Springorum, Hans Robert and Maderbacher, Guenther and Craiovan, Benjamin and Luering, Christian and Baier, Clemens and Grifka, Joachim and Keshmiri, Armin (2015) No difference between standard and high flexion cruciate retaining total knee arthroplasty: a prospective randomised controlled study. KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, 23 (6). pp. 1591-1597. ISSN 0942-2056, 1433-7347
Full text not available from this repository. (Request a copy)Abstract
The purpose of this prospective, randomised, double-blind study was to test the hypotheses that patients with high-flexion total knee arthroplasty (TKA) have (1) a wider/greater range of motion (ROM) post-operatively and (2) higher levels of knee society score (KSS) and WOMAC score post-operatively compared to standard TKA. In this study, 28 high flexion with 31 standard TKAs were compared. We measured ROM, pre-operatively, on day 3, 7, 28, and after 6 and 36 months post-operatively as well as KSS and WOMAC score pre-operatively, on day 28 and after 6 and 36 months post-operatively. No statistically significant differences were found between both groups with regard to the target parameters. The mean ROM was 113A degrees (range 80A degrees-140A degrees, SD 13.4A degrees) in the control group (standard TKA) and 117A degrees (range 90A degrees-140A degrees, SD 12.3) in the study group (high-flexion TKA) at 36 months follow-up [p = not significant (n.s.)]. The KSS pre-operatively was 38.2 (range 8-64, SD 15.8) in the control group and 45.9 (range 8-74, SD 16.0) in the study group (n.s.) increasing to 157.6 in the control group and 156.7 in the study group (p = n.s) at 36 months follow-up. This study could not confirm significant benefits of high-flexion TKA compared to standard TKA with regard to ROM and higher levels of KSS and WOMAC score. I.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | RANGE; MOTION; METAANALYSIS; REPLACEMENT; COMPONENTS; PROSTHESES; IMPLANTS; OUTCOMES; SYSTEM; High-flexion total knee arthroplasty; Range of motion; Total knee arthroplasty; Randomised controlled trial |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Orthopädie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 15 Jul 2019 13:58 |
| Last Modified: | 15 Jul 2019 13:58 |
| URI: | https://pred.uni-regensburg.de/id/eprint/5442 |
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