Abonnement à la biblothèque: Guest
Journal of Long-Term Effects of Medical Implants

Publication de 4  numéros par an

ISSN Imprimer: 1050-6934

ISSN En ligne: 1940-4379

SJR: 0.184 SNIP: 0.485 CiteScore™:: 1.1 H-Index: 39

Indexed in

Use of a Flexible Intramedullary Rod and its Influence on Patient Satisfaction and Femoral Size in Total Knee Arthroplasty

Volume 25, Numéro 3, 2015, pp. 201-208
DOI: 10.1615/JLongTermEffMedImplants.2015013275
Get accessGet access

RÉSUMÉ

Improper femoral component size remains a source of multiple postoperative complications following total knee arthroplasty (TKA). However, the use of a flexible intramedullary (IM) rod may help optimize femoral component size and therefore improve outcomes. The purpose of this study was to assess (1) patient-reported functional outcomes, (2) overall quality of life, and (3) changes in implant sizing associated with total knee arthroplasties performed with a flexible IM rod compared to a conventional, rigid rod. We reviewed 277 patients who had surgery using the rigid rod and 364 using the flexible rod to determine the tendency of each rod for selecting particular component sizes. Additionally, 100 patients were prospectively randomized (1:1) to the flexible or the conventional rigid IM rod cohorts. Outcomes were assessed using Knee Society scores (KSSs), SF-36 physical scores, and SF-36 mental scores preoperatively and at 6 weeks, 3 months, 1 year, and 2 years postoperatively. The retrospective arm of the study showed that the flexible IM rod cohort tends to have smaller component sizes than their conventional counterparts. In the prospective phase of the study, the increase in clinical KSSs from preoperative levels was better in the flexible rod cohort (160% vs. 143% increases, respectively). The functional KSSs had slightly higher increases in the flexible rod cohort from their preoperative levels (68% vs. 62% increases, respectively). With both clinical and functional KSSs, the flexible rod cohort had a higher score than the rigid rod cohort at all follow-up points. There was better postoperative range of motion (ROM) in the flexible rod cohort (28% vs. 22% increases, respectively). The SF-36 physical scores were slightly different, with the flexible IM rod cohort having a more marked improvement in scores (64% vs. 46% increases, respectively). The SF-36 mental score had a slightly better improvement at latest follow-up in the flexible IM rod cohort (12% vs. 6% increases, respectively). Those patients who underwent TKA using a flexible IM rod had better improvements in their patient-reported outcomes and decreased risk of oversizing the femoral component. The use of such a rod is not detrimental to outcomes and may have a positive impact on outcomes. Future studies should focus on alignment and long-term outcomes associated with the use of a flexible rod.

CITÉ PAR
  1. Yuan Ding, Zhang Quan-San, Zhang Kun, Cao Yan-Wei, Chen Guan-Hong, Ling Zong-Zhun, Xu Hui, Total Knee Arthroplasty Using a Medial Pivot or Posterior Cruciate-Stabilizing Prosthesis in Chinese Patients, The Journal of Knee Surgery, 33, 09, 2020. Crossref

  2. Bénard M. R., van Doremalen R. F. M., Wymenga A. B., Heesterbeek P. J. C., Flexible versus standard intramedullary rod in posterior stabilized primary total knee arthroplasty: protocol for a randomized controlled trial, Journal of Orthopaedic Surgery and Research, 15, 1, 2020. Crossref

  3. Hood Brandon, Blum Laura, Holcombe Sven A., Wang Stewart C., Urquhart Andrew G., Goulet James A., Maratt Joseph D., Variation in Optimal Sagittal Alignment of the Femoral Component in Total Knee Arthroplasty, Orthopedics, 40, 2, 2017. Crossref

  4. Lee Do Weon, Lee Joonhee, Lee Junpyo, Ro Du Hyun, Lee Myung Chul, Han Hyuk-Soo, A Flexible Intramedullary Guide Can Reduce the Anteroposterior Oversizing of Femoral Components Used in Total Knee Arthroplasty in Patients with Osteoarthritis and Severe Distal Femoral Sagittal Bowing, The Journal of Knee Surgery, 35, 10, 2022. Crossref

2022 Vues d'articles 37 Téléchargements d'articles Métrique
2022 VUES 37 TÉLÉCHARGEMENTS 4 Crossref CITATIONS Google
Scholar
CITATIONS

Articles avec un contenu similaire:

