Anterior Knee Pain After Total Hip Arthroplasty in Developmental Dysplasia.
Summary of "Anterior Knee Pain After Total Hip Arthroplasty in Developmental Dysplasia."
Little has been reported on knee pain after total hip arthroplasty (THA). The purpose of this study was to investigate the incidence and mechanism of knee pain after THA. Two hundred fifty-two patients with hip dysplasia were clinically and radiographically assessed for knee pain before and after THA. Incidences of knee pain and patellofemoral alignment were analyzed with reference to postoperative change in leg length, femoral anteversion, and the femoral offset. Anterior knee pain was present in 16 patients (7.3%). Lateral patellar tilt was increased in all patients with knee pain and significantly larger compared to that seen in patients without knee pain. The increased patellar tilt disappeared within 3 months, but symptoms in 4 patients persisted for more than 3 months. The patellar tilt was significantly related to the amount of leg lengthening. This study demonstrates that THA influences the patellofemoral joint via leg lengthening and causes anterior knee pain.
Affiliation
Department of Orthopaedic Surgery, Hanwa Joint Reconstruction Center Hospital, Naka-ku Sakai, Japan.
Journal Details
This article was published in the following journal.
Name: The Journal of arthroplasty
ISSN: 1532-8406
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/20851568
- DOI: http://dx.doi.org/10.1016/j.arth.2010.07.007
Medical and Biotech [MESH] Definitions
Arthroplasty, Replacement, Knee
Replacement of the knee joint.
Fibrous Dysplasia Of Bone
A disease of bone marked by thinning of the cortex and replacement of bone marrow by gritty fibrous tissue containing bony spicules, producing pain, disability, and gradually increasing deformity. Only one bone may be involved (FIBROUS DYSPLASIA, MONOSTOTIC) or several (FIBROUS DYSPLASIA, POLYOSTOTIC). (From Dorland, 28th ed)
Arthroplasty, Replacement
Partial or total replacement of a joint.
Arthroplasty
Surgical reconstruction of a joint to relieve pain or restore motion.
Patella
The flat, triangular bone situated at the anterior part of the KNEE.
PubMed Articles
Anterior knee pain after total knee arthroplasty: does it correlate with patellar blood flow?
PURPOSE: Total knee arthroplasty (TKA) disturbs patellar blood flow, an unintended accompaniment to TKA that may be a cause of postoperative anterior knee pain. We examine whether disrupted patellar b...
Systematic review of patellar resurfacing in total knee arthroplasty.
Controversies existing over resurfacing the patella in total knee arthroplasty remain in the literature. The purpose of this review was to evaluate the effectiveness of resurfacing versus nonresurfaci...
Patellar resurfacing in total knee arthroplasty for osteoarthritis: a meta-analysis.
PURPOSE: Whether to resurface the patella during a primary total knee arthroplasty remains a controversial issue. The aim of this study was to determine the advantages and disadvantages of patellar re...
Effect of compression therapy on knee swelling and pain after total knee arthroplasty.
PURPOSE: Knee swelling after total knee arthroplasty may impair postoperative mobilisation and training, and as medical elastic compression stockings are well tolerated and effective to prevent oedema...
PURPOSE: Patella resurfacing or nonresurfacing in total knee arthroplasty remains controversial. The aim of this study was to evaluate the efficacy of patellar resurfacing through an evaluation of the...
Clinical Trials
The Analgesic Effect of Nitroglycerin Patch for Postoperative Pain After Total Knee Replacement
Patients who undergo general anestheesia for total knee arthroplasty pften have sever postoperative pain which hinders their rehabilitation. Nitroglycerin patches have been found to cause...
Gamma Vacuum Foil (GVF) Versus Cross-linked Polyethylene in Total Knee Arthroplasty Study
The purpose of this study is to evaluate long-term clinical and radiographic data between geometrically identical GVF and cross-linked polyethylene-bearing inserts in total knee arthroplas...
Intraarticular Analgesia After Total Knee Arthroplasty, a Randomised Study
The study aims to compare two different kinds of pain treatment after total knee replacement (operation with artificial knee joint): 1) a large local injection in and around the knee, supp...
Effectiveness of Minimally Invasive Total Knee Replacement in Improving Rehabilitation and Function
Osteoarthritis (OA) is a long-term degenerative joint disease that disables about 10% of people over the age of 60 and compromises the quality of life of more than 20 million Americans. A...
Computer Aided Surgery in total knee arthroplasty improves knee stability and functional outcomes more than conventional total knee arthroplasty.
