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Erschienen in: International Orthopaedics 4/2009

01.08.2009 | Review

High-flexion total knee arthroplasty: a systematic review

verfasst von: Michael Murphy, Simon Journeaux, Trevor Russell

Erschienen in: International Orthopaedics | Ausgabe 4/2009

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Abstract

This study is a systematic literature review of outcomes following total knee arthroplasty with implants specifically designed to enable increased knee flexion. English language comparative studies without date restriction were identified through a computerised literature search and bibliography review. Nine studies met the inclusion criteria representing a total of 399 high-flexion knee arthroplasties in 370 patients. Five studies reported greater flexion or range of motion; however, the methodological rigour was questionable with inadequate blinding, flawed participant selection, short follow-up periods and functional outcomes which lacked sensitivity. There was insufficient evidence of improved range of motion or functional performance after high-flexion knee arthroplasty.
Literatur
1.
Zurück zum Zitat Wylde V, Dieppe P, Hewlett S, Learmonth ID (2007) Total knee replacement: is it really an effective procedure for all? Knee 14:417–423PubMedCrossRef Wylde V, Dieppe P, Hewlett S, Learmonth ID (2007) Total knee replacement: is it really an effective procedure for all? Knee 14:417–423PubMedCrossRef
2.
Zurück zum Zitat Robertsson O, Dunbar M, Pehrsson T et al (2000) Patient satisfaction after knee arthroplasty: a report on 27,372 knees operated on between 1981 and 1995 in Sweden. Acta Orthop Scand 71:262–267PubMedCrossRef Robertsson O, Dunbar M, Pehrsson T et al (2000) Patient satisfaction after knee arthroplasty: a report on 27,372 knees operated on between 1981 and 1995 in Sweden. Acta Orthop Scand 71:262–267PubMedCrossRef
3.
Zurück zum Zitat Katz JN (2006) Total joint replacement in osteoarthritis. Best Pract Res Clin Rheumatol 20:145–153PubMedCrossRef Katz JN (2006) Total joint replacement in osteoarthritis. Best Pract Res Clin Rheumatol 20:145–153PubMedCrossRef
4.
Zurück zum Zitat Jones CA, Beaupre LA Johnston DW, Suarez-Almazor ME (2007) Total joint arthroplasties: current concepts of patient outcomes after surgery. Rheum Dis Clin North Am 33:71–86PubMedCrossRef Jones CA, Beaupre LA Johnston DW, Suarez-Almazor ME (2007) Total joint arthroplasties: current concepts of patient outcomes after surgery. Rheum Dis Clin North Am 33:71–86PubMedCrossRef
5.
Zurück zum Zitat Dennis DA, Komistek RD, Scuderi GR, Zingde S (2007) Factors affecting flexion after total knee arthroplasty. Clin Orthop Relat Res 464:53–60PubMed Dennis DA, Komistek RD, Scuderi GR, Zingde S (2007) Factors affecting flexion after total knee arthroplasty. Clin Orthop Relat Res 464:53–60PubMed
6.
Zurück zum Zitat Kurtz S, Ong K, Lau E et al (2007) Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg Am 89:780–785PubMedCrossRef Kurtz S, Ong K, Lau E et al (2007) Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg Am 89:780–785PubMedCrossRef
7.
Zurück zum Zitat Rowe PJ, Myles CM, Walker C, Nutton R (2000) Knee joint kinematics in gait and other functional activities measured using flexible electrogoniometry: how much knee motion is sufficient for normal daily life? Gait Posture 12:143–155PubMedCrossRef Rowe PJ, Myles CM, Walker C, Nutton R (2000) Knee joint kinematics in gait and other functional activities measured using flexible electrogoniometry: how much knee motion is sufficient for normal daily life? Gait Posture 12:143–155PubMedCrossRef
8.
Zurück zum Zitat Mulholland SJ, Wyss UP (2001) Activities of daily living in non-Western cultures: range of motion requirements for hip and knee joint implants. Int J Rehabil Res 24:191–198PubMedCrossRef Mulholland SJ, Wyss UP (2001) Activities of daily living in non-Western cultures: range of motion requirements for hip and knee joint implants. Int J Rehabil Res 24:191–198PubMedCrossRef
9.
