Comput. Aided Surg. - Collateral soft tissue release in primary total knee replacement.

Tópicos

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Resumo

The aim of this study was to assess the rate of collateral soft tissue release required in navigated total knee arthroplasty (TKA) to achieve an intra-operative coronal femoral tibial mechanical axis (FTMA) in extension of 0?2?. The primary outcomes assessed were post-operative coronal plane alignment and rate of collateral soft tissue release. The secondary outcomes were range of motion, function, patient satisfaction, and complication rates at one-year follow-up. This is a prospective study of 224 knees. No exclusions were made on the basis of pathology or severity of deformity. Pre-operative FTMA ranged from 27? valgus to 25? varus (mean: -4.5? SD 7.6). Soft tissue release was carried out in 5 of 224 knees (2.2%). Post-operative weight-bearing radiological FTMA ranged from 7? valgus to 8? varus (mean: -0.4? SD 2.5?). Two hundred and ten knees (96%) were within 0?5? of neutral. At one year, median maximum flexion was 100? (IQR 15?) and extension was 0?; mean post-operative Oxford Knee Score had improved from 42 to 23; and 91% of patients were satisfied or very satisfied, with only 2% being dissatisfied. We have found that in the vast majority of cases, including those with large pre-operative coronal deformity in extension, good outcomes in terms of coronal alignment, range of movement, function and patient satisfaction can be achieved.

Resumo Limpo

aim studi assess rate collater soft tissu releas requir navig total knee arthroplasti tka achiev intraop coron femor tibial mechan axi ftma extens primari outcom assess postop coron plane align rate collater soft tissu releas secondari outcom rang motion function patient satisfact complic rate oneyear followup prospect studi knee exclus made basi patholog sever deform preoper ftma rang valgus varus mean sd soft tissu releas carri knee postop weightbear radiolog ftma rang valgus varus mean sd two hundr ten knee within neutral one year median maximum flexion iqr extens mean postop oxford knee score improv patient satisfi satisfi dissatisfi found vast major case includ larg preoper coron deform extens good outcom term coron align rang movement function patient satisfact can achiev

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