Patient-Specific Total Knees Demonstrate a Higher Manipulation Rate Compared to “Off-the-Shelf Implants”
Abstract Patient-specific total knee replacements have been designed in hopes of providing better functional outcomes compared to “off-the-shelf” implants in primary total knee arthroplasty (TKA). We prospectively evaluated manipulation rates and clinical outcomes of 21 patient-specific TKAs matched...
Gespeichert in:
| Veröffentlicht in: | The Journal of arthroplasty 2016-01, Vol.31 (1), p.107-111 |
|---|---|
| Hauptverfasser: | , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 111 |
|---|---|
| container_issue | 1 |
| container_start_page | 107 |
| container_title | The Journal of arthroplasty |
| container_volume | 31 |
| creator | White, Peter B., BA Ranawat, Amar S., MD |
| description | Abstract Patient-specific total knee replacements have been designed in hopes of providing better functional outcomes compared to “off-the-shelf” implants in primary total knee arthroplasty (TKA). We prospectively evaluated manipulation rates and clinical outcomes of 21 patient-specific TKAs matched with 42 posterior-stabilized and 11 cruciate-retaining “off-the-shelf” TKAs. Postoperatively, the patient-specific group had a range of motion significantly less than both control groups ( P < 0.01). Six of the 21 (28.6%) patient-specific TKAs required manipulation to improve range of motion. No manipulations were reported in either control groups. At minimum two-year follow-up the patient-specific TKAs had similar motion, but worse satisfaction and KSS pain scores. Radiographic analysis provided no insight to the cause of stiffness. Early manipulation is recommended for stiffness with patient-specific TKA. |
| doi_str_mv | 10.1016/j.arth.2015.07.041 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1751989600</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0883540315007196</els_id><sourcerecordid>1751989600</sourcerecordid><originalsourceid>FETCH-LOGICAL-c547t-f1c1da1ca469ce839d75c31a115bd5f86bd2ae03a72d2427a1a4128a250791153</originalsourceid><addsrcrecordid>eNp9kctu1DAUhi0EokPhBVggL9lkOMeJc5EQEhourSgqYsra8jgnjIckDraD1F0fBF6uT4KjKSxYsPLifP-v4-8w9hRhjYDli8Na-7hfC0C5hmoNBd5jK5S5yOoCyvtsBXWdZ7KA_IQ9CuEAgChl8ZCdiDLHGmqxYv0nHS2NMdtOZGxnDb9yUff8w0gU-Bsa3Bii15G45mf26548_6hHO819yrmRf15GGzdM2lPLo-O3Nz8vuy6Le8q2e-o7fj5MvR5juL359Zg96HQf6Mnde8q-vHt7tTnLLi7fn29eX2RGFlXMOjTYajS6KBtDdd60lTQ56rT9rpVdXe5aoQlyXYlWFKLSqAsUtRYSqiZB-Sl7fuydvPs-U4hqsMFQn_YgNweFlcSmbkqAhIojarwLwVOnJm8H7a8Vglosq4NaLKvFsoJKJcsp9Oyuf94N1P6N_NGagJdHgNIvf1jyKphk2VBrPZmoWmf_3__qn7jp7WiN7r_RNYWDm_2Y_ClUQShQ2-XOy5lRAlTYlPlvQlmkbg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1751989600</pqid></control><display><type>article</type><title>Patient-Specific Total Knees Demonstrate a Higher Manipulation Rate Compared to “Off-the-Shelf Implants”</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>White, Peter B., BA ; Ranawat, Amar S., MD</creator><creatorcontrib>White, Peter B., BA ; Ranawat, Amar S., MD</creatorcontrib><description>Abstract Patient-specific total knee replacements have been designed in hopes of providing better functional outcomes compared to “off-the-shelf” implants in primary total knee arthroplasty (TKA). We prospectively evaluated manipulation rates and clinical outcomes of 21 patient-specific TKAs matched with 42 posterior-stabilized and 11 cruciate-retaining “off-the-shelf” TKAs. Postoperatively, the patient-specific group had a range of motion significantly less than both control groups ( P < 0.01). Six of the 21 (28.6%) patient-specific TKAs required manipulation to improve range of motion. No manipulations were reported in either control groups. At minimum two-year follow-up the patient-specific TKAs had similar motion, but worse satisfaction and KSS pain scores. Radiographic analysis provided no insight to the cause of stiffness. Early manipulation is recommended for stiffness with patient-specific TKA.