Method and effect of total knee arthroplasty osteotomy and soft tissue release for serious knee joint space narrowing

To discuss the method and effect of total knee arthroplasty osteotomy and soft tissue release for serious knee joint space narrowing. Clinical data of 80 patients from October 2013 to December 2014 was selected with a retrospective method. All patients have undergone total knee arthroplasty. Then th...

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Main Authors: Yulou Si, Yanqin Xue, Yongjun Xing
Format: Article
Language:English
Published: De Gruyter 2015-01-01
Series:Open Medicine
Subjects:
Online Access:http://www.degruyter.com/view/j/med.2015.10.issue-1/med-2015-0079/med-2015-0079.xml?format=INT
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author Yulou Si
Yanqin Xue
Yongjun Xing
author_facet Yulou Si
Yanqin Xue
Yongjun Xing
author_sort Yulou Si
collection DOAJ
description To discuss the method and effect of total knee arthroplasty osteotomy and soft tissue release for serious knee joint space narrowing. Clinical data of 80 patients from October 2013 to December 2014 was selected with a retrospective method. All patients have undergone total knee arthroplasty. Then the X-rays plain film in weight loading was measured before and after operation and osteotomy was performed accurately according to the knee joint scores and the conditions of lower limb alignments. The average angle of tibial plateau osteotomy of postoperative patients was 4.3°, and the corrective angle of soft tissue balancing was 10.7°; the postoperative patients’ indicies including range of joint motion, knee joint HSS score, angle between articular surfaces, tibial angle, femoral-tibial angle and flexion contracture were distinctly better than the preoperative indicies (p<0.05) and the differences were statistically significant; the postoperative patients’ flexion contracture and range of joint motion were distinctly better than the preoperative indicies (p<0.05) and the differences were statistically significant. The effective release of the soft tissue of the posterior joint capsule under direct vision can avoid excess osteotomy and get satisfactory knee replacement space without influencing the patients’ joint recovery.
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spelling doaj.art-582bd6aa1ab746bfa981a623c04efe062022-12-21T21:46:59ZengDe GruyterOpen Medicine2391-54632015-01-0110110.1515/med-2015-0079med-2015-0079Method and effect of total knee arthroplasty osteotomy and soft tissue release for serious knee joint space narrowingYulou Si0Yanqin Xue1Yongjun Xing2Department of Orthopedics of Yulin Xingyuan Hospital of Shanxi, 719000, ChinaDepartment of Cardiology of Yulin Xingyuan Hospital of Shanxi, 719000, ChinaDepartment of Orthopedics of Yulin Xingyuan Hospital of Shanxi, 719000, ChinaTo discuss the method and effect of total knee arthroplasty osteotomy and soft tissue release for serious knee joint space narrowing. Clinical data of 80 patients from October 2013 to December 2014 was selected with a retrospective method. All patients have undergone total knee arthroplasty. Then the X-rays plain film in weight loading was measured before and after operation and osteotomy was performed accurately according to the knee joint scores and the conditions of lower limb alignments. The average angle of tibial plateau osteotomy of postoperative patients was 4.3°, and the corrective angle of soft tissue balancing was 10.7°; the postoperative patients’ indicies including range of joint motion, knee joint HSS score, angle between articular surfaces, tibial angle, femoral-tibial angle and flexion contracture were distinctly better than the preoperative indicies (p<0.05) and the differences were statistically significant; the postoperative patients’ flexion contracture and range of joint motion were distinctly better than the preoperative indicies (p<0.05) and the differences were statistically significant. The effective release of the soft tissue of the posterior joint capsule under direct vision can avoid excess osteotomy and get satisfactory knee replacement space without influencing the patients’ joint recovery.http://www.degruyter.com/view/j/med.2015.10.issue-1/med-2015-0079/med-2015-0079.xml?format=INTserious knee jointspace narrowingtotal knee arthroplastyosteotomysoft tissue release
spellingShingle Yulou Si
Yanqin Xue
Yongjun Xing
Method and effect of total knee arthroplasty osteotomy and soft tissue release for serious knee joint space narrowing
Open Medicine
serious knee joint
space narrowing
total knee arthroplasty
osteotomy
soft tissue release
title Method and effect of total knee arthroplasty osteotomy and soft tissue release for serious knee joint space narrowing
title_full Method and effect of total knee arthroplasty osteotomy and soft tissue release for serious knee joint space narrowing
title_fullStr Method and effect of total knee arthroplasty osteotomy and soft tissue release for serious knee joint space narrowing
title_full_unstemmed Method and effect of total knee arthroplasty osteotomy and soft tissue release for serious knee joint space narrowing
title_short Method and effect of total knee arthroplasty osteotomy and soft tissue release for serious knee joint space narrowing
title_sort method and effect of total knee arthroplasty osteotomy and soft tissue release for serious knee joint space narrowing
topic serious knee joint
space narrowing
total knee arthroplasty
osteotomy
soft tissue release
url http://www.degruyter.com/view/j/med.2015.10.issue-1/med-2015-0079/med-2015-0079.xml?format=INT
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AT yanqinxue methodandeffectoftotalkneearthroplastyosteotomyandsofttissuereleaseforseriouskneejointspacenarrowing
AT yongjunxing methodandeffectoftotalkneearthroplastyosteotomyandsofttissuereleaseforseriouskneejointspacenarrowing