2004, Number 1
Functional results of arthroplasty total of knee of type movable subject of gossip
Rosas MJR, Villalobos GFE, Torres MJL, Martínez AHA, Arteaga PP, Pineda CMA, Aguirre AED, Guerrero RTM
Language: Spanish
References: 14
Page: 6-10
PDF size: 826.09 Kb.
ABSTRACT
The present study is a short term evaluation of the results of arthroplasty total of knee of type movable subject of gossip with external-internal rotation‡. Being a ambispective, longitudinal study, that is the first report in Mexico to publish in relation to this new group of arthroplasty. Arthroplasty was made in 7 patients of who 2 were of masculine sex and 5 feminine ones, with age average of 61 years (in rank 40 and 82 years, with a standard deviation of 11.2 years). Being made arthroplasty of bilateral form it synchronizes in three patients being taken part with more frequency the right knee (7 rights and 3 lefts), Of the patients: 2 presented/displayed rheumatoid Arthritis and 5 an unstable mechanical Gonartrosis; presenting/displaying angular deformity in I beach in 8 knees and 2 in I am worth, of which the deformity varied of 3º a 20º preoperating (average 10.4º with a standard deviation of 5.7º) and in the postoperating one they presented/displayed angle Femorotibial between 4º I beach to 6 of I am worth, with an average of 4.2º. Being a study with a time of pursuit of between 30 and 48 weeks (pursuit PROM 38.6 weeks). The evolution to the present date in the patients single in 1 case (10%) presents/displays slight pain (patient with bilateral ATR it synchronizes), with mobility arcs which vary between 120º to 140º (average 131.5º), without presenting/displaying until the moment it fails biological or aseptic, without presenting/displaying until the moment complications of type cardiac and circulation or some other complication. These presented/displayed to the pre surgi cal valuation with the scale of the Society of Knee (KS) a score of 32 to 53 pts (with Average of 42.2 pts), with a DE pre surgical. Of 7. 20802 and a Standard Error of 2.27; and post surgical KS of 92.2 pts. (With ranks between 88 to 95 pts.), DE posop of 2.9364 and a Standard Error of a 0.92 for our group, having interval of confidence of 37.04 preoperating and 90.09 postoperating and one P = 0.00001 for statistical the test t-Student, in the comparison of the presurgical one to the postchirurgic. However we tried to make a comparison to the study of Callagham 4 ks preoperating average of 30 pts (rank of 2 to 70 pts) and ks postoperating of 90 pts (rank of 63 to 102 pts). These presented/displayed to the presurgical valuation with the scale of the Society of knee (KS) a score of 32 to 53 pts (with Average of 42.2 pts), with a DE pre surgery. Of 7.20802 and a Standard Error of 2.27 and post surgery KS of 92.2 pts. (With ranks between 88 to 95 pts), DE post surgery. Of 2,9364 and a Standard Error of a 0.92 for our group, having interval of confidence of 37.04 preoperating and 90.09 postoperating and one P = 0.0001 for statistical the test t-Student, in the comparison of the presurgical one to the postchirurgic. However we tried to make a comparison to the study of Callagham 4 ks preoperating average of 30 pts (rank of 2 to 70 pts) and ks postoperating of 90 pts (rank of 63 to 102 pts), not being possible a statistical comparison with our study by the great difference of sample, as well as not to have some other specific statistical data that are not reported in their article.REFERENCES
Price AJ, Rees JL, Beard D, Juszczak E, Carter S, White S, de Sterger R, Dodd CA, Gibbons M, Mc Lardy-Smith P, Goodfellow JW, Murray DW: A mobile-bearing total knee prosthesis compared with a fixed-bearing prosthesis. A multicentre single-blind randomized controlled trial. J Bone Joint Surg Br 2003; 85(1): 62-67.