Journal List World J Orthop v. View More on Journal Insights. Home Sport coaching dissertation titles Pages Essay on christmas in english BlogRoll write a proposal problem solving capacity of the modern state doing college homework dissertation topics on dyscalculia. Patellar resurfacing reduce the risk of reoperation after TKR. Results confirmed the previously reported findings for the same parameters.
To use a tourniquet only during cementation or up to wound closure. In the most recent study, Reid et al[ 53 ] in found that patients who underwent TKR with patella eversion had similar clinical outcome 3 mo and 1 year postoperatively with patients who had TKR with patellar subluxation. Patellar resurfacing in primary total knee replacement: A randomized clinical trial. Showing result 1 – 5 of 18 swedish dissertations containing the words thesis on total knee replacement.
Patients undergoing TKA through a standard medial parapatellar approach assigned to either retraction or eversion of the patella groups No significant clinical differences in the early to medium term.
To use a tourniquet or not Tourniquet effective thesls reducing intraoperative blood loss but not for reducing the postoperative blood loss and total blood loss Olivecrona et al[ 24 ] Randomized controlled trial. Medial parapatellar arthrotomy with patellar eversion vs same approach without eversion.
Do patients need continuous passive motion for their post-surgery rehabilitation?
Patellar dislocation without eversion tnesis range of motion at 1 yr postoperatively. A concise follow-up of a randomized trial.
Inthe randomized controlled trial by Pulavarti et al[ 47 ] shed more light on the subject of patellar denervation without resurfacing: Mittal et al[ 23 ].
Search for dissertations about: “thesis on total knee replacement”
Also inPavlou 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. Recently published articles from Journal of 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. Patellar resurfacing in total knee replacement: Patellar resurfacing in total knee arthroplasty for osteoarthritis: 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 tke of 5 years or more, but the overall benefits of the method were not sufficient to convince the authors to prefer this method over patellar non-resurfacing[ 48 ].
Common controversies in total knee replacement surgery: Current evidence
This helps explain why most tkr are not economically successful: Unicompartmental knee arthroplasty, i. To use a tourniquet or not Tourniquet effectively reduced blood and avoided excessive postoperative inflammation and muscle damage.
Total knee replacement, Controversy, Literature review, Patella resurfacing, Patella eversion, Posterior stabilized, Cruciate retaining, Tourniquet, Continuous passive motion.
Weak evidence that CPM reduces the need for manipulation under anesthesia Alkire et al[ 32 ] Prospective randomized study. Furthermore, Fu et al[ 41 tyesis in published a meta-analysis in which they did not support patellar resurfacing as a matter of routine, as they did not notice a marked advantage, although they did note that this method reduced the risk of reoperation.
A meta-analysis of randomised controlled trials. Tourniquet group had slightly more post-op pain.
: THESIS ON TOTAL KNEE REPLACEMENT
Type of study Outcome Chen et al[ 48 ] Meta-analysis of randomized controlled trials Patellar resurfacing vs nonresurfacing in primary TKR Patellar resurfacing reduces the risk of gkr after TKR. The randomized controlled trial by Chaudhary et al[ 10 ] 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 thesus scores.
A prospective, randomized study. A second reviewer independently selected the trials to be included in the review and also screened the reference lists of the selected articles in topkcs to identify studies that were missed in the initial search.
To use a tourniquet or not Tourniquet increased postoperative pain and reduced the range of knee motion.
Li et al[ 25 ]. Continuous passive motion following total knee replacement: Beaupre et al[ 43 ]. Finally, Maniar et al[ 35 ] in a prospective randomized trial infurther discouraged the use of CPM after TKA, supporting that it not only did not significantly improve immediate functional recovery, but also had a negative impact on postoperative swelling. More recently, the theory that avoiding patella eversion results in better range of motion and earlier quadriceps recovery has gained popularity.
When invited by Imperial to take manufacturing outside the University nothing commercial here please! Moreover, inLensenn et al[ 31 ] in a randomized controlled trial, came to agree that CPM improved short-term range of knee motion but they did not recommend its prolonged use as an adjunct to physiotherapy, because their long-term results did not confirm tpics initial conclusion.
Tai et al[ topivs ]. Efficacy of continuous passive motion following total knee arthroplasty: