Range of motion after total knee arthroplasty in hemophilic arthropathy

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11110%2F18%3A10375742" target="_blank" >RIV/00216208:11110/18:10375742 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00216208:11160/18:10375742 RIV/00064203:_____/18:10375742 RIV/00064211:_____/18:W0000113 RIV/00023736:_____/18:00011980

Výsledek na webu

<a href="http://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-018-2080-0" target="_blank" >http://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-018-2080-0</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1186/s12891-018-2080-0" target="_blank" >10.1186/s12891-018-2080-0</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Range of motion after total knee arthroplasty in hemophilic arthropathy

Popis výsledku v původním jazyce

Background: Outcomes of total knee replacement in cases of hemophilic patients are worse than in patients who undergo operations due to osteoarthritis. Previous publications have reported varying rates of complications in hemophilic patients, such as infection and an unsatisfactory range of motion, which have influenced the survival of prostheses. Our retrospective study evaluated the data of hemophilic patients regarding changes in the development of the range of motion. Methods: The data and clinical outcomes of 72 total knee replacements in 45 patients with hemophilia types A and B were reviewed retrospectively. Patients were operated between 1998 and 2013. All of the patients were systematically followed up to record the range of motion and other parameters before and after surgery. Results: The mean preoperative flexion contracture was 17 degrees +/- 11 degrees (range, 0 degrees-40 degrees), and it was 7 degrees +/- 12 degrees (range, 0 degrees-60 degrees) postoperatively. The mean flexion of the knee was 73 degrees +/- 30 degrees (range, 5 degrees-135 degrees) before the operation and 80 degrees +/- 19 degrees (range, 30 degrees-110 degrees) at the last follow-up. The mean range of motion was 56 degrees +/- 34 degrees (range, 0 degrees-130 degrees) before the operation and 73 degrees +/- 24 degrees (range, 10 degrees-110 degrees) at the last follow-up. Conclusions: Statistical analysis suggested that the range of motion could be improved until the 9th postoperative week The patient should be operated on until the flexion contracture reaches 22 degrees to obtain a contracture &lt; 15 degrees postoperatively or until the contracture reaches 12 degrees to obtain less than 5 degrees. The operation generally does not change the flexion of the knee in cases of hemophilic patients, but it reduces the flexion contracture and therefore improves the range.

Název v anglickém jazyce

Range of motion after total knee arthroplasty in hemophilic arthropathy

Popis výsledku anglicky

Background: Outcomes of total knee replacement in cases of hemophilic patients are worse than in patients who undergo operations due to osteoarthritis. Previous publications have reported varying rates of complications in hemophilic patients, such as infection and an unsatisfactory range of motion, which have influenced the survival of prostheses. Our retrospective study evaluated the data of hemophilic patients regarding changes in the development of the range of motion. Methods: The data and clinical outcomes of 72 total knee replacements in 45 patients with hemophilia types A and B were reviewed retrospectively. Patients were operated between 1998 and 2013. All of the patients were systematically followed up to record the range of motion and other parameters before and after surgery. Results: The mean preoperative flexion contracture was 17 degrees +/- 11 degrees (range, 0 degrees-40 degrees), and it was 7 degrees +/- 12 degrees (range, 0 degrees-60 degrees) postoperatively. The mean flexion of the knee was 73 degrees +/- 30 degrees (range, 5 degrees-135 degrees) before the operation and 80 degrees +/- 19 degrees (range, 30 degrees-110 degrees) at the last follow-up. The mean range of motion was 56 degrees +/- 34 degrees (range, 0 degrees-130 degrees) before the operation and 73 degrees +/- 24 degrees (range, 10 degrees-110 degrees) at the last follow-up. Conclusions: Statistical analysis suggested that the range of motion could be improved until the 9th postoperative week The patient should be operated on until the flexion contracture reaches 22 degrees to obtain a contracture &lt; 15 degrees postoperatively or until the contracture reaches 12 degrees to obtain less than 5 degrees. The operation generally does not change the flexion of the knee in cases of hemophilic patients, but it reduces the flexion contracture and therefore improves the range.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30211 - Orthopaedics

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2018

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

BMC Musculoskeletal Disorders

ISSN

1471-2474

e-ISSN

—

Svazek periodika

19

Číslo periodika v rámci svazku

May

Stát vydavatele periodika

GB - Spojené království Velké Británie a Severního Irska

Počet stran výsledku

7

Strana od-do

—

Kód UT WoS článku

000432697600009

EID výsledku v databázi Scopus

2-s2.0-85047533404