A Randomized Prospective Study Evaluating the Effect of Patellar Eversion on the Early Functional Outcomes in Primary Total Knee Arthroplasty
Abstract A prospective, randomized, blinded study was designed to investigate the impact of patellar eversion on early quadriceps function after total knee arthroplasty. One hundred twenty-two consecutive patients were randomized by 2 surgeons to receive one of 2 different surgical approaches. Surge...
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| Veröffentlicht in: | The Journal of arthroplasty 2007-06, Vol.22 (4), p.509-514 |
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| container_title | The Journal of arthroplasty |
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| creator | Walter, Frank, MD Haynes, Michael B., MD Markel, David C., MD |
| description | Abstract A prospective, randomized, blinded study was designed to investigate the impact of patellar eversion on early quadriceps function after total knee arthroplasty. One hundred twenty-two consecutive patients were randomized by 2 surgeons to receive one of 2 different surgical approaches. Surgeon A randomized patients to receive a mid-vastus split with or without patellar eversion. Surgeon B randomized patients to receive a median parapatellar arthrotomy or a mid-vastus split, both without patellar eversion. For surgeon A, a significantly earlier return of straight leg raise was noted when patellar eversion was avoided. Significant correlation existed between an earlier return of straight leg raise and decreased length of stay. Avoiding patellar eversion enhanced the return of quadriceps function and led to a decreased length of stay in the hospital. |
| doi_str_mv | 10.1016/j.arth.2006.06.015 |
| format | Article |
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One hundred twenty-two consecutive patients were randomized by 2 surgeons to receive one of 2 different surgical approaches. Surgeon A randomized patients to receive a mid-vastus split with or without patellar eversion. Surgeon B randomized patients to receive a median parapatellar arthrotomy or a mid-vastus split, both without patellar eversion. For surgeon A, a significantly earlier return of straight leg raise was noted when patellar eversion was avoided. Significant correlation existed between an earlier return of straight leg raise and decreased length of stay. 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One hundred twenty-two consecutive patients were randomized by 2 surgeons to receive one of 2 different surgical approaches. Surgeon A randomized patients to receive a mid-vastus split with or without patellar eversion. Surgeon B randomized patients to receive a median parapatellar arthrotomy or a mid-vastus split, both without patellar eversion. For surgeon A, a significantly earlier return of straight leg raise was noted when patellar eversion was avoided. Significant correlation existed between an earlier return of straight leg raise and decreased length of stay. Avoiding patellar eversion enhanced the return of quadriceps function and led to a decreased length of stay in the hospital.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthroplasty, Replacement, Knee - rehabilitation</subject><subject>Female</subject><subject>Humans</subject><subject>Length of Stay</subject><subject>Male</subject><subject>mid vastus</subject><subject>Middle Aged</subject><subject>minimally invasive</subject><subject>Muscle, Skeletal - physiopathology</subject><subject>Orthopedics</subject><subject>Pain Measurement</subject><subject>Patella - physiopathology</subject><subject>patellar eversion</subject><subject>Prospective Studies</subject><subject>Recovery of Function</subject><subject>straight leg raise</subject><subject>Time Factors</subject><subject>total knee