Functional assessment of all polyethylene tibial monoblock component in total knee arthroplasty
DOI:
https://doi.org/10.18231/j.joapr.2023.11.2.58.64Keywords:
All polyethylene tibial monoblock, Total knee arthroplasty, Range of motion, Knee Society Knee scoreAbstract
Background: In a developing country like India the cost effectiveness of all polyethylene tibial components is a major boon, without compromising the functional outcome. In this study we have attempted to evaluate the functional outcome of all polyethylene tibial monoblock component in total knee arthroplasty. Methodology: The study was carried out on 86 patients who are operated for total knee arthroplasty with all polyethylene tibial monoblock component. Demographic, surgical and follow up data was collected from case sheets of patients and copied in Performa. The patients were called for five years follow up and examined in the outpatient department. Results: The mean age of study population was 62.8 years (range 50 – 72 years) with mean BMI of 27.6 kg/m2. Statistically significant improvement was seen in the range of movements in all the age groups. Both male and female patients had insignificant difference in knee scoring. Assessment of clinical functional abilities of knee scoring have observed to be higher in patients with lower BMI. Conclusion: Significant improvement in range of motion as well as knee score in all age range, emphasizes the fact that total knee arthroplasty with all polyethylene design in osteoarthritis is an excellent surgery to restore near normal life style.
Downloads
References
Stenquist DS, Elman SA, Davis AM, Bogart LM, Brownlee SA, Sanchez ES, Santiago A, Ghazinouri R, Katz JN. Physical activity and experience of total knee replacement in patients one to four years post-surgery in the Dominican Republic: a qualitative study. Arthritis care & research, 67(1), 65-73 (2015).
Venkatesan AS, Jayasankar P, Williams S. An assessment of clinical and functional outcomes in the patients undergoing total knee arthroplasty during postoperative period. J Orth Joint Surg, 2(2), 57–61 (2020).
Salgotra KR, Kohli S, Vishwakarma N,Chavan S. Early results of total condylar knee arthroplasty using Indian-designed prostheses. MGM J Med Sci, 4(1), 19-22 (2017).
Boyd Jr AD, Ewald FC, Thomas WH, Poss R, Sledge CB. Long-term complications after total knee arthroplasty with or without resurfacing of the patella. JBJS, 75(5), 674-81 (1993).
Ranawat AS, Mohanty SS, Goldsmith SE, Rasquinha VJ, Rodriguez JA, Ranawat CS. Experience with an all-polyethylene total knee arthroplasty in younger, active patients with follow-up from 2 to 11 years. The Journal of arthroplasty, 20, 7-11 (2005).
Faris PM, Ritter MA, Keating EM, Meding JB, Harty LD. The AGC all-polyethylene tibial component: a ten-year clinical evaluation. JBJS, 85(3), 489-93 (2003).
Bettinson KA, Pinder IM, Moran CG, Weir DJ, Lingard EA. All-polyethylene compared with metal-backed tibial components in total knee arthroplasty at ten years: a prospective, randomized controlled trial. JBJS, 91(7), 1587-94 (2009).
Gioe TJ, Glynn J, Sembrano J, Suthers K, Santos ER, Singh J. Mobile and fixed-bearing (all-polyethylene tibial component) total knee arthroplasty designs: a prospective randomized trial. JBJS, 91(9), 2104-12 (2009).
Mohan V, Inacio MC, Namba RS, Sheth D, Paxton EW. Monoblock all-polyethylene tibial components have a lower risk of early revision than metal-backed modular components: A registry study of 27,657 primary total knee arthroplasties. Acta Orthopaedica, 84(6), 530-6 (2013).
Holmberg S, Thelin A, Thelin N. Knee osteoarthritis and body mass index: a population‐based case–control study. Scandinavian Journal of Rheumatology, 34(1), 59-64 (2005).
Farahini H, Moghtadaei M, Bagheri A, Akbarian E. Factors influencing range of motion after total knee arthroplasty. Iranian Red Crescent Medical Journal, 14(7), 417 (2012).
Gatha NM, Clarke HD, Fuchs R, Scuderi GR, Insall JN. Factors affecting postoperative range of motion after total knee arthroplasty. The Journal of Knee Surgery, 17(04), 196-202 (2004).
Kotani A, Yonekura A, Bourne RB. Factors influencing range of motion after contemporary total knee arthroplasty. The Journal of Arthroplasty, 20(7), 850-6 (2005).
Shoji H, Solomonow M, Yoshino S, D'Ambrosia R, Dabezies E. Factors affecting postoperative flexion in total knee arthroplasty. Orthopedics, 13(6), 643-9 (1990).
Dojcinovic S, Ait Si Selmi T, Servien E, Verdonk PC, Neyret P. A comparison of all-polyethylene and metal-backed tibial components in total knee arthroplasty. Rev Chir Orthop Reparatrice Appar Mot, 93, 364–372 (2007).
Published
How to Cite
Issue
Section
Copyright (c) 2023 Moinuddin Nadaf, Sharan S Patil, Raghavendra R Huchchannavar
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