Zurück zum Zitat Ritter MA, Harty LD, Davis KE et al (2003) Predicting range of motion after total knee arthroplasty. Clustering, log-linear regression, and regression tree analysis. J Bone Joint Surg Am 85:1278–1285PubMed Ritter MA, Harty LD, Davis KE et al (2003) Predicting range of motion after total knee arthroplasty. Clustering, log-linear regression, and regression tree analysis. J Bone Joint Surg Am 85:1278–1285PubMed
10.
Zurück zum Zitat Anouchi YS, McShane M, Kelly F Jr et al (1996) Range of motion in total knee replacement. Clin Orthop Relat Res 331:87–92PubMedCrossRef Anouchi YS, McShane M, Kelly F Jr et al (1996) Range of motion in total knee replacement. Clin Orthop Relat Res 331:87–92PubMedCrossRef
11.
Zurück zum Zitat Schurman DJ, Rojer DE (2005) Total knee arthroplasty: range of motion across five systems. Clin Orthop Relat Res 430:132–137PubMedCrossRef Schurman DJ, Rojer DE (2005) Total knee arthroplasty: range of motion across five systems. Clin Orthop Relat Res 430:132–137PubMedCrossRef
12.
Zurück zum Zitat Finch E, Walsh M, Thomas SG, Woodhouse LJ (1998) Functional ability perceived by individuals following total knee arthroplasty compared to age-matched individuals without knee disability. J Orthop Sports Phys Ther 27:255–263PubMed Finch E, Walsh M, Thomas SG, Woodhouse LJ (1998) Functional ability perceived by individuals following total knee arthroplasty compared to age-matched individuals without knee disability. J Orthop Sports Phys Ther 27:255–263PubMed
13.
Zurück zum Zitat March LM, Cross MJ, Lapsley H et al (1999) Outcomes after hip or knee replacement surgery for osteoarthritis. A prospective cohort study comparing patients’ quality of life before and after surgery with age-related population norms. Med J Aust 171:235–238PubMed March LM, Cross MJ, Lapsley H et al (1999) Outcomes after hip or knee replacement surgery for osteoarthritis. A prospective cohort study comparing patients’ quality of life before and after surgery with age-related population norms. Med J Aust 171:235–238PubMed
14.
Zurück zum Zitat Noble PC, Gordon MJ, Weiss JM et al (2005) Does total knee replacement restore normal knee function? Clin Orthop Relat Res 431:157–165PubMedCrossRef Noble PC, Gordon MJ, Weiss JM et al (2005) Does total knee replacement restore normal knee function? Clin Orthop Relat Res 431:157–165PubMedCrossRef
15.
Zurück zum Zitat Weiss JM, Noble PC, Conditt MA et al (2002) What functional activities are important to patients with knee replacements? Clin Orthop Relat Res 404:172–188PubMedCrossRef Weiss JM, Noble PC, Conditt MA et al (2002) What functional activities are important to patients with knee replacements? Clin Orthop Relat Res 404:172–188PubMedCrossRef
16.
Zurück zum Zitat Coughlin KM, Incavo SJ, Doohen RR et al (2007) Kneeling kinematics after total knee arthroplasty: anterior-posterior contact position of a standard and a high-flex tibial insert design. J Arthroplasty 22:160–165PubMedCrossRef Coughlin KM, Incavo SJ, Doohen RR et al (2007) Kneeling kinematics after total knee arthroplasty: anterior-posterior contact position of a standard and a high-flex tibial insert design. J Arthroplasty 22:160–165PubMedCrossRef
17.
Zurück zum Zitat Han HS, Kang SB, Yoon KS (2007) High incidence of loosening of the femoral component in legacy posterior stabilised-flex total knee replacement. J Bone Joint Surg Br 89:1457–1461PubMedCrossRef Han HS, Kang SB, Yoon KS (2007) High incidence of loosening of the femoral component in legacy posterior stabilised-flex total knee replacement. J Bone Joint Surg Br 89:1457–1461PubMedCrossRef
18.
Zurück zum Zitat Argenson JN, Scuderi GR, Komistek RD et al (2005) In vivo kinematic evaluation and design considerations related to high flexion in total knee arthroplasty. J Biomech 38:277–284PubMedCrossRef Argenson JN, Scuderi GR, Komistek RD et al (2005) In vivo kinematic evaluation and design considerations related to high flexion in total knee arthroplasty. J Biomech 38:277–284PubMedCrossRef
19.
Zurück zum Zitat Ranawat CS (2003) Design may be counterproductive for optimizing flexion after TKR. Clin Orthop Relat Res 416:174–176PubMedCrossRef Ranawat CS (2003) Design may be counterproductive for optimizing flexion after TKR. Clin Orthop Relat Res 416:174–176PubMedCrossRef
20.
