Early Primary Total Knee Arthroplasty in Fractures Around The Knee – Malaysia District Hospital Experience
Introduction: Treatment of comminuted intra-articular fractures around the knee in the elderly population could be challenging. Factors such as pre-existing comorbidities, osteoporosis, cartilage damage and deformity could make fracture reduction difficult. Patients outcome is guarded due to risk of...
Gespeichert in:
| Veröffentlicht in: | Orthopaedic journal of sports medicine 2020-05, Vol.8 (5_suppl5) |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | |
|---|---|
| container_issue | 5_suppl5 |
| container_start_page | |
| container_title | Orthopaedic journal of sports medicine |
| container_volume | 8 |
| creator | Wui, Ng Bing Wahid, Abdul Muttalib bin Abdul Chao, Ong Kean Weng, Loi Kai |
| description | Introduction:
Treatment of comminuted intra-articular fractures around the knee in the elderly population could be challenging. Factors such as pre-existing comorbidities, osteoporosis, cartilage damage and deformity could make fracture reduction difficult. Patients outcome is guarded due to risk of delayed or non-union, delayed weight bearing and prolonged rehabilitation phase.
Methods:
We present a retrospective study on 12 patients who underwent early primary total knee replacement after sustaining intra-articular fracture around the knee from 2017 to 2019. Legacy Constrained Condylar Knee (LCCK) were used and patients were follow-up at 3, 6 and 12 months.
Results:
Mean follow-up period is 14 months. All except one patient received Posterior Stabilized insert while other patients had LCCK. Two patients were complicated with prosthetic joint infection requiring debridement and revision surgery. The remaining patients achieved full knee extension and average flexion of 100 degrees.
Conclusion:
Early knee arthroplasty is able to achieve excellent short-term outcome in treatment of comminuted intra-articular fractures around the knee in elderly patients |
| doi_str_mv | 10.1177/2325967120S00102 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7268130</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_2325967120S00102</sage_id><sourcerecordid>2407982432</sourcerecordid><originalsourceid>FETCH-LOGICAL-c2042-2c51c2d5a588aa111129544f9437ee45efc779814b4556db520968732fa57a873</originalsourceid><addsrcrecordid>eNp1kc1OwzAMxysEEtPYnWMkzoUkTZb2gjSNjSGGQGKcIy9Lt0xdU5IWsRvvwBvyJGTqxJeEL7bsv3-25Sg6JficECEuaEJ51heE4keMCaYHUWeXine5wx_xcdTzfo2DpZxkiehExQhcsUUPzmzAbdHM1lCg21JrNHD1ytmqAF9vkSnR2IGqG6d9qNimXKDZSrfKj7d3dAcFbL0BdGV87Yyq0cT6yuxoo9dKO6NLpU-ioxwKr3t7342exqPZcBJP769vhoNprChmNKaKE0UXHHiaApBgNOOM5RlLhNaM61wJkaWEzRnn_cWcU5z1U5HQHLiAEHSjy5ZbNfONXihd1g4KWbVHSgtG_q6UZiWX9kUK2k9JggPgbA9w9rnRvpZr27gy7Cwpw2E2ZQkNKtyqlLPeO51_TSBY7v4i__4ltMRti4el_ob-q_8EhEqNzA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2407982432</pqid></control><display><type>article</type><title>Early Primary Total Knee Arthroplasty in Fractures Around The Knee – Malaysia District Hospital Experience</title><source>DOAJ Directory of Open Access Journals</source><source>Sage Journals GOLD Open Access 2024</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><creator>Wui, Ng Bing ; Wahid, Abdul Muttalib bin Abdul ; Chao, Ong Kean ; Weng, Loi Kai</creator><creatorcontrib>Wui, Ng Bing ; Wahid, Abdul Muttalib bin Abdul ; Chao, Ong Kean ; Weng, Loi Kai</creatorcontrib><description>Introduction:
Treatment of comminuted intra-articular fractures around the knee in the elderly population could be challenging. Factors such as pre-existing comorbidities, osteoporosis, cartilage damage and deformity could make fracture reduction difficult. Patients outcome is guarded due to risk of delayed or non-union, delayed weight bearing and prolonged rehabilitation phase.
