The aim of this prospective single-centre study
was to assess the difference in clinical outcome between total knee replacement
(TKR) using computerised navigation and that of conventional
We undertook a prospective randomised controlled trial to investigate the efficacy of autologous retransfusion drains in reducing the need for allogenic blood requirement after unilateral
The amount of anteroposterior laxity required for a good range of movement and knee function in a cruciate-retaining
The patellar clunk syndrome describes painful catching, grinding or jumping of the patella when the knee moves from a flexed to an extended position after
Objectives. This systematic review and meta-analysis was conducted to determine
the mid- to long-term clinical outcomes for a medial-pivot total
knee replacement (TKR) system. The objectives were to synthesise
available survivorship, Knee Society Scores (KSS), and reasons for
revision for this system. Methods. A systematic search was conducted of two online databases to
identify sources of survivorship, KSS, and reasons for revision.
Survivorship results were compared with values in the National Joint
Registry of England, Wales, and Northern Ireland (NJR). Results. A total of eight studies that included data for 1146 TKRs performed
in six countries satisfied the inclusion/exclusion criteria. Pooled
component survivorship estimates were 99.2% (95% CI, 97.7 to 99.7)
and 97.6% (95% CI, 95.8 to 98.6) at five and eight years, respectively.
Survivorship was similar or better when compared with rates reported
for all cemented TKRs combined in the NJR and was significantly
better than some insert types at mid-term intervals. The weighted
mean post-operative KSS was 87.9 (73.2 to 94.2), in the excellent
range. Similar cumulative revision rates and KSS were reported at
centres in the United States, Europe, and Asia. Conclusions. The subject system was associated with survivorship and KSS similar
or better than that reported for other
Controversy remains regarding the optimal post-operative
analgesic regimen following
We undertook a study to determine the rates of infection and revision of
Between July 1986 and August 1996, we performed 32
We aimed to document the pre-operative expectations in Korean patients undergoing
The lateral subvastus approach combined with an osteotomy of the tibial tubercle is a recognised, but rarely used approach for
We prospectively assessed the benefits of using either a range-of-movement technique or an anatomical landmark method to determine the rotational alignment of the tibial component during
We investigated whether the extension gap in
The aim of this study was to determine if the Oxford Knee and Hip Score (OKHS) can accurately predict when a primary knee or hip referral is deemed nonsurgical We retrospectively reviewed pre-consultation OKHS for all consecutive primary total knee arthroplasty (TKA) and total hip arthroplasty (THA) consultations of a single surgeon over three years. The 1436 knees (1016 patients) and 478 hips (388 patients) included were categorized based on the surgeon’s decision into those offered surgery during the first consultation Aims
Patients and Methods
Our aims were to map the tibial footprint of the posterior cruciate ligament (PCL) using MRI in patients undergoing PCL-preserving
Stiffness is an uncommon but potentially debilitating complication following
Patella infera may occur after reconstruction of the anterior cruciate ligament (ACL), high tibial osteotomy and
Although it has been suggested that the outcome
after revision of a unicondylar knee replacement (UKR) to total knee
replacement (TKR) is better when the mechanism of failure is understood,
a comparative study on this subject has not been undertaken. A total of 30 patients (30 knees) who underwent revision of their
unsatisfactory UKR to
There is insufficient evidence to recommend the use of alternative polyethylene bearings in modular, fixed-bearing total knee arthroplasty (TKA). The purpose of this study was to compare standard polyethylene (SP) and highly crosslinked polyethylene (XLP) tibial liners in posterior-stabilized TKA, with osteolysis as the primary outcome and clinical results and the rate of re-operation as the secondary outcomes. This is a single-surgeon, prospective randomized study involving one design of modular posterior-stabilized TKA. An analysis of 122 TKAs with an SP compression moulded liner and 123 with an XLP liner was performed, with a mean follow-up of six years (2 to 11). Patients were evaluated clinically using the Knee Society score, Lower Extremity Activity Score (LEAS), and the presence of an effusion, and standard radiographs were assessed for radiolucent lines and osteolytic lesions.Aims
Patients and Methods
We compared peri-prosthetic bone mineral density between identical cemented and cementless LCS rotating platform
The efficacy of circumpatellar electrocautery in reducing the incidence of post-operative anterior knee pain is unknown. We conducted a single-centre, outcome-assessor and patient-blinded, parallel-group, randomised, controlled trial to compare circumpatellar electrocautery with no electrocautery in