Zurück zum Zitat Sultan PG, Most E, Schule S et al (2003) Optimizing flexion after total knee arthroplasty: advances in prosthetic design. Clin Orthop Relat Res 416:167–173PubMedCrossRef Sultan PG, Most E, Schule S et al (2003) Optimizing flexion after total knee arthroplasty: advances in prosthetic design. Clin Orthop Relat Res 416:167–173PubMedCrossRef
21.
Zurück zum Zitat Fisher DA, Dierckman B, Watts MR, Davis K (2007) Looks good but feels bad: factors that contribute to poor results after total knee arthroplasty. J Arthroplasty 22(6 Suppl 2):39–42PubMedCrossRef Fisher DA, Dierckman B, Watts MR, Davis K (2007) Looks good but feels bad: factors that contribute to poor results after total knee arthroplasty. J Arthroplasty 22(6 Suppl 2):39–42PubMedCrossRef
22.
Zurück zum Zitat Laskin RS, Beksac B (2004) Stiffness after total knee arthroplasty. J Arthroplasty 19(4 Suppl 1):41–46PubMedCrossRef Laskin RS, Beksac B (2004) Stiffness after total knee arthroplasty. J Arthroplasty 19(4 Suppl 1):41–46PubMedCrossRef
23.
Zurück zum Zitat Kurosaka M, Yoshiya S, Mizuno K, Yamomoto T (2002) Maximizing flexion after total knee arthroplasty: the need and the pitfalls. J Arthroplasty 17:59–62PubMedCrossRef Kurosaka M, Yoshiya S, Mizuno K, Yamomoto T (2002) Maximizing flexion after total knee arthroplasty: the need and the pitfalls. J Arthroplasty 17:59–62PubMedCrossRef
24.
Zurück zum Zitat Bin SI, Nam TS (2007) Early results of high-flex total knee arthroplasty: comparison study at 1 year after surgery. Knee Surg Sports Traumatol Arthrosc 15:350–355PubMedCrossRef Bin SI, Nam TS (2007) Early results of high-flex total knee arthroplasty: comparison study at 1 year after surgery. Knee Surg Sports Traumatol Arthrosc 15:350–355PubMedCrossRef
25.
Zurück zum Zitat Ng FY, Wong HL, Yau WP et al (2008) Comparison of range of motion after standard and high-flexion posterior stabilised total knee replacement. Int Orthop 32:795–798PubMedCrossRef Ng FY, Wong HL, Yau WP et al (2008) Comparison of range of motion after standard and high-flexion posterior stabilised total knee replacement. Int Orthop 32:795–798PubMedCrossRef
26.
Zurück zum Zitat Kim YH, Sohn KS, Kim JS (2005) Range of motion of standard and high-flexion posterior stabilized total knee prostheses. A prospective, randomized study. J Bone Joint Surg Am 87:1470–1475PubMedCrossRef Kim YH, Sohn KS, Kim JS (2005) Range of motion of standard and high-flexion posterior stabilized total knee prostheses. A prospective, randomized study. J Bone Joint Surg Am 87:1470–1475PubMedCrossRef
27.
Zurück zum Zitat Huang HT, Su JY, Wang GJ (2005) The early results of high-flex total knee arthroplasty: a minimum of 2 years of follow-up. J Arthroplasty 20:674–679PubMedCrossRef Huang HT, Su JY, Wang GJ (2005) The early results of high-flex total knee arthroplasty: a minimum of 2 years of follow-up. J Arthroplasty 20:674–679PubMedCrossRef
28.
Zurück zum Zitat Seon JK, Song EK, Lee JY (2005) Comparison of range of motion of high-flexion prosthesis and mobile-bearing prosthesis in total knee arthroplasty. Orthopedics 28(10 Suppl):s1247–s1250PubMed Seon JK, Song EK, Lee JY (2005) Comparison of range of motion of high-flexion prosthesis and mobile-bearing prosthesis in total knee arthroplasty. Orthopedics 28(10 Suppl):s1247–s1250PubMed
29.
Zurück zum Zitat Gupta SK, Ranawat AS, Shah V et al (2006) The P.F.C. sigma RP-F TKA designed for improved performance: A matched-pair study. Orthopedics 29(9 Suppl):S49–S52PubMed Gupta SK, Ranawat AS, Shah V et al (2006) The P.F.C. sigma RP-F TKA designed for improved performance: A matched-pair study. Orthopedics 29(9 Suppl):S49–S52PubMed
30.
