Posterior Tibial Slope Effect On Range Of Flexion In Cruciate Retaining And Posterior Stabilizing Knee
Journal Title: Punjab Orthopaedic Journal - Year 2018, Vol 0, Issue 0
Abstract
Introduction -Range ofmotion, along withrelief from pain,is an important measure ofthe success of a total knee arthroplasty. Numerous studies have evaluated the effect of various factors on post-operative range of movement with the most consistent predictorbeingthepre-operativerangeofmovement.OnefactorinensuringgoodfunctionafterTKRismaintenanceofaposterior tibialslopeof5°to10°followingimplantationofaprosthesis.Numerousreportshavesuggestedthatalargerposteriortibial slope improves post-operative range of movement, but clinical studies have not alwaysborne this out.Most series report on cruciateretainingTKRsandtherearefewstudiesontheoptimaltibialsloperequiredinposterior stabilizedTKRtoensureamaximalrange oflexion.Conclusionsdrawn fromcruciate-retainingdesignsshouldnotbeextrapolated toposterior-stabilizeddesigns,asthere arefundamentaldifferences inkinematicsandsoft-tissuebalancingbetweenthem. Objective -To evaluate thecorrelationbetween the posterior tibialslope andrange oflexionin bothcruciate retaining and posterior stabilizing TKR. Method-Overatwomonthsperiodtotalof39patientsunderwent50primaryTKRswereprospectivelyrecorded.Thesepatients werefollowedupforthreemonths.Alloperationswereperformedforosteoarthritis;patientswithotherdiagnoseswereexcluded from the study. A post-operative lateral radiograph ofthe operated knee was obtained at three months and range of lexion and posterior tibial sloperecorded.Thesearedividedinto2groupsofCruciateRetainingandPosterior StabilizingTKR.Eachgroup is sub-dividedaccording to theposterior tibial slope angle i.e.<30,40-70and>70. Result - The mean post-operative lexion was increasing as the Posterior Tibial Slope increases in both Cruciate Retaining and PosteriorStabilizing.
Authors and Affiliations
Avtar Singh, Sushant Verma, Neelesh Damani
Keywords
Related Articles
- EP ID EP598929
- DOI -
- Views 85
- Downloads 0
Comparative study of the Functional Outcome in Proximal Humerus Fractures in Adults
Introduction: Proximal humerus fractures are one of the most common fractures accounting for 4–5% of fractures in the orthopedics. There are various modalities of management used for proximal humerus fracture. Much contr...
Reconstruction of Metacarpophalangeal Joint Using a Costochondral Rib Graft in a case of Giant Cell Tumour of Second Metacarpal- A
Introduction: To evaluate and compare the results of treatment of distal end extra articular radialfractures with either closed reductionwithpopcastingorclosed reductionwithk-wiring. Patient And Methods: Acomparative, pr...
Shoulder Arthroscopy has come of age
Arthroscopy of shoulder over the years has caught up with knee arthroscopy and isbeing used in various shoulder conditions. Increasing popularity of competitive sports in India has led to rise in incidence of shoulder in...
Posterior Tibial Slope Effect On Range Of Flexion In Cruciate Retaining And Posterior Stabilizing Knee
Introduction -Range ofmotion, along withrelief from pain,is an important measure ofthe success of a total knee arthroplasty. Numerous studies have evaluated the effect of various factors on post-operative range of moveme...
To Evaluate the Outcome of Reconstruction Plate Fixation in Fracture Olecranon in Adults
Introduction: Olecranon process is a large, curved eminence comprising of the proximal and posterior part of the ulna. It liessubcutaneously which makesitmore vulnerable to injury. Due to intra-articular extension offrac...