The effect of the native kinematics of the knee on the outcome following total knee arthroplasty

Aims: The aim of this study was to investigate differences in pain, range of movement function and satisfaction at three months and one year after total knee arthroplasty (TKA) in patients with an oblique pattern of kinematic graph of the knee and those with a varus pattern. Patients and Methods: A...

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Main Authors: Mooney, L., Smith, Anne, Sloan, K., Clark, G.
Format: Journal Article
Published: British Editorial Society of Bone and Joint Surgery 2016
Online Access:http://hdl.handle.net/20.500.11937/53398
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author Mooney, L.
Smith, Anne
Sloan, K.
Clark, G.
author_facet Mooney, L.
Smith, Anne
Sloan, K.
Clark, G.
author_sort Mooney, L.
building Curtin Institutional Repository
collection Online Access
description Aims: The aim of this study was to investigate differences in pain, range of movement function and satisfaction at three months and one year after total knee arthroplasty (TKA) in patients with an oblique pattern of kinematic graph of the knee and those with a varus pattern. Patients and Methods: A total of 91 patients who underwent TKA were included in this retrospective study. Patients (59 women and 32 men with mean age of 68.7 years; 38.6 to 88.4) were grouped according to kinematic graphs which were generated during navigated TKA and the outcomes between the groups were compared. Results: The graphs were varus in 50 patients (55%), oblique in 19 (21%), neutral in 17 (18.5%) and valgus in five (5.5%). After adjustment for pre-operative scores and gender, compared with patients with varus knee kinematics, patients with an oblique kinematic graph had a poorer outcome with lower Knee Society scores at three months (9.2 points, p = 0.038). Conclusion: We found four distinct kinematic graphs in knees and that patients with an oblique graph have a poorer outcome in the short-term after TKA.
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spelling curtin-20.500.11937-533982018-01-15T04:12:31Z The effect of the native kinematics of the knee on the outcome following total knee arthroplasty Mooney, L. Smith, Anne Sloan, K. Clark, G. Aims: The aim of this study was to investigate differences in pain, range of movement function and satisfaction at three months and one year after total knee arthroplasty (TKA) in patients with an oblique pattern of kinematic graph of the knee and those with a varus pattern. Patients and Methods: A total of 91 patients who underwent TKA were included in this retrospective study. Patients (59 women and 32 men with mean age of 68.7 years; 38.6 to 88.4) were grouped according to kinematic graphs which were generated during navigated TKA and the outcomes between the groups were compared. Results: The graphs were varus in 50 patients (55%), oblique in 19 (21%), neutral in 17 (18.5%) and valgus in five (5.5%). After adjustment for pre-operative scores and gender, compared with patients with varus knee kinematics, patients with an oblique kinematic graph had a poorer outcome with lower Knee Society scores at three months (9.2 points, p = 0.038). Conclusion: We found four distinct kinematic graphs in knees and that patients with an oblique graph have a poorer outcome in the short-term after TKA. 2016 Journal Article http://hdl.handle.net/20.500.11937/53398 10.1302/0301-620X.98B11.BJJ-2016-0144.R1 British Editorial Society of Bone and Joint Surgery restricted
spellingShingle Mooney, L.
Smith, Anne
Sloan, K.
Clark, G.
The effect of the native kinematics of the knee on the outcome following total knee arthroplasty
title The effect of the native kinematics of the knee on the outcome following total knee arthroplasty
title_full The effect of the native kinematics of the knee on the outcome following total knee arthroplasty
title_fullStr The effect of the native kinematics of the knee on the outcome following total knee arthroplasty
title_full_unstemmed The effect of the native kinematics of the knee on the outcome following total knee arthroplasty
title_short The effect of the native kinematics of the knee on the outcome following total knee arthroplasty
title_sort effect of the native kinematics of the knee on the outcome following total knee arthroplasty
url http://hdl.handle.net/20.500.11937/53398