Zurück zum Zitat Insall JN, Dorr LD, Scott RD, Scott WN (1989) Rationale of the Knee Society clinical rating system. Clin Orthop Relat Res 248:13–14PubMed Insall JN, Dorr LD, Scott RD, Scott WN (1989) Rationale of the Knee Society clinical rating system. Clin Orthop Relat Res 248:13–14PubMed
31.
Zurück zum Zitat Nutton RW, van der Linden ML, Rowe PJ et al (2008) A prospective randomised double-blind study of functional outcome and range of flexion following total knee replacement with the NexGen standard and high flexion components. J Bone Joint Surg Br 90:37–42PubMedCrossRef Nutton RW, van der Linden ML, Rowe PJ et al (2008) A prospective randomised double-blind study of functional outcome and range of flexion following total knee replacement with the NexGen standard and high flexion components. J Bone Joint Surg Br 90:37–42PubMedCrossRef
32.
Zurück zum Zitat Weeden SH, Schmidt R (2007) A randomized, prospective study of primary total knee components designed for increased flexion. J Arthroplasty 22:349–352PubMedCrossRef Weeden SH, Schmidt R (2007) A randomized, prospective study of primary total knee components designed for increased flexion. J Arthroplasty 22:349–352PubMedCrossRef
33.
Zurück zum Zitat Laskin RS (2007) The effect of a high-flex implant on postoperative flexion after primary total knee arthroplasty. Orthopedics 30(8 Suppl):86–88PubMed Laskin RS (2007) The effect of a high-flex implant on postoperative flexion after primary total knee arthroplasty. Orthopedics 30(8 Suppl):86–88PubMed
34.
Zurück zum Zitat Insall JN, Ranawat CS, Aglietti P, Shine J (1976) A comparison of four models of total knee-replacement prostheses. J Bone Joint Surg Am 58:754–765PubMed Insall JN, Ranawat CS, Aglietti P, Shine J (1976) A comparison of four models of total knee-replacement prostheses. J Bone Joint Surg Am 58:754–765PubMed
35.
Zurück zum Zitat Bellamy N, Buchanan WW, Goldsmith CH et al (1988) Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. J Rheumatol 15:1833–1840PubMed Bellamy N, Buchanan WW, Goldsmith CH et al (1988) Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. J Rheumatol 15:1833–1840PubMed
36.
Zurück zum Zitat Fairbank JCT (2004) Randomised controlled trials. In: Pynsent PB, Fairbank JCT, Carr AJ (eds) Outcome measures in orthopaedics and orthopaedic trauma, 2nd edn. Arnold, London, pp 31–40 Fairbank JCT (2004) Randomised controlled trials. In: Pynsent PB, Fairbank JCT, Carr AJ (eds) Outcome measures in orthopaedics and orthopaedic trauma, 2nd edn. Arnold, London, pp 31–40
37.
Zurück zum Zitat Boutron I, Ravaud P, Nizard R (2007) The design and assessment of prospective randomised, controlled trials in orthopaedic surgery. J Bone Joint Surg Br 89:858–863PubMedCrossRef Boutron I, Ravaud P, Nizard R (2007) The design and assessment of prospective randomised, controlled trials in orthopaedic surgery. J Bone Joint Surg Br 89:858–863PubMedCrossRef
38.
Zurück zum Zitat Edwards JZ, Greene KA, Davis RS et al (2004) Measuring flexion in knee arthroplasty patients. J Arthroplasty 19:369–372PubMedCrossRef Edwards JZ, Greene KA, Davis RS et al (2004) Measuring flexion in knee arthroplasty patients. J Arthroplasty 19:369–372PubMedCrossRef
39.
Zurück zum Zitat Myles CM, Rowe PJ, Walker CR, Nutton RW (2002) Knee joint functional range of movement prior to and following total knee arthroplasty measured using flexible electrogoniometry. Gait Posture 16:46–54PubMedCrossRef Myles CM, Rowe PJ, Walker CR, Nutton RW (2002) Knee joint functional range of movement prior to and following total knee arthroplasty measured using flexible electrogoniometry. Gait Posture 16:46–54PubMedCrossRef
40.
