No difference between standard and high flexion cruciate retaining total knee arthroplasty: a prospective randomised controlled study

Verfasser / Beitragende:
[Hans Springorum, Günther Maderbacher, Benjamin Craiovan, Christian Lüring, Clemens Baier, Joachim Grifka, Armin Keshmiri]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/6(2015-06-01), 1591-1597
Format:
Artikel (online)
ID: 605456437
LEADER caa a22 4500
001 605456437
003 CHVBK
005 20210128100218.0
007 cr unu---uuuuu
008 210128e20150601xx s 000 0 eng
024 7 0 |a 10.1007/s00167-014-3082-6  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-3082-6 
245 0 0 |a No difference between standard and high flexion cruciate retaining total knee arthroplasty: a prospective randomised controlled study  |h [Elektronische Daten]  |c [Hans Springorum, Günther Maderbacher, Benjamin Craiovan, Christian Lüring, Clemens Baier, Joachim Grifka, Armin Keshmiri] 
520 3 |a Purpose: The purpose of this prospective, randomised, double-blind study was to test the hypotheses that patients with high-flexion total knee arthroplasty (TKA) have (1) a wider/greater range of motion (ROM) post-operatively and (2) higher levels of knee society score (KSS) and WOMAC score post-operatively compared to standard TKA. Methods: In this study, 28 high flexion with 31 standard TKAs were compared. We measured ROM, pre-operatively, on day 3, 7, 28, and after 6 and 36months post-operatively as well as KSS and WOMAC score pre-operatively, on day 28 and after 6 and 36months post-operatively. Results: No statistically significant differences were found between both groups with regard to the target parameters. The mean ROM was 113° (range 80°-140°, SD 13.4°) in the control group (standard TKA) and 117° (range 90°-140°, SD 12.3) in the study group (high-flexion TKA) at 36months follow-up [p=not significant (n.s.)]. The KSS pre-operatively was 38.2 (range 8-64, SD 15.8) in the control group and 45.9 (range 8-74, SD 16.0) in the study group (n.s.) increasing to 157.6 in the control group and 156.7 in the study group (p=n.s) at 36months follow-up. Conclusion: This study could not confirm significant benefits of high-flexion TKA compared to standard TKA with regard to ROM and higher levels of KSS and WOMAC score. Level of evidence: I. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a High-flexion total knee arthroplasty  |2 nationallicence 
690 7 |a Range of motion  |2 nationallicence 
690 7 |a Total knee arthroplasty  |2 nationallicence 
690 7 |a Randomised controlled trial  |2 nationallicence 
700 1 |a Springorum  |D Hans  |u Department of Orthopaedic Surgery, University of Regensburg, Kaiser-Karl-V Allee 3, 93077, Bad Abbach, Germany  |4 aut 
700 1 |a Maderbacher  |D Günther  |u Department of Orthopaedic Surgery, University of Regensburg, Kaiser-Karl-V Allee 3, 93077, Bad Abbach, Germany  |4 aut 
700 1 |a Craiovan  |D Benjamin  |u Department of Orthopaedic Surgery, University of Regensburg, Kaiser-Karl-V Allee 3, 93077, Bad Abbach, Germany  |4 aut 
700 1 |a Lüring  |D Christian  |u Department of Orthopaedic Surgery, University of Aachen, Pauwelsstraße 30, 52074, Aachen, Germany  |4 aut 
700 1 |a Baier  |D Clemens  |u Department of Orthopaedic Surgery, University of Regensburg, Kaiser-Karl-V Allee 3, 93077, Bad Abbach, Germany  |4 aut 
700 1 |a Grifka  |D Joachim  |u Department of Orthopaedic Surgery, University of Regensburg, Kaiser-Karl-V Allee 3, 93077, Bad Abbach, Germany  |4 aut 
700 1 |a Keshmiri  |D Armin  |u Department of Orthopaedic Surgery, University of Regensburg, Kaiser-Karl-V Allee 3, 93077, Bad Abbach, Germany  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/6(2015-06-01), 1591-1597  |x 0942-2056  |q 23:6<1591  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-3082-6  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-014-3082-6  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Springorum  |D Hans  |u Department of Orthopaedic Surgery, University of Regensburg, Kaiser-Karl-V Allee 3, 93077, Bad Abbach, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Maderbacher  |D Günther  |u Department of Orthopaedic Surgery, University of Regensburg, Kaiser-Karl-V Allee 3, 93077, Bad Abbach, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Craiovan  |D Benjamin  |u Department of Orthopaedic Surgery, University of Regensburg, Kaiser-Karl-V Allee 3, 93077, Bad Abbach, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Lüring  |D Christian  |u Department of Orthopaedic Surgery, University of Aachen, Pauwelsstraße 30, 52074, Aachen, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Baier  |D Clemens  |u Department of Orthopaedic Surgery, University of Regensburg, Kaiser-Karl-V Allee 3, 93077, Bad Abbach, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Grifka  |D Joachim  |u Department of Orthopaedic Surgery, University of Regensburg, Kaiser-Karl-V Allee 3, 93077, Bad Abbach, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Keshmiri  |D Armin  |u Department of Orthopaedic Surgery, University of Regensburg, Kaiser-Karl-V Allee 3, 93077, Bad Abbach, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/6(2015-06-01), 1591-1597  |x 0942-2056  |q 23:6<1591  |1 2015  |2 23  |o 167