Methods:
We present a retrospective study on 12 patients who underwent early primary total knee replacement after sustaining intra-articular fracture around the knee from 2017 to 2019. Legacy Constrained Condylar Knee (LCCK) were used and patients were follow-up at 3, 6 and 12 months.
Results:
Mean follow-up period is 14 months. All except one patient received Posterior Stabilized insert while other patients had LCCK. Two patients were complicated with prosthetic joint infection requiring debridement and revision surgery. The remaining patients achieved full knee extension and average flexion of 100 degrees.
Conclusion:
Early knee arthroplasty is able to achieve excellent short-term outcome in treatment of comminuted intra-articular fractures around the knee in elderly patients</description><identifier>ISSN: 2325-9671</identifier><identifier>EISSN: 2325-9671</identifier><identifier>DOI: 10.1177/2325967120S00102</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Joint replacement surgery ; Joint surgery ; Knee ; Older people ; Orthopedics ; Sports medicine</subject><ispartof>Orthopaedic journal of sports medicine, 2020-05, Vol.8 (5_suppl5)</ispartof><rights>The Author(s) 2020</rights><rights>The Author(s) 2020. This work is licensed under the Creative Commons Attribution – Non-Commercial – No Derivatives License https://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2020 2020 SAGE Publications</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7268130/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7268130/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,21946,27832,27903,27904,44924,45312,53770,53772</link.rule.ids></links><search><creatorcontrib>Wui, Ng Bing</creatorcontrib><creatorcontrib>Wahid, Abdul Muttalib bin Abdul</creatorcontrib><creatorcontrib>Chao, Ong Kean</creatorcontrib><creatorcontrib>Weng, Loi Kai</creatorcontrib><title>Early Primary Total Knee Arthroplasty in Fractures Around The Knee – Malaysia District Hospital Experience</title><title>Orthopaedic journal of sports medicine</title><description>Introduction:
Treatment of comminuted intra-articular fractures around the knee in the elderly population could be challenging. Factors such as pre-existing comorbidities, osteoporosis, cartilage damage and deformity could make fracture reduction difficult. Patients outcome is guarded due to risk of delayed or non-union, delayed weight bearing and prolonged rehabilitation phase.
Methods:
We present a retrospective study on 12 patients who underwent early primary total knee replacement after sustaining intra-articular fracture around the knee from 2017 to 2019. Legacy Constrained Condylar Knee (LCCK) were used and patients were follow-up at 3, 6 and 12 months.
Results:
Mean follow-up period is 14 months. All except one patient received Posterior Stabilized insert while other patients had LCCK. Two patients were complicated with prosthetic joint infection requiring debridement and revision surgery. The remaining patients achieved full knee extension and average flexion of 100 degrees.
Conclusion:
Early knee arthroplasty is able to achieve excellent short-term outcome in treatment of comminuted intra-articular fractures around the knee in elderly patients</description><subject>Joint replacement surgery</subject><subject>Joint surgery</subject><subject>Knee</subject><subject>Older people</subject><subject>Orthopedics</subject><subject>Sports medicine</subject><issn>2325-9671</issn><issn>2325-9671</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>AFRWT</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp1kc1OwzAMxysEEtPYnWMkzoUkTZb2gjSNjSGGQGKcIy9Lt0xdU5IWsRvvwBvyJGTqxJeEL7bsv3-25Sg6JficECEuaEJ51heE4keMCaYHUWeXine5wx_xcdTzfo2DpZxkiehExQhcsUUPzmzAbdHM1lCg21JrNHD1ytmqAF9vkSnR2IGqG6d9qNimXKDZSrfKj7d3dAcFbL0BdGV87Yyq0cT6yuxoo9dKO6NLpU-ioxwKr3t7342exqPZcBJP769vhoNprChmNKaKE0UXHHiaApBgNOOM5RlLhNaM61wJkaWEzRnn_cWcU5z1U5HQHLiAEHSjy5ZbNfONXihd1g4KWbVHSgtG_q6UZiWX9kUK2k9JggPgbA9w9rnRvpZr27gy7Cwpw2E2ZQkNKtyqlLPeO51_TSBY7v4i__4ltMRti4el_ob-q_8EhEqNzA</recordid><startdate>20200501</startdate><enddate>20200501</enddate><creator>Wui, Ng Bing</creator><creator>Wahid, Abdul Muttalib bin