Clinical Orthopaedics and Related Research ®

A Publication of The Association of Bone and Joint Surgeons ®

Knee 433 articles

Articles

Technical Challenges of Total Knee Arthroplasty in Skeletal Dysplasia

Raymond H. Kim MD, Giles R. Scuderi MD, Douglas A. Dennis MD, Steven W. Nakano BA

Total knee arthroplasty (TKA) in patients with skeletal dysplasias is particularly challenging as a result of the anatomic variances and substantial bony deformities. Little has been written regarding technical considerations that should be made when performing TKA in skeletal dysplasia.

Implant Design Influences Tibial Post Wear Damage in Posterior-stabilized Knees

Mark M. Dolan MD, Natalie H. Kelly BS, Joseph T. Nguyen MPH, Timothy M. Wright PhD, Steven B. Haas MD

The tibial post in posterior-stabilized total knees is a potential source of polyethylene wear debris, but the relationship between the shape and location of the tibial post in relation to the tibiofemoral bearing surfaces and the subsequent wear damage patterns remains unknown.

Hematologic Genetic Testing in High-risk Patients Before Knee Arthroplasty: A Pilot Study

Hany Bedair MD, Martin Berli MD, Sefer Gezer MD, Joshua J. Jacobs MD, Craig J. Della Valle MD

Patients with a personal or familial history of thromboembolism are considered at higher risk for thromboembolic disease after knee arthroplasty. While it remains unclear why some patients develop deep vein thrombosis (DVT) or pulmonary embolism (PE) despite similar operative procedures and the same prophylactic regimen, we presume one explanation would be genetic predisposition.

When Can I Drive?: Brake Response Times After Contemporary Total Knee Arthroplasty

David F. Dalury MD, Kimberly K. Tucker MD, Todd C. Kelley MD

After right total knee arthroplasty (TKA), patients are usually eager to return to driving. Previous studies suggest 6 weeks postsurgery is a safe time. However, recent advances in surgical technique, pain management, and rehabilitation have theoretically improved recovery after TKA.

A Second Decade Lifetable Survival Analysis of the Oxford Unicompartmental Knee Arthroplasty

Andrew J. Price DPhil FRCS(Orth), Ulf Svard MD

The role of unicompartmental arthroplasty in managing osteoarthritis of the knee remains controversial. The Oxford medial unicompartmental arthroplasty employs a fully congruent mobile bearing intended to reduce wear and increase the lifespan of the implant. Long-term second decade results are required to establish if the design aim can be met.

The Repicci II® Unicondylar Knee Arthroplasty: 9-year Survivorship and Function

Turlough O’Donnell MB, BCh, FRCSI, FRCS (Orth and Trauma), Michael J. Neil MB, BS, FRACS (Orth), FRCSEd (Orth), FAOrthA

Unicompartmental knee arthroplasty (UKA) is a recognized procedure for treatment of medial compartment osteoarthritis. UKA using minimally invasive surgery (MIS) has the theoretical advantage of less bone resection and quicker rehabilitation. Whether the function of patients with UKA compares with that of patients with conventional TKA is unclear.

Ethnic and Gender Differences in the Functional Disparities after Primary Total Knee Arthroplasty

Atul F. Kamath MD, John G. Horneff MD, Vandy Gaffney BA, Craig L. Israelite MD, Charles L. Nelson MD

The benefits of TKA have been well documented. Whether these benefits apply equally across gender and ethnic groups is unclear. Given the underuse of TKA among certain demographic groups, it is important to understand whether gender or ethnicity influence pain and function after TKA.

Increased Chondrocyte Death after Steroid and Local Anesthetic Combination

Boglárka Farkas MD, Krisztián Kvell MD, PhD, Tamás Czömpöly MD, PhD, Tamás Illés MD, PhD, Tamás Bárdos MD, PhD

Hyaline articular cartilage has limited repair and regeneration capacity. Intraarticular administration of glucocorticoid and local anesthetic injections play an important role in the therapy of osteoarthritis. Glucocorticoids and anesthetics reportedly enhance apoptosis in chondrocytes, but effects of the combined use of glucocorticoids and local anesthetics are unknown.

Minimizing Electromagnetic Interference from Surgical Instruments on Electromagnetic Surgical Navigation

Faustin Stevens BS, Michael A. Conditt PhD, Nikhil Kulkarni MS, Sabir K. Ismaily BS, Philip C. Noble PhD, David R. Lionberger MD

Electromagnetic computer-assisted surgery (EM-CAS) can be affected by various metallic or ferromagnetic factors.

Cruciate-retaining TKA Using a Third-generation System with a Four-pegged Tibial Component: A Minimum 10-year Followup Note

Adam J. Schwartz MD, Craig J. Della Valle MD, Aaron G. Rosenberg MD, Joshua J. Jacobs MD, Richard A. Berger MD, Jorge O. Galante MD

A third-generation TKA system was designed to address problems encountered with earlier designs including a high rate of patellofemoral complications. At a minimum of 5 years, we previously reported survivorship of 98.7% using revision for any reason as the endpoint for a cohort that includes the patients described in this report. That cohort was unique in that a tibial component that uses four short pegs for fixation was used in a subset of patients undergoing cruciate-retaining TKA and the tibial and femoral components were precoated with polymethylmethacrylate.