Isokinetic Strength Testing of Minimally Invasive Total Knee Arthroplasty Recovery
Abstract Fifty patients underwent isokinetic muscle strength testing before surgery and at 6 weeks, 3 months, 6 months, and 1 year after unilateral total knee arthroplasty using the minisubvastus surgical technique. Quadriceps muscle strength returned to preoperative levels by 3 months postoperative...
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| Veröffentlicht in: | The Journal of arthroplasty 2010-02, Vol.25 (2), p.274-279 |
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| creator | Schroer, William C., MD Diesfeld, Paul J., PA-C Reedy, Mary E., RN LeMarr, Angela R., RN |
| description | Abstract Fifty patients underwent isokinetic muscle strength testing before surgery and at 6 weeks, 3 months, 6 months, and 1 year after unilateral total knee arthroplasty using the minisubvastus surgical technique. Quadriceps muscle strength returned to preoperative levels by 3 months postoperatively and was 17% stronger at 6 months and 30% stronger at 1 year than preoperative levels ( P < .05). At 1 year, the quadriceps strength of the involved knee was equivalent to that of the uninvolved knee ( P = .81). When the entire study population was subdivided by age, weight, sex, and the presence of arthritis in the uninvolved knee, each subgroup still had equivalent quadriceps strength between the involved and uninvolved knees. This prospective study demonstrated that the minisubvastus total knee arthroplasty technique led to a more rapid and more complete recovery of muscle strength than has been previously demonstrated after total knee arthroplasty with a medial parapatellar arthrotomy. |
| doi_str_mv | 10.1016/j.arth.2008.09.017 |
| format | Article |
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Quadriceps muscle strength returned to preoperative levels by 3 months postoperatively and was 17% stronger at 6 months and 30% stronger at 1 year than preoperative levels ( P < .05). At 1 year, the quadriceps strength of the involved knee was equivalent to that of the uninvolved knee ( P = .81). When the entire study population was subdivided by age, weight, sex, and the presence of arthritis in the uninvolved knee, each subgroup still had equivalent quadriceps strength between the involved and uninvolved knees. This prospective study demonstrated that the minisubvastus total knee arthroplasty technique led to a more rapid and more complete recovery of muscle strength than has been previously demonstrated after total knee arthroplasty with a medial parapatellar arthrotomy.</description><identifier>ISSN: 0883-5403</identifier><identifier>EISSN: 1532-8406</identifier><identifier>DOI: 10.1016/j.arth.2008.09.017</identifier><identifier>PMID: 19062250</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Aged, 80 and over ; Arthroplasty, Replacement, Knee - methods ; Biomechanical Phenomena ; Female ; Follow-Up Studies ; Humans ; Kinetics ; Knee Joint - physiology ; Knee Joint - surgery ; Male ; Middle Aged ; Minimally Invasive Surgical Procedures - methods ; MIS TKA ; Muscle Strength - physiology ; Orthopedics ; Prospective Studies ; Quadriceps Muscle - physiology ; quadriceps recovery ; Range of Motion, Articular - physiology ; Recovery of Function - physiology ; strength testing ; Torque</subject><ispartof>The Journal of arthroplasty, 2010-02, Vol.25 (2), p.274-279</ispartof><rights>Elsevier Inc.</rights><rights>2010 Elsevier Inc.</rights><rights>2010 Elsevier Inc. 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Quadriceps muscle strength returned to preoperative levels by 3 months postoperatively and was 17% stronger at 6 months and 30% stronger at 1 year than preoperative levels ( P < .05). At 1 year, the quadriceps strength of the involved knee was equivalent to that of the uninvolved knee ( P = .81). When the entire study population was subdivided by age, weight, sex, and the presence of arthritis in the uninvolved knee, each subgroup still had equivalent quadriceps strength between the involved and uninvolved knees. This prospective study demonstrated that the minisubvastus total knee arthroplasty technique led to a more rapid and more complete recovery of muscle strength than has been previously demonstrated after total knee arthroplasty with a medial parapatellar arthrotomy.