arthroplasty</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9ksGKFDEQhoMo7jj6Ah4kJ289Jp2kpwdEGJZZFRd2cddzqE5X3IzdnTFJD7TvsO9s2hkQPAgFOdRXf_j_KkJec7bijFfv9isI6WFVMlat5uLqCVlwJcqilqx6ShasrkWhJBMX5EWMe8Y4V0o-Jxd8raoyMwvyuKVfYWh9735hS2-Djwc0yR2R3qWxnejuCN0IyQ3faXpAurM2t6m39BYSdh2ETGCIzg801x8EQjfRq3HIMn6Ajt6MyfgeI3VD_sD1ECZ671PufBkQ6TZ7CP7QQUzTS_LMQhfx1fldkm9Xu_vLT8X1zcfPl9vrwki2SUUtpG1lC8o0QgKUDdi1At5YKRTbgETblhshuUAAJaAGVaOyFcqGQ2UaK5bk7Un3EPzPEWPSvYtm9jOgH6Nes6qcI85geQJNTiYGtPpwcqA50zOh93pegp6XoOfK-S_Jm7P62PTY_h05p56B9ycAs8ejw6CjcTgYbF3I8erWu__rf_hn3HRucAa6Hzhh3Psx5Nyj5jqWmum7-QzmK2AVYzmfUvwG_Smwfg</recordid><startdate>20070601</startdate><enddate>20070601</enddate><creator>Walter, Frank, MD</creator><creator>Haynes, Michael B., MD</creator><creator>Markel, David C., 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>20070601</creationdate><title>A Randomized Prospective Study Evaluating the Effect of Patellar Eversion on the Early Functional Outcomes in Primary Total Knee Arthroplasty</title><author>Walter, Frank, MD ; Haynes, Michael B., MD ; Markel, David C., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c409t-834fd4da5cb34aa2baf75a1bf43509a4efd293413eaa53a8a58e5f6e4b1a6cbf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arthroplasty, Replacement, Knee - rehabilitation</topic><topic>Female</topic><topic>Humans</topic><topic>Length of Stay</topic><topic>Male</topic><topic>mid vastus</topic><topic>Middle Aged</topic><topic>minimally invasive</topic><topic>Muscle, Skeletal - physiopathology</topic><topic>Orthopedics</topic><topic>Pain Measurement</topic><topic>Patella - physiopathology</topic><topic>patellar eversion</topic><topic>Prospective Studies</topic><topic>Recovery of Function</topic><topic>straight leg raise</topic><topic>Time Factors</topic><topic>total knee arthroplasty</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Walter, Frank, MD</creatorcontrib><creatorcontrib>Haynes, Michael B., MD</creatorcontrib><creatorcontrib>Markel, David C., 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>Walter, Frank, MD</au><au>Haynes, Michael B., MD</au><au>Markel, David C., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Randomized Prospective Study Evaluating the Effect of Patellar Eversion on the Early Functional Outcomes in Primary Total Knee Arthroplasty</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>2007-06-01</date><risdate>2007</risdate><volume>22</volume><issue>4</issue><spage>509</spage><epage>514</epage><pages>509-514</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>Abstract A prospective, randomized, blinded study was designed to investigate the impact of patellar eversion on early quadriceps function after total knee arthroplasty. One hundred twenty-two consecutive patients were randomized by 2 surgeons to receive one of 2 different surgical approaches. Surgeon A randomized patients to receive a mid-vastus split with or without patellar eversion. Surgeon B randomized patients to receive a median parapatellar arthrotomy or a mid-vastus split, both without patellar eversion. For surgeon A, a significantly earlier return of straight leg raise was noted when patellar eversion was avoided. Significant correlation existed between an earlier return of straight leg raise and decreased length of stay. Avoiding patellar eversion enhanced the return of quadriceps function and led to a decreased length of stay in the hospital.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>17562406</pmid><doi>10.1016/j.arth.2006.06.015</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0883-5403 |
| ispartof | The Journal of arthroplasty, 2007-06, Vol.22 (4), p.509-514 |
| issn | 0883-5403 1532-8406 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Aged Aged, 80 and over Arthroplasty, Replacement, Knee - rehabilitation Female Humans Length of Stay Male mid vastus Middle Aged minimally invasive Muscle, Skeletal - physiopathology Orthopedics Pain Measurement Patella - physiopathology patellar eversion Prospective Studies Recovery of Function straight leg raise Time Factors total knee arthroplasty |
| title | A Randomized Prospective Study Evaluating the Effect of Patellar Eversion on the Early Functional Outcomes in Primary Total Knee Arthroplasty |
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