Clinical and Radiological Outcomes Following Medial Pivot Total Knee Arthroplasty: A Retrospective Chart Review Study.

Autor:	Al Juhani W; Department of Surgery, Ministry of National Guard Health Affairs, Riyadh, SAU.; Orthopaedics, King Abdullah International Medical Research Center, Riyadh, SAU.; College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU., Alwhaid MS; Radiation Oncology Section, Oncology Centre, King Faisal Specialist Hospital and Research Centre, Riyadh, SAU., Almuqbel AM; Orthopaedics, Qassim University, Buraydah, SAU., Alshathri AA; Orthopaedics, AlMaarefa University, Riyadh, SAU., Almatrafi SD; Orthopaedics, Qassim University, Buraydah, SAU., Alsalman M; Radiology, King Abdulaziz Medical City, Riyadh, SAU., Altahan H; Orthopaedics, King Abdulaziz Medical City, Riyadh, SAU.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2021 Jul 17; Vol. 13 (7), pp. e16447. Date of Electronic Publication: 2021 Jul 17 (Print Publication: 2021).
DOI:	10.7759/cureus.16447
Abstrakt:	Medial pivot total knee arthroplasty (MP-TKA) is a relatively new design that simulates normal knee mechanics with the aim of enhancing postoperative recovery. Furthermore, it reduces postoperative complications in patients with end-stage osteoarthritis of the knee. No study has been done regarding this topic in Saudi Arabia yet, so we aimed to study the post-operative clinical and radiological outcomes of MP-TKA, as well as the postoperative complications. A retrospective cohort chart review study was conducted on 46 patients and 70 knees after applying our inclusion/exclusion criteria. The patients were followed up for an average period of two years. Clinical outcomes were assessed pre- and postoperatively by the validated Saudi Arabian version of the Knee Injury and Osteoarthritis Outcome Score (KOOS), as well as radiological outcomes and postoperative complications gathered from patients' charts. The postoperative KOOS score showed a statistically significant improvement in pain, symptoms, and activities of daily living in comparison with the preoperative score (P-value < 0.0001). The mean time until ambulation and length of hospital stay were five and 14 days, respectively. Four patients (8.7%) showed radiological complications. Deep vein thrombosis was observed in only two knees (4.3%), and there were no revision cases. Thus, MP-TKA has been shown to improve pain, symptoms, and activities of daily living with a relatively short time until ambulation and length of hospital stay, in addition to a low incidence of postoperative and radiological complications. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2021, Al Juhani et al.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu