Total Knee replacement is a procedure commonly performed for degenerative joint disorder, e.g. osteoarthritis and rheumatoid arthritis. It is considered to be the most common and successful joint replacement [1]. It is expected that there will be an increase demand for a bilateral total knee replacement in the future due to increase of aging population and the indication to the surgery1. Genera...

We wished to determine whether simultaneous bilateral sequential total knee replacement (TKR) carried increased rates of mortality and complications compared with unilateral TKR in low- and high-risk patients. Our study included 2385 patients who had undergone bilateral sequential TKR under one anaesthetic and 719 who had unilateral TKR. There were no significant pre-operative differences betwe...

objectives: the aim of this study was to extract suitable spatiotemporal and kinematic parameters to determine how total knee replacement (tkr) alters patients’ knee kinematics during gait, using a rapid and simplified quantitative two-dimensional gait analysis procedure. methods: two-dimensional kinematic gait pattern of 10 participants were collected before and after the tkr surgery, using a ...

Damage patterns on the articular surface of the proximal tibia, including cartilage degen23 eration in osteoarthritic knees and damage of polyethylene knee prostheses after total knee replacement, provide information related to knee joint biomechanics and damage 25 mechanisms at the articular surface. This study reports articular damage patterns and knee kinematics assessed in the knees of olde...

To the Editor: I read with interest the article by Memtsoudis et al. in the recent issue of ANESTHESIOLOGY on perioperative outcomes after unilateral and bilateral total knee arthroplasty. When the authors discuss about the issue of benefits and risks of simultaneous versus staged bilateral total knee arthroplasty, they have quoted an article by Sliva et al. In the original article by Sliva et ...

BACKGROUND The mobile bearing designs have not yet been shown to improve clinical outcome of total knee arthroplasty (TKA). In this prospective randomized study, we compared the short-term clinical results of a mobile bearing implant with those of the fixed bearing version of the same implant. METHODS We randomized 100 knees into two double-blind groups who received either the fixed (FB, 52 k...

Systemic emboli released during total knee replacement have been implicated as a cause of peri-operative morbidity and neurological dysfunction. We undertook a prospective, double-blind, randomised study to compare the cardiac embolic load sustained during computer-assisted and conventional, intramedullary-aligned, total knee replacement, as measured by transoesophageal echocardiography. There ...

Background: Various sizes of implants need to be available during surgery. The purpose of this paper is to comparebody height and shoe size with implant sizes in patients who underwent total knee replacement surgery to see whichbiomarker is a better predictor for preoperative planning to determine implant size.Methods: A total of 100 knees, belonging to 50 females and 50 males, were observed. P...