Clinical Study Correlating Early Results Of Knee Range Of Motion In Posterior Cruciate Retaining And Stabilizing Total Knee Arthroplasty In A Tertiary Care Hospital
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2016, Vol 2, Issue 0
Abstract
Introduction: Total knee arthroplasty is a commonly performed surgery, most common indication being knee pain associated with functional limitations in activities of daily living. Near normal biomechanics duplication is essential to achieve desired results in total knee arthroplasty. This study is done to know the functional knee range of motion in patients undergoing cruciate retaining and stabilizing total knee arthroplasty. Methodology: This is a retrospective study of 52 patients with 58 knees from a prospectively maintained database. All patients with osteoarthritis treated with Total Knee Arthroplasty during the time period from February 2010 to January 2015 were selected for study. The study was conducted at the Department of Orthopaedics,SDM Medical College Dharwad. Once patients were identified all medical records and radiographs pertaining to them were reviewed and data collected. Results: In our study, we had 52 patients out of which 31 were females and 21 were males among which 6 females and 1 male underwent bilateral total knee arthroplasty. Mean age in our study group is 59.55 years. Comparative knee range of movement in cruciate retaining total knee arthroplasty was 98.33 with significant pain, which increased to 101.67 degrees of painless movement post operatively. In cruciate substituting it was 94.21 with pain which increased to 98.39degrees of painless movement post operatively. Conclusion: Total knee arthroplasty has evolved to be a good solution for the patient with pain and deformity, hampering his/her activities of daily living. In our study, average flexion in cruciate retaining and in cruciate substituting total knee arthroplasty was comparable. There is no appreciable change in functional outcome in terms of pain relief, deformity correction, and probably longevity between the two groups.Long term studies may be necessary for a comprehensive conclusion
Authors and Affiliations
srinath K M, Ravi m Daddimani, Vishwanath K Patil
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