Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
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Knee Surg Sports Traumatol Arthrosc · Aug 2016
Review Comparative StudyAnalgesic efficacy and quadriceps strength of adductor canal block versus femoral nerve block following total knee arthroplasty.
Femoral nerve blocks (FNBs) provide effective analgesia after total knee arthroplasty, but have been associated with quadriceps weakness. Adductor canal block (ACB) is a promising alternative option that delivers a primarily sensory blockade. The aim of this study was to determine whether ACB provides superior quadriceps strength and similar pain control than FNB. ⋯ Level III.
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Knee Surg Sports Traumatol Arthrosc · Aug 2016
Randomized Controlled TrialChanges in femoral posterior condylar offset and knee flexion after PCL-substituting total knee arthroplasty: comparison of anterior and posterior referencing systems.
Anterior referencing and posterior referencing are two major techniques for positioning femoral components and balancing the sagittal plane during total knee arthroplasty (TKA). The purpose of this study was to evaluate the changes in medial and lateral posterior condylar offset (PCO) after bilateral TKA using anterior referencing (AR) or posterior referencing (PR) systems and compare the effect of the PCO changes on knee flexion. ⋯ Therapeutic study, Level I.
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Knee Surg Sports Traumatol Arthrosc · Aug 2016
Comparative StudyComparison of quadriceps muscle volume after unilateral total knee arthroplasty with and without tourniquet use.
Determination of the effect of tourniquet use in total knee arthroplasty (TKA) on thigh and quadriceps muscle volume using magnetic resonance imaging (MRI). ⋯ III.
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Knee Surg Sports Traumatol Arthrosc · Aug 2016
Patella position is not a determinant for anterior knee pain 10 years after balanced gap total knee arthroplasty.
Incidence of anterior knee pain after total knee arthroplasty (TKA) is reported to be between 4 and 49 %. The incidence of AKP at long-term follow-up and possible determinants after cruciate cruciate-retaining TKA were investigated. ⋯ Lower quality prospective cohort study (<80 % follow-up, patients enrolled at different time points in disease), Level II.