Knee osteoarthritis is a common disabling condition that affects a larger number of populations aged above 40 years and this habitually required knee arthroplasty to reinstate leg function, to improve the pain as well as to improve stability. The main objective of this study was to determine the health-related quality of lifestyle before and after total knee arthroplasty. This study was a cross-sectional observational study conducted at Shaukat Khanum Memorial Cancer Hospital & Research Centre, Horizon Hospital and Mayo Hospital, Lahore-Pakistan. In this study, 100 subjects were selected who were scheduled for Total Knee Replacement (TKR) due to advanced stages of knee osteoarthritis. Informed consent was taken from all selected patients. Selected subjects meeting inclusion and exclusion criteria were enrolled for this study. Subjects with any red flag signs or systemic illness were excluded. A baseline measurement was taken by using visual-analog scale (VAS) for pain, the Short Form 36 (SF-36) for health-related quality of life and The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) for disability. Measurements using these scales were repeated after 1, 3 and 6 months after knee arthroplasty. Analysis of variance (ANOVA) test was used to determine statistically significant changes in VAS, SF 36 and WOMAC Score across 06 months. A significant (p<0.05) improvement in health-related quality of life measured of two subscales of SF 36 (Physical Health Component and Mental Health Component) when before surgery readings were compared with that of after 06 months of surgery. Similarly, there was also significant (p<0.05) reduction in pain measured on VAS as well as reduced WOMAC score before and after 06 months of surgery. It could be concluded that TKA results in the improvementof the quality of life and reduced pain following total knee arthroplasty.
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J Shoulder Elbow Surg
January 2025
Roth | McFarlane Hand & Upper Limb Center, St Joseph's Health Care London, London, ON, Canada.
Background: Precise and accurate glenoid preparation is important for the success of shoulder arthroplasty. Despite advancements in preoperative planning software and enabling technologies, most surgeons execute the procedure manually. Patient-specific instrumentation (PSI) facilitates accurate glenoid guide pin placement for cannulated reaming; however, few commercially available systems offer depth of reaming control.
View Article and Find Full Text PDFJ Arthroplasty
January 2025
The University of Tennessee Health Science Center-Campbell Clinic Department of Orthopaedic Surgery and Biomedical Engineering, 1400 S. Germantown Rd, Germantown, TN, 38138. Electronic address:
Background: This study investigated the influence of surgical alignment techniques on knee joint biomechanics during stair negotiation tasks. Our hypothesis was that a more personalized joint alignment would result in reduced medial knee loading biomechanics to negotiate the stairs.
Methods: There were 28 adults (14 mechanical alignments [MA], 14 kinematic alignment [KA]) who underwent total knee arthroplasty (TKA) at least one year post-operatively and performed five stair ascent and descent trials at their preferred velocities.
J Arthroplasty
January 2025
Georgetown University School of Medicine, MedStar Georgetown University Hospital, Washington, D.C, USA. Electronic address:
Introduction: As the number of revision total knee arthroplasties (rTKA) continues to rise, there is increasing interest in the use of contemporary rotating hinge prostheses. These devices often incorporate porous cones to fill bone defects and enhance long-term fixation. This study evaluated the clinical and functional outcomes and survivorship in rTKA patients utilizing a rotating hinge prosthesis with flexible titanium (FT) cones, porous tantalum (PT) cones, or no cones.
View Article and Find Full Text PDFJ Arthroplasty
January 2025
Department of Orthopaedic Surgery, University of Virginia, 2280 Ivy Road, Charlottesville, Virginia.
Introduction: Flexion instability (FI) is increasingly being recognized as a common reason for failure after total knee arthroplasty (TKA). However, the diagnosis remains loosely defined and is often described by a constellation of symptoms and findings with the exclusion of other clinical entities. The purpose of this study was to examine the definition and diagnostic criteria of FI used in the current peer-reviewed literature.
View Article and Find Full Text PDFRev Esp Cir Ortop Traumatol
January 2025
Knee Surgery Unit, iMove Traumatology, Barcelona, Spain; Knee Surgery Unit, Orthopaedic Surgery Department, Hospital Sant Joan de Déu de Manresa - Fundació Althaia, Universitat de Vic, Manresa, Spain.
Introduction: The CPAK classification aims to categorize knee phenotypes. The original study was based on Australian and Belgian population, but significant variation in CPAK distribution exists between different geographic areas. The primary objective is to evaluate knee phenotypes of osteoarthritic Spanish population based on the CPAK system.
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