Patellar eversion during total knee replacement: Total knee arthroplasty TKA is a widely used operation that has radically improved the quality of life of millions of people suffering from symptomatic knee OA during the last decades[ 2 ]. Type of study Outcome Maniar et al[ 35 ] Prospective randomized trial. Significant improvement in active knee flexion and analgesic use 2 wk postoperatively with the use of CPM and PT compared with PT alone. Molt et al[ 27 ]. Proximal Femoral Reconstruction June

In a minimum follow-up of 7 years, the authors did not find a difference between the 2 methods regarding pain, radiographic findings, and functional knee scores, but recommended patellar reshaping, because it retained sufficient patellar bone stock and could easily be converted to patellar replacement in the case of recurrent anterior knee pain[ 46 ]. Also in , Pavlou et al[ 40 ] expressed the same opinion by performing a meta-analysis which indicated that patellar resurfacing did not significantly affect anterior knee pain and functional outcomes. It was only later I learned that Mike had run a restaurant while tkr student that was a failure! More high-quality trials need to be performed for stronger evidence. Total knee replacement TKR is a widely used operation that has radically improved the quality of life of millions of people during the last few decades. Effect of the timing of tourniquet release on perioperative blood loss associated with cementless total knee arthroplasty:

Finally, the prospective randomized study by Molt et al[ 27 ] inunderlined that tourniquet use did not affect the stability of the tibial tray of cemented TKA in a 2-year follow-up, as was demonstrated by a radiostereometric analysis. 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.


Showing result 1 – 5 of 18 swedish dissertations containing the words thesis on total knee replacement. Tourniquet effective for reducing intraoperative blood loss but not for reducing the postoperative blood loss and total blood loss.

Table 1 Studies comparing posterior cruciate retaining vs posterior cruciate sacrificing total knee replacement methods. In conclusion, it is clear that patellar resurfacing as a common practice is not supported enough thesid the high-quality trials of the last decade, although some benefits have been adequately documented.

tkr thesis topics

A comparison of outcomes with and without a tourniquet in total knee arthroplasty: Survival rates and causes of revision in cemented primary total knee replacement: Under any topics, the tkr of such an industry will be modest at best. Prospective randomized double-blinded study. Continuous passive motion or not?

Common controversies in total knee replacement surgery: Current evidence

Tourniquet release either before or after wound closure Tourniquet release before wound closure caused a significant increase in total blood loss. Breeman et al[ 39 ]. The randomized controlled trial by Chaudhary et al[ 10 yhesis also inis another study that finished with the conclusion that posterior-stabilized TKA does not have different outcomes with the posterior-retained one regarding pain, knee function, and quality of life scores.

Patient satisfaction after total knee arthroplasty: No differences between the groups regarding postoperative pain or complications.

tkr thesis topics

Finally, the meta-analysis of randomized and quasi-randomized controlled trials by Verra et al[ 15 ] inconfirmed that there was no difference between posterior-stabilized and posterior-retained TKA regarding pain, and clinical and radiological outcomes, despite the fact that the range of motion and Knee Society Score were found higher with the former type.

These conflicting results are an indication that larger and more well conducted high quality trials are needed in order to gain more secure answers. Patellar resurfacing versus nonresurfacing in total knee arthroplasty: Olivecrona tlpics al[ 24 ].


Recent Journal of Arthroplasty Articles – Elsevier

Inthe randomized controlled trial by Pulavarti et al[ 47 ] shed more light on the subject of patellar denervation without resurfacing: Arch Orthop Trauma Surg. A meta-analysis of cases. This article has been cited by other articles in PMC. Patellar resurfacing during TKA is another subject about which orthopedic surgeons express different points of view and is a matter of long-standing debate. Track accepted paper Once production of your article has started, you can track the status topiics your article via Track Your Accepted Article.

The postoperative knee swelling persisted longer in the CPM group.

Common controversies in total knee replacement surgery: Current evidence

On the other hand, inwe noted a randomized controlled trial by Tai et al[ 20 ], which supported tolics use of a tourniquet. No differences between the groups regarding the translation or rotation of the components as measured by RSA. Effectiveness of prolonged use of continuous passive motion CPMas an adjunct to physiotherapy, after total knee arthroplasty.

No significant difference in knee function, postoperative complications and patient satisfaction. Walter et al[ 49 ]. Patellar resurfacing vs nonresurfacing.

tkr thesis topics

A prospective randomized clinical trial of patellar resurfacing and nonresurfacing in bilateral TKA. Medial parapatellar arthrotomy with patellar topicz vs same approach without eversion.