Zurück zum Zitat Meneghini RM, Pierson JL, Bagsby D et al (2007) Is there a functional benefit to obtaining high flexion after total knee arthroplasty? J Arthroplasty 22(6 Suppl 2):43–46PubMedCrossRef Meneghini RM, Pierson JL, Bagsby D et al (2007) Is there a functional benefit to obtaining high flexion after total knee arthroplasty? J Arthroplasty 22(6 Suppl 2):43–46PubMedCrossRef
41.
Zurück zum Zitat Park KK, Chang CB, Kang YG et al (2007) Correlation of maximum flexion with clinical outcome after total knee replacement in Asian patients. J Bone Joint Surg Br 89:604–608PubMedCrossRef Park KK, Chang CB, Kang YG et al (2007) Correlation of maximum flexion with clinical outcome after total knee replacement in Asian patients. J Bone Joint Surg Br 89:604–608PubMedCrossRef
42.
Zurück zum Zitat Miner AL, Lingard EA, Wright EA et al (2003) Knee range of motion after total knee arthroplasty: how important is this as an outcome measure? J Arthroplasty 18:286–294PubMedCrossRef Miner AL, Lingard EA, Wright EA et al (2003) Knee range of motion after total knee arthroplasty: how important is this as an outcome measure? J Arthroplasty 18:286–294PubMedCrossRef
43.
Zurück zum Zitat Park KK, Shin KS, Chang CB et al (2007) Functional disabilities and issues of concern in female Asian patients before TKA. Clin Orthop Relat Res 461:143–152PubMed Park KK, Shin KS, Chang CB et al (2007) Functional disabilities and issues of concern in female Asian patients before TKA. Clin Orthop Relat Res 461:143–152PubMed
44.
Zurück zum Zitat Nagura T, Dyrby CO, Alexander EJ, Andriacchi TP (2002) Mechanical loads at the knee joint during deep flexion. J Orthop Res 20:881–886PubMedCrossRef Nagura T, Dyrby CO, Alexander EJ, Andriacchi TP (2002) Mechanical loads at the knee joint during deep flexion. J Orthop Res 20:881–886PubMedCrossRef
45.
Zurück zum Zitat Victor J, Bellemans J (2006) Physiologic kinematics as a concept for better flexion in TKA. Clin Orthop Relat Res 452:53–58PubMedCrossRef Victor J, Bellemans J (2006) Physiologic kinematics as a concept for better flexion in TKA. Clin Orthop Relat Res 452:53–58PubMedCrossRef
46.
Zurück zum Zitat Boonstra MC, De Waal Malefijt MC, Verdonschot N (2008) How to quantify knee function after total knee arthroplasty? Knee 15:390–395PubMedCrossRef Boonstra MC, De Waal Malefijt MC, Verdonschot N (2008) How to quantify knee function after total knee arthroplasty? Knee 15:390–395PubMedCrossRef
47.
Zurück zum Zitat Wylde V, Blom AW, Whitehouse SL et al (2009) Patient-reported outcomes after total hip and knee arthroplasty: comparison of midterm results. J Arthroplasty 24:210–216PubMedCrossRef Wylde V, Blom AW, Whitehouse SL et al (2009) Patient-reported outcomes after total hip and knee arthroplasty: comparison of midterm results. J Arthroplasty 24:210–216PubMedCrossRef
48.
Zurück zum Zitat Noble PC, Conditt MA, Cook KF, Mathis KB (2006) The John Insall Award: Patient expectations affect satisfaction with total knee arthroplasty. Clin Orthop Relat Res 452:35–43PubMedCrossRef Noble PC, Conditt MA, Cook KF, Mathis KB (2006) The John Insall Award: Patient expectations affect satisfaction with total knee arthroplasty. Clin Orthop Relat Res 452:35–43PubMedCrossRef
49.
Zurück zum Zitat Akagi M, Nakamura T, Matsusue Y et al (2000) The Bisurface total knee replacement: a unique design for flexion. Four-to-nine-year follow-up study. J Bone Joint Surg Am 82:1626–1633PubMed Akagi M, Nakamura T, Matsusue Y et al (2000) The Bisurface total knee replacement: a unique design for flexion. Four-to-nine-year follow-up study. J Bone Joint Surg Am 82:1626–1633PubMed
Metadaten
Titel
High-flexion total knee arthroplasty: a systematic review
verfasst von
Michael Murphy
Simon Journeaux
Trevor Russell
Publikationsdatum
01.08.2009
Verlag
Springer-Verlag
Erschienen in
International Orthopaedics / Ausgabe 4/2009
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-009-0774-5

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