad de la articulacion tibio-peroneaproximal (ATPP) aislada como causa de dolor en una rodilla protetizada es una entidad clinica muy poco frecuente, hasta la fecha solo hemos encontrado una referencia en la bibliografia de inestabilidad ATPP asociada a Artroplastia total de rodilla. Revisamos la bibliografia sobre las diferentes formas de inestabilidad y su etiologia, asi como las posibilidades de tratamiento conservador y quirurgico. Presentamos el caso de un paciente con inestabilidad ATPP anterolateral asociada a una ATR primaria posteroestabilizada (PS) con platillo tibial movil. EnglishThe isolated instability of the proximal tibiofibular joint (PTFJ) as a cause of…
The Patellofemoral Arthroplasty: The Great Solution, the Great Problem
2012
Unfortunately, many orthopedic surgeons believe that the definite solution for eliminating anterior knee pain in a young patient with multiple operations is the patellofemoral prosthesis (“The Great Solution”). But, they fail to ask themselves the most important question; what is causing the pain? When a patellofemoral prosthesis is implanted in these young patients without finding out the cause of the pain, a more serious problem could be created with a worse solution (“The Great Problem”). The cases we present spotlight this abuse.
Effects of Adding Motor Imagery to Early Physical Therapy in Patients with Knee Osteoarthritis who Had Received Total Knee Arthroplasty
2020
Abstract Objective To investigate the effects of the inclusion of motor imagery (MI) principles into early physical therapy on pain, disability, pressure pain thresholds (PPTs), and range of motion in the early postsurgical phase after total knee arthroplasty (TKA). Methods A randomized clinical trial including patients with knee osteoarthritis who have received TKA was conducted. Participants were randomized to receive five treatment sessions of either physical therapy with or without MI principles in an early postsurgical phase after a TKA (five days after surgery). Pain intensity (visual analog scale [VAS], 0–100), pain-related disability (short-form Western Ontario McMaster Universities…
The efficacy of virtual reality tools for total knee replacement rehabilitation: A systematic review.
2019
ABSTRACTPurpose. To assess the effects of training with virtual reality tools (VRT) during rehabilitation of patients after total knee replacement (TKR). Methods. Systematic review. Six databases w...
Knee Extensor Muscle Strength Is More Important Than Postural Balance for Stair-Climbing Ability in Elderly Patients with Severe Knee Osteoarthritis.
2021
Knee osteoarthritis is a chronic joint disease which damages articular cartilage. In its severe stages, it results in impairments in balance and muscle strength loss, which affect daily life activities such as walking or climbing stairs. This study sought to investigate associated factors with stair-climbing ability in this population, with special interest in measuring the relevance of postural balance for this task. Forty-four patients scheduled to undergo unilateral total knee arthroplasty were assessed. Timed up and go test, stair ascent–descent test, three different isometric strength tests (knee flexion, knee extension and hip abduction), active knee extension and flexion range of mov…
Effect of patella resurfacing on functional outcome and revision rate in primary total knee arthroplasty (Review).
2021
Anterior knee pain, as well as patellofemoral disorders, after total knee arthroplasty are important reasons for revision in total knee arthroplasty. Current prosthesis designs include patellar components for patella replacement, and together with improved rational design of the prosthesis and advancement in knee alignment these appear to reduce the incidence of anterior knee pain following total knee replacement, even if the etiology of anterior knee pain remains unclear. However, new complications related to patella resurfacing emerge with this approach. At present, there are three strategies involving patella replacement in total knee arthroplasty: There are surgeons who always replace t…
Posterior stability in posterior-stabilized vs medially congruent total knee replacement: A radiological comparison of two polyethylene designs in a …
2020
Objective:The purpose of this radiological study was to assess the posterior laxity of a single model of a total knee arthroplasty design (TKA) having a medially constrained (MC) or a Posterior-Stabilized (PS) polyethylene insert using a well-documented stress x-ray. To the authors knowledge, this is the first report evaluating MC TKA outcomes according to the “kneeling view.”Materials and Methods:Sixty patients with non-traumatic primary knee osteoarthritis undergoing TKA were first matched by age, sex, BMI and diagnosis and then divided in two groups: group A (37 knees) received a MC TKA and group B (23 knees) a PS implant made by the same manufacturer. In all cases the posterior cruciate…
Obesity and functional gait recovery after total hip and total knee arthroplasties : clinical and biomechanical analysis
2018
Introduction : Body Mass Index (BMI) impact on gait recovery after total hip and total knee arthroplasty (THA and TKA) remains misunderstood. Few studies have analyzed the influence of BMI on the recovery of hip and knee range of motion (ROM) during gait or walking speed after THA and TKA. Our objective was to assess this impact preoperatively and post-operatively using both 3D gait analysis and clinical assessment. Our hypothesis was that obesity (BMI> 30kg /m2) would be a negative factor in the recovery of gait parameters.Material and methods: After conducting a systematic review of the literature on functional recovery after total prostheses of the lower limb (THA and TKA) to ensure the …