Effects of Posterior Femoral Condylar Osteophytes Removal on Range of Motion in Primary Total Knee Arthroplasty

Authors

  • Muhammad Arsalan Azmat Swati Department of Orthopedic Surgery, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Zeeshan Aslam Department of Orthopedic Surgery, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Zainullah Kakkar Department of Orthopedic Surgery, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Javaid Iqbal Niazi Department of Orthopedic Surgery, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Adeel Habib Department of Orthopedic Surgery, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v74i2.8019

Keywords:

Osteoarthritis, Osteophytes, Primary Cemented Total Knee Arthroplasty, Range of Motion

Abstract

Objective: To see the effects of posterior femoral condylar osteophytes removal on range of motion in primary total knee arthroplasty.
Study Design: Quasi-experimental study
Place and Duration of Study: Department of Orthopedics, Combined Military Hospital, Rawalpindi Pakistan, from Dec 2020 to Sep 2021.
Methodology: We studied 78 patients [18 males (23.0%) and 60 females (76.9%)]. All of these patients were followed for threemonths. The primary outcome was knee range of motion at 03 months following treatment. Following total knee arthroplasty,the knee range of motion was measured using a goniometer.

Results: The mean age of the patient was 63.05±4.98 years. The knee range of motion showed that the effect of posteriorosteophyte removal significantly improved at one-month, 2-months, and 3-months of follow-up. At the one-month follow-up,the average knee range of motion was 10.29±3.06 degrees to 95.69±2.87 degrees. At the three-months follow-up, the knee rangeof motion was 0±0.54 degrees to 110.47±3.12 degrees.

Conclusion: Total knee arthroplasty aims to improve quality of life by reducing knee pain and improving function. Range ofmotion is an important part of knee function. This study showed that measurements improved at each follow-up. Removing osteophytes in primary knee arthroplasty positively influenced the range of motion.

Downloads

Download data is not yet available.

References

Canovas F, Dagneaux L. Quality of life after total knee arthroplasty. Orthop Traumatol Surg Res 2018; 104(1S): S41-S46.

https://doi.org/10.1016/j.otsr.2017.04.017.

Kettelkamp DB, Johnson RJ, Smidt GL, Chao EY, Walker M. An electrogoniometric study of knee motion in normal gait. J Bone Joint Surg Am 1970; 52(4): 775-790.

Siddiqi A, Smith T, McPhilemy JJ, Ranawat AS, Sculco PK, Chen AF. et al. Soft-Tissue Balancing Technology for Total Knee Arthroplasty. JBJS Rev 2020; 8(1): e0050.

https://doi.org/10.2106/jbjs.rvw.19.00050.

Athwal KK, Daou HE, Kittl C, Davies AJ, Deehan DJ, Amis AA. et al. The superficial medial collateral ligament is the primary medial restraint to knee laxity after cruciate-retaining or posterior-stabilised total knee arthroplasty: effects of implant type and partial release. Knee Surg Sports Traumatol Arthrosc 2016; 24(8): 2646-2655.

https://doi.org/10.1007/s00167-015-3796-0.

Leie MA, Klasan A, Oshima T, Putnis SE, Yeo WW, Luk L, et al. Large osteophyte removal from the posterior femoral condyle significantly improves extension at the time of surgery in a total knee arthroplasty. J Orthop 2019; 19: 76-83.

https://doi.org/10.1016/j.jor.2019.10.021.

Mizoguchi Y, Tanaka S, Matsumoto Y, Urakawa T, Kurabayashi H, Akasaka K, et al. Quality of life and life-space mobility after total knee arthroplasty in patients with rheumatoid arthritis: a pilot case-controlled study. J Phys Ther Sci 2021; 33(9): 660-667.

https://doi.org/10.1589%2Fjpts.33.660.