</description><identifier>ISSN: 0883-5403</identifier><identifier>EISSN: 1532-8406</identifier><identifier>DOI: 10.1016/j.arth.2015.07.041</identifier><identifier>PMID: 26318082</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Arthroplasty, Replacement, Knee - methods ; Female ; Femur - surgery ; Humans ; Knee Prosthesis ; Male ; manipulation ; Middle Aged ; Orthopedics ; Osteoarthritis - surgery ; Patient Satisfaction ; patient-specific ; Polyethylene - chemistry ; Postoperative Period ; Prospective Studies ; Prosthesis Design - methods ; range of motion ; Range of Motion, Articular ; Retrospective Studies ; Severity of Illness Index ; technology ; total knee arthroplasty ; Treatment Outcome</subject><ispartof>The Journal of arthroplasty, 2016-01, Vol.31 (1), p.107-111</ispartof><rights>Elsevier Inc.</rights><rights>2016 Elsevier Inc.</rights><rights>Copyright © 2016 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c547t-f1c1da1ca469ce839d75c31a115bd5f86bd2ae03a72d2427a1a4128a250791153</citedby><cites>FETCH-LOGICAL-c547t-f1c1da1ca469ce839d75c31a115bd5f86bd2ae03a72d2427a1a4128a250791153</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0883540315007196$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26318082$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>White, Peter B., BA</creatorcontrib><creatorcontrib>Ranawat, Amar S., MD</creatorcontrib><title>Patient-Specific Total Knees Demonstrate a Higher Manipulation Rate Compared to “Off-the-Shelf Implants”</title><title>The Journal of arthroplasty</title><addtitle>J Arthroplasty</addtitle><description>Abstract Patient-specific total knee replacements have been designed in hopes of providing better functional outcomes compared to “off-the-shelf” implants in primary total knee arthroplasty (TKA). We prospectively evaluated manipulation rates and clinical outcomes of 21 patient-specific TKAs matched with 42 posterior-stabilized and 11 cruciate-retaining “off-the-shelf” TKAs. Postoperatively, the patient-specific group had a range of motion significantly less than both control groups ( P < 0.01). Six of the 21 (28.6%) patient-specific TKAs required manipulation to improve range of motion. No manipulations were reported in either control groups. At minimum two-year follow-up the patient-specific TKAs had similar motion, but worse satisfaction and KSS pain scores. Radiographic analysis provided no insight to the cause of stiffness. Early manipulation is recommended for stiffness with patient-specific TKA.</description><subject>Aged</subject><subject>Arthroplasty, Replacement, Knee - methods</subject><subject>Female</subject><subject>Femur - surgery</subject><subject>Humans</subject><subject>Knee Prosthesis</subject><subject>Male</subject><subject>manipulation</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Osteoarthritis - surgery</subject><subject>Patient Satisfaction</subject><subject>patient-specific</subject><subject>Polyethylene - chemistry</subject><subject>Postoperative Period</subject><subject>Prospective Studies</subject><subject>Prosthesis Design - methods</subject><subject>range of motion</subject><subject>Range of Motion, Articular</subject><subject>Retrospective Studies</subject><subject>Severity of Illness Index</subject><subject>technology</subject><subject>total knee arthroplasty</subject><subject>Treatment Outcome</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kctu1DAUhi0EokPhBVggL9lkOMeJc5EQEhourSgqYsra8jgnjIckDraD1F0fBF6uT4KjKSxYsPLifP-v4-8w9hRhjYDli8Na-7hfC0C5hmoNBd5jK5S5yOoCyvtsBXWdZ7KA_IQ9CuEAgChl8ZCdiDLHGmqxYv0nHS2NMdtOZGxnDb9yUff8w0gU-Bsa3Bii15G45mf26548_6hHO819yrmRf15GGzdM2lPLo-O3Nz8vuy6Le8q2e-o7fj5MvR5juL359Zg96HQf6Mnde8q-vHt7tTnLLi7fn29eX2RGFlXMOjTYajS6KBtDdd60lTQ56rT9rpVdXe5aoQlyXYlWFKLSqAsUtRYSqiZB-Sl7fuydvPs-U4hqsMFQn_YgNweFlcSmbkqAhIojarwLwVOnJm8H7a8Vglosq4NaLKvFsoJKJcsp9Oyuf94N1P6N_NGagJdHgNIvf1jyKphk2VBrPZmoWmf_3__qn7jp7WiN7r_RNYWDm_2Y_ClUQShQ2-XOy5lRAlTYlPlvQlmkbg</recordid><startdate>20160101</startdate><enddate>20160101</enddate><creator>White, Peter B., BA</creator><creator>Ranawat, Amar S., MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20160101</creationdate><title>Patient-Specific Total Knees Demonstrate a Higher Manipulation Rate Compared to “Off-the-Shelf Implants”</title><author>White, Peter B., BA ; Ranawat, Amar S., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c547t-f1c1da1ca469ce839d75c31a115bd5f86bd2ae03a72d2427a1a4128a250791153</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Aged</topic><topic>Arthroplasty, Replacement, Knee - methods</topic><topic>Female</topic><topic>Femur - surgery</topic><topic>Humans</topic><topic>Knee Prosthesis</topic><topic>Male</topic><topic>manipulation</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Osteoarthritis - surgery</topic><topic>Patient Satisfaction</topic><topic>patient-specific</topic><topic>Polyethylene - chemistry</topic><topic>Postoperative Period</topic><topic>Prospective Studies</topic><topic>Prosthesis Design - methods</topic><topic>range of motion</topic><topic>Range of Motion, Articular</topic><topic>Retrospective Studies</topic><topic>Severity of Illness Index</topic><topic>technology</topic><topic>total knee arthroplasty</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>White, Peter B., BA</creatorcontrib><creatorcontrib>Ranawat, Amar S., MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of arthroplasty</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>White, Peter B., BA</au><au>Ranawat, Amar S., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patient-Specific Total Knees Demonstrate a Higher Manipulation Rate Compared to “Off-the-Shelf Implants”</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>2016-01-01</date><risdate>2016</risdate><volume>31</volume><issue>1</issue><spage>107</spage><epage>111</epage><pages>107-111</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>Abstract Patient-specific total knee replacements have been designed in hopes of providing better functional outcomes compared to “off-the-shelf” implants in primary total knee arthroplasty (TKA). We prospectively evaluated manipulation rates and clinical outcomes of 21 patient-specific TKAs matched with 42 posterior-stabilized and 11 cruciate-retaining “off-the-shelf” TKAs. Postoperatively, the patient-specific group had a range of motion significantly less than both control groups ( P < 0.01). Six of the 21 (28.6%) patient-specific TKAs required manipulation to improve range of motion. No manipulations were reported in either control groups. At minimum two-year follow-up the patient-specific TKAs had similar motion, but worse satisfaction and KSS pain scores. Radiographic analysis provided no insight to the cause of stiffness. Early manipulation is recommended for stiffness with patient-specific TKA.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>26318082</pmid><doi>10.1016/j.arth.2015.07.041</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0883-5403 |
| ispartof | The Journal of arthroplasty, 2016-01, Vol.31 (1), p.107-111 |
| issn | 0883-5403 1532-8406 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1751989600 |
| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Aged Arthroplasty, Replacement, Knee - methods Female Femur - surgery Humans Knee Prosthesis Male manipulation Middle Aged Orthopedics Osteoarthritis - surgery Patient Satisfaction patient-specific Polyethylene - chemistry Postoperative Period Prospective Studies Prosthesis Design - methods range of motion Range of Motion, Articular Retrospective Studies Severity of Illness Index technology total knee arthroplasty Treatment Outcome |
| title | Patient-Specific Total Knees Demonstrate a Higher Manipulation Rate Compared to “Off-the-Shelf Implants” |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-08T07%3A17%3A09IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Patient-Specific%20Total%20Knees%20Demonstrate%20a%20Higher%20Manipulation%20Rate%20Compared%20to%20%E2%80%9COff-the-Shelf%20Implants%E2%80%9D&rft.jtitle=The%20Journal%20of%20arthroplasty&rft.au=White,%20Peter%20B.,%20BA&rft.date=2016-01-01&rft.volume=31&rft.issue=1&rft.spage=107&rft.epage=111&rft.pages=107-111&rft.issn=0883-5403&rft.eissn=1532-8406&rft_id=info:doi/10.1016/j.arth.2015.07.041&rft_dat=%3Cproquest_cross%3E1751989600%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1751989600&rft_id=info:pmid/26318082&rft_els_id=S0883540315007196&rfr_iscdi=true |