Excellent Early Outcomes of the First 100 Cruciate-Retaining TriathlonTM Total Knee Arthroplasties Journal of Long-Term Effects of Medical Implants, Vol.23, 2013, issue 1
Robert Pivec, Mark J. McElroy, Swetha Dhanireddy, Michael A. Mont, Qais Naziri, Kimona Issa, Aaron J. Johnson
Patient Activity after Total Hip Arthroplasty: A Comparison of Three Different Bearing Surfaces Journal of Long-Term Effects of Medical Implants, Vol.23, 2013, issue 4
Samik Banerjee, Johannes F. Plate, Bartlomiej W. Szczech, Michael A. Mont, Bhaveen V. Kapadia, Kimona Issa, Craig Wright
Systematic Review of Single-Set Versus Multiple-Set Resistance-Training Randomized Controlled Trials: Implications for Rehabilitation Critical Reviews™ in Physical and Rehabilitation Medicine, Vol.18, 2006, issue 2
Daniel Hermsen, Christopher Demuth, Christopher J. Durall
Outcomes of Primary Total Knee Arthroplasty in the Morbidly Obese Patients Journal of Long-Term Effects of Medical Implants, Vol.23, 2013, issue 4
Julio J. Jauregui, Mark J. McElroy, Sina Pourtaheri, Michael A. Mont, Kimona Issa, Sujal Patel
Preoperative Low Back Pain Affects Recovery in Knee Flexion Range of Motion Following Total Knee Replacement Critical Reviews™ in Physical and Rehabilitation Medicine, Vol.28, 2016, issue 1-2
Ali Oliashirazi, Christian N. Warner, Hannah M. Ashworth, Saurabh P. Mehta, Franklin D. Shuler

Prochains articles

Transfer of guided emergence profile developed using customized provisional implant restoration and cementation using an abutment replica technique- A case report. Vinay Sivaswamy, Balaji Anand S D, Jacob Mathew Philip, C J Venkatakrishnan, Narasimman M, Helen Mary Abraham, Pavithra B Marijuana use is Associated with Increased Rates of Hip Dislocation and Lower Insurance Reimbursement among THA Recipients Andrew Recker, Chukwuweike Gwam, Erin Kelly, Scott Douglas, Johannes Plate Surface modification of Mg alloy AZ91D using nanopowder mixed EDM for Biodegradable Implant Alok Kumar, Abhishek Singh The history of orthopedics in the long term: from general medicine to medical specialties Pavlos Altsitzioglou, Ioannis Zafeiris, Fotini Soucacos, Pantelis Limneos, Eleftheria Souliotis, Evanthia Mitsiokapa, Theodosis Saranteas, Andreas Mavrogenis COMPARISON OF ROUGHNESS, WETTABILITY AND SCANNING ELECTRON MICROSCOPY FEATURES BETWEEN SANDBLASTED ACID-ETCHED AND OXIDIZED TITANIUM DENTAL IMPLANTS Kshitiz Chhabra, Arvina Rajasekar CORRELATION BETWEEN PRIMARY STABILITY OF DENTAL IMPLANTS AND BONE DENSITY: A RETROSPECTIVE ANALYSIS Padmaja S, Arvina Rajasekar C-Reactive Protein and Erythrocyte Sedimentation Rates after total and unicompartmental knee arthroplasty - less implant equals quicker normalization Kasım Kılıçarslan, Ömer Faruk Naldöven, Enejd Veizi, Şahan Güven, Şahin Çepni, Ahmet Fırat COMPLICATIONS FOLLOWING SHORT FEMORAL NAIL FIXATION FOR INTETROCHANTERIC HIP FRACTURES. A RETROSPECTIVE STUDY Anastasia Vasilopoulou, Antonios Trichonas, Konstantinos Palaiologos, Emmanouel Antonogiannakis, Christos Nikakis, Stavros Angelis, Spyridon Maris, Christos Grekas , Efthimios Karadimas, Alexandros Apostolopoulos FEA: Connector Designs and Pontic Stress Distribution of Fixed Partial Denture Implant-Supported Metal Framework Saja Muhsin, Enas Mohammed, Khalid Bander Design and Frequency Stability Analysis of an Adaptive Neuro-Fuzzy Inference System based Artificial Pacemaker Controller in MATLAB Nader Jafarnia Dabanloo, Asghar Dabiriaghdam, Fereidoon Nooshirvan Rahatabad, Keivan Maghooli Complications following intraosseous injections of calcium phosphate bone cement in Subchondroplasty. Christos Zachariadis, Helen Leligou, Stauros Kourkoulis, Evaggelos Magnisalis, Panayiotis Papagelopoulos, Olga Savvidou The Impact of Patient Characteristics on Outcomes of Surgically Managed Vertebral Osteomyelitis in the United States: Insights from a National Database Study Jennifer Kurowicki, Stuart Changoor, Daniel Coban, Neil Patel, Kumar Sinha, Ki Hwang, Arash Emami ASSOCIATION OF AGE, GENDER AND SITE OF IMPLANT PLACEMENT - AN INSTITUTION BASED RETROSPECTIVE STUDY Harini Sri, Nabeel Ahmed, Keerthi Shasanka
Portail numérique Bibliothèque numérique eBooks Revues Références et comptes rendus Collections Prix et politiques d'abonnement Begell House Contactez-nous Language English 中文 Русский Português German French Spain