Holst DC, Dennis DA. Pearls: Early Removal of Posterior Osteophytes in TKA. Clin Orthop Relat Res 2018; 476(4): 684-686. https://doi.org/10.1007%2Fs11999.0000000000000015.

Yau WP, Chiu KY, Tang WM, Ng TP. Residual posterior femoral condyle osteophyte affects the flexion range after total knee replacement. Int Orthop 2005; 29(6): 375-379.

https://doi.org/10.1007/s00264-005-0010-x.

Minoda Y, Sakawa A, Aihara M, Tada K, Kadoya Y, Kobayashi A. et al. Flexion gap preparation opens the extension gap in posterior cruciate ligament-retaining TKA. Knee Surg Sports Traumatol Arthrosc 2007; 15(11): 1321-1325.

https://doi.org/10.1007/s00167-007-0394-9.

Stewart AH, Baird RN. The prevention and early recognition of arterial complications in total knee replacement: a vascular surgical perspective. Knee. 2001; 8(4): 265-267.

https://doi.org/10.1016/s0968-0160(01)00123-5.

Ko LJ, DeHart ML, Yoo JU, Huff TW. Popliteal artery injury associated with total knee arthroplasty: trends, costs and risk factors. J Arthroplasty 2014; 29(6): 1181-1184.

https://doi.org/10.1016/j.arth.2014.01.007.

Sriphirom P, Siramanakul C, Chanopas B, Boonruksa S. Effects of posterior condylar osteophytes on gap balancing in computer-assisted total knee arthroplasty with posterior cruciate ligament sacrifice. Eur J Orthop Surg Traumatol 2018; 28(4): 677-681.

https://doi.org/10.1007/s00590-017-2118-2.

Baldini A, Scuderi GR, Aglietti P, Chalnick D, Insall JN. Flexion-extension gap changes during total knee arthroplasty: effect ofposterior cruciate ligament and posterior osteophytes removal. J Knee Surg 2004; 17(2): 69-72.

https://doi.org/10.1055/s-0030-1248201.

Holst DC, Doan GW, Angerame MR, Roche MW, Clary CW, Dennis DA. et al. What is the Effect of Posterior Osteophytes on Flexion and Extension Gaps in Total Knee Arthroplasty? A Cadaveric Study. Arthroplast Today 2021; 11: 127-133.

https://doi.org/10.1016/j.artd.2021.08.007.

Mullaji A. Can isolated removal of osteophytes achieve correction of varus deformity and gap-balance in computer-assisted total knee arthroplasty? Bone Joint J 2020; 102-B(6_Supple_A): 49-58.

https://doi.org/10.1302/0301-620X.102B6.BJJ-2019-1597.R1.

Agarwala S, Bajwa S, Vijayvargiya M. Intra- operative fractures in primary Total Knee Arthroplasty. J Clin Orthop Trauma 2019; 10(3): 571-575. https://doi.org/10.1016/j.jcot.2018.10.009.

Vaienti E, Scita G, Ceccarelli F, Pogliacomi F. Understanding the human knee and its relationship to total knee replacement. Acta Biomed 2017; 88(2S): 6-16.

https://doi.org/10.23750/abm.v88i2-S.6507.

Uvehammer J. Knee joint kinematics, fixation and function related to joint area design in total knee arthroplasty. Acta Orthop Scand 2001; 72(299): 1-52. Erratum in: Acta Orthop Scand 2001; 72(2): 213.

Downloads

Published

29-04-2024

Issue

Section

Original Articles

How to Cite

1.
Muhammad Arsalan Azmat Swati, Zeeshan Aslam, Zainullah Kakkar, Javaid Iqbal Niazi, Adeel Habib. Effects of Posterior Femoral Condylar Osteophytes Removal on Range of Motion in Primary Total Knee Arthroplasty. Pak Armed Forces Med J [Internet]. 2024 Apr. 29 [cited 2024 Nov. 24];74(2):380-4. Available from: https://pafmj.org/PAFMJ/article/view/8019