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthroplasty, Replacement, Knee - methods</subject><subject>Biomechanical Phenomena</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Kinetics</subject><subject>Knee Joint - physiology</subject><subject>Knee Joint - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Minimally Invasive Surgical Procedures - methods</subject><subject>MIS TKA</subject><subject>Muscle Strength - physiology</subject><subject>Orthopedics</subject><subject>Prospective Studies</subject><subject>Quadriceps Muscle - physiology</subject><subject>quadriceps recovery</subject><subject>Range of Motion, Articular - physiology</subject><subject>Recovery of Function - physiology</subject><subject>strength testing</subject><subject>Torque</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUFrGzEQhUVpSRw3f6CHoltP3o52pZUWSiGEtjFJKSQu9CZk7WwiZy050tqw_75abCj0kIsGxHtvZr4h5AODggGrP28KE4enogRQBTQFMPmGzJioyoXiUL8lM1CqWggO1Tm5SGkDwJgQ_IycswbqshQwI_fLFJ6dx8FZ-jBE9I_DE11hGpx_pKGjP513W9P3I136g0nugHQVBtPTW49Ir3L_GHa9ScNI79GGA8bxPXnXmT7h5anOye_v31bXN4u7Xz-W11d3C8tlPeS36aTgRqpWcFsxbmFtZFtJ2XZGcYFrbFjNWP7iXQlSdFKtOyZQCFty1lVz8umYu4vhZZ9H1luXLPa98Rj2ScuqangDucxJeVTaGFKK2OldzFvFUTPQE0q90RNKPaHU0OiMMps-nuL36y22_ywndlnw5SjAvOTBYdTJOvQWWxfRDroN7vX8r__ZbZ9hW9M_44hpE_bRZ3ya6VRq0A_TMadbggKQUv2p_gJbPppY</recordid><startdate>20100201</startdate><enddate>20100201</enddate><creator>Schroer, William C., MD</creator><creator>Diesfeld, Paul J., PA-C</creator><creator>Reedy, Mary E., RN</creator><creator>LeMarr, Angela R., RN</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>20100201</creationdate><title>Isokinetic Strength Testing of Minimally Invasive Total Knee Arthroplasty Recovery</title><author>Schroer, William C., MD ; Diesfeld, Paul J., PA-C ; Reedy, Mary E., RN ; LeMarr, Angela R., RN</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c476t-c49f754a78d54c314c0ba7d377dfa845ebe916117d34f2075f78bf15e55c241f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arthroplasty, Replacement, Knee - methods</topic><topic>Biomechanical Phenomena</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Kinetics</topic><topic>Knee Joint - physiology</topic><topic>Knee Joint - surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Minimally Invasive Surgical Procedures - methods</topic><topic>MIS TKA</topic><topic>Muscle Strength - physiology</topic><topic>Orthopedics</topic><topic>Prospective Studies</topic><topic>Quadriceps Muscle - physiology</topic><topic>quadriceps recovery</topic><topic>Range of Motion, Articular - physiology</topic><topic>Recovery of Function - physiology</topic><topic>strength testing</topic><topic>Torque</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schroer, William C., MD</creatorcontrib><creatorcontrib>Diesfeld, Paul J., PA-C</creatorcontrib><creatorcontrib>Reedy, Mary E., RN</creatorcontrib><creatorcontrib>LeMarr, Angela R., RN</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>Schroer, William C., MD</au><au>Diesfeld, Paul J., PA-C</au><au>Reedy, Mary E., RN</au><au>LeMarr, Angela R., RN</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Isokinetic Strength Testing of Minimally Invasive Total Knee Arthroplasty Recovery</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>2010-02-01</date><risdate>2010</risdate><volume>25</volume><issue>2</issue><spage>274</spage><epage>279</epage><pages>274-279</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>Abstract Fifty patients underwent isokinetic muscle strength testing before surgery and at 6 weeks, 3 months, 6 months, and 1 year after unilateral total knee arthroplasty using the minisubvastus surgical technique. Quadriceps muscle strength returned to preoperative levels by 3 months postoperatively and was 17% stronger at 6 months and 30% stronger at 1 year than preoperative levels ( P < .05). At 1 year, the quadriceps strength of the involved knee was equivalent to that of the uninvolved knee ( P = .81). When the entire study population was subdivided by age, weight, sex, and the presence of arthritis in the uninvolved knee, each subgroup still had equivalent quadriceps strength between the involved and uninvolved knees. This prospective study demonstrated that the minisubvastus total knee arthroplasty technique led to a more rapid and more complete recovery of muscle strength than has been previously demonstrated after total knee arthroplasty with a medial parapatellar arthrotomy.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>19062250</pmid><doi>10.1016/j.arth.2008.09.017</doi><tpages>6</tpages></addata></record> |
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| ispartof | The Journal of arthroplasty, 2010-02, Vol.25 (2), p.274-279 |
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| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Aged Aged, 80 and over Arthroplasty, Replacement, Knee - methods Biomechanical Phenomena Female Follow-Up Studies Humans Kinetics Knee Joint - physiology Knee Joint - surgery Male Middle Aged Minimally Invasive Surgical Procedures - methods MIS TKA Muscle Strength - physiology Orthopedics Prospective Studies Quadriceps Muscle - physiology quadriceps recovery Range of Motion, Articular - physiology Recovery of Function - physiology strength testing Torque |
| title | Isokinetic Strength Testing of Minimally Invasive Total Knee Arthroplasty Recovery |
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