Abdul</creator><creator>Chao, Ong Kean</creator><creator>Weng, Loi Kai</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>AFRWT</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope></search><sort><creationdate>20200501</creationdate><title>Early Primary Total Knee Arthroplasty in Fractures Around The Knee – Malaysia District Hospital Experience</title><author>Wui, Ng Bing ; Wahid, Abdul Muttalib bin Abdul ; Chao, Ong Kean ; Weng, Loi Kai</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2042-2c51c2d5a588aa111129544f9437ee45efc779814b4556db520968732fa57a873</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Joint replacement surgery</topic><topic>Joint surgery</topic><topic>Knee</topic><topic>Older people</topic><topic>Orthopedics</topic><topic>Sports medicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wui, Ng Bing</creatorcontrib><creatorcontrib>Wahid, Abdul Muttalib bin Abdul</creatorcontrib><creatorcontrib>Chao, Ong Kean</creatorcontrib><creatorcontrib>Weng, Loi Kai</creatorcontrib><collection>Sage Journals GOLD Open Access 2024</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Orthopaedic journal of sports medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wui, Ng Bing</au><au>Wahid, Abdul Muttalib bin Abdul</au><au>Chao, Ong Kean</au><au>Weng, Loi Kai</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Early Primary Total Knee Arthroplasty in Fractures Around The Knee – Malaysia District Hospital Experience</atitle><jtitle>Orthopaedic journal of sports medicine</jtitle><date>2020-05-01</date><risdate>2020</risdate><volume>8</volume><issue>5_suppl5</issue><issn>2325-9671</issn><eissn>2325-9671</eissn><abstract>Introduction:
Treatment of comminuted intra-articular fractures around the knee in the elderly population could be challenging. Factors such as pre-existing comorbidities, osteoporosis, cartilage damage and deformity could make fracture reduction difficult. Patients outcome is guarded due to risk of delayed or non-union, delayed weight bearing and prolonged rehabilitation phase.
Methods:
We present a retrospective study on 12 patients who underwent early primary total knee replacement after sustaining intra-articular fracture around the knee from 2017 to 2019. Legacy Constrained Condylar Knee (LCCK) were used and patients were follow-up at 3, 6 and 12 months.
Results:
Mean follow-up period is 14 months. All except one patient received Posterior Stabilized insert while other patients had LCCK. Two patients were complicated with prosthetic joint infection requiring debridement and revision surgery. The remaining patients achieved full knee extension and average flexion of 100 degrees.
Conclusion:
Early knee arthroplasty is able to achieve excellent short-term outcome in treatment of comminuted intra-articular fractures around the knee in elderly patients</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><doi>10.1177/2325967120S00102</doi><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2325-9671 |
| ispartof | Orthopaedic journal of sports medicine, 2020-05, Vol.8 (5_suppl5) |
| issn | 2325-9671 2325-9671 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7268130 |
| source | DOAJ Directory of Open Access Journals; Sage Journals GOLD Open Access 2024; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
| subjects | Joint replacement surgery Joint surgery Knee Older people Orthopedics Sports medicine |
| title | Early Primary Total Knee Arthroplasty in Fractures Around The Knee – Malaysia District Hospital Experience |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-23T08%3A52%3A48IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Early%20Primary%20Total%20Knee%20Arthroplasty%20in%20Fractures%20Around%20The%20Knee%20%E2%80%93%20Malaysia%20District%20Hospital%20Experience&rft.jtitle=Orthopaedic%20journal%20of%20sports%20medicine&rft.au=Wui,%20Ng%20Bing&rft.date=2020-05-01&rft.volume=8&rft.issue=5_suppl5&rft.issn=2325-9671&rft.eissn=2325-9671&rft_id=info:doi/10.1177/2325967120S00102&rft_dat=%3Cproquest_pubme%3E2407982432%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2407982432&rft_id=info:pmid/&rft_sage_id=10.1177_2325967120S00102&rfr_iscdi=true |