A comparison of kneeling ability after lateral or midline incisions in total knee arthroplasty
| Autor: | Markus S. Kuster, Lachlan Peter Milne, Nicholas Calvert |
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| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Knee Joint Total knee replacement Total knee arthroplasty Mean difference Clinical study 03 medical and health sciences Cicatrix 0302 clinical medicine Postoperative Complications medicine Animals Humans Orthopedics and Sports Medicine Range of Motion Articular Arthroplasty Replacement Knee Aged 030222 orthopedics integumentary system Skin incision business.industry Kneeling Australia 030229 sport sciences Recovery of Function Osteoarthritis Knee Surgery Outcome and Process Assessment Health Care Female Midline incision business human activities Follow-Up Studies |
| Zdroj: | European journal of orthopaedic surgerytraumatology : orthopedie traumatologie. 26(8) |
| ISSN: | 1432-1068 |
| Popis: | Kneeling is often impaired following total knee replacement. There is no clinical study comparing a lateral to a midline skin incision with regard to kneeling. Patients with a well-functioning total knee replacement enrolled in the trial. The participants with a lateral skin incision were matched with those with a standard midline incision. Twenty-two patients were enrolled in the study: 10 had a lateral skin incision, and 12 had a midline incision. Those with a lateral skin incision had a significantly higher Forgotten Joint Score than with a midline skin incision (Difference of Means Lateral vs Midline = 10.9 [p value 0.0098]), and an improved ability to kneel at 110 degrees of flexion (Kneeling Ability Test; Difference of Means Lateral vs Midline = 41.7 [p value 0.020]). These results suggest that a lateral skin incision may provide reduced joint awareness and improved kneeling ability. Further investigation with a randomised controlled trial is needed. |
| Databáze: | OpenAIRE |
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