Functional evolution in total knee arthroplasty: first and second-generation patient-specific instrumentation compared with conventional instrumentation
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.1/18959 |
Resumo: | Background: This study compares the functional evolution between the first- and second-generation patient-specific instrumentation and conventional instrumentation pre-surgery and the third month post-surgery after TKA. We analyzed the functional outcomes achieved and the absolute gains of each study variable. In addition, we aimed to elucidate the results of the three surgical techniques regarding the surgery length of time, length of hospital stay, percentage drop in hemoglobin (Hg) at 24 h, and hip-knee-ankle angle post-surgery. Methods: We reported our experience in TKA using PSI Visionaire System® and CI technique in 688 procedures. The patients were divided into first (N=272) and second-generation (N=151) PSI designs. The control group (N=265) underwent TKA with the CI. The instruments for assessing the functioning were: visual analog scale, goniometry, 6- minute walk test (6MWT), and domains of the WOMAC Index. Results: The functioning achieved three months after surgery was lower in the CI than the first-generation PSI. The respective differences at absolute gains were found in the 6MWT and pain and function WOMAC scores (p=0.023, p=0.049, and p=0.018, respectively). The mean surgical time was higher in the CI compared to PSI designs (both p<0.001), and the mean hospital length of stay was higher in the CI compared to second-generation PSI (p=0.002). The percentual drop in Hg was higher in the first-generation PSI than with the CI (p=0.006). Conclusions: Three months after TKA, the functioning achieved with the first-generation PSI was greater than the CI. However, the functional results between second-generation PSI and CI were similar. |
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Functional evolution in total knee arthroplasty: first and second-generation patient-specific instrumentation compared with conventional instrumentationFunctioningFunctional outcomesPatient-specific instrumentTotal knee arthroplastyKnee replacementBackground: This study compares the functional evolution between the first- and second-generation patient-specific instrumentation and conventional instrumentation pre-surgery and the third month post-surgery after TKA. We analyzed the functional outcomes achieved and the absolute gains of each study variable. In addition, we aimed to elucidate the results of the three surgical techniques regarding the surgery length of time, length of hospital stay, percentage drop in hemoglobin (Hg) at 24 h, and hip-knee-ankle angle post-surgery. Methods: We reported our experience in TKA using PSI Visionaire System® and CI technique in 688 procedures. The patients were divided into first (N=272) and second-generation (N=151) PSI designs. The control group (N=265) underwent TKA with the CI. The instruments for assessing the functioning were: visual analog scale, goniometry, 6- minute walk test (6MWT), and domains of the WOMAC Index. Results: The functioning achieved three months after surgery was lower in the CI than the first-generation PSI. The respective differences at absolute gains were found in the 6MWT and pain and function WOMAC scores (p=0.023, p=0.049, and p=0.018, respectively). The mean surgical time was higher in the CI compared to PSI designs (both p<0.001), and the mean hospital length of stay was higher in the CI compared to second-generation PSI (p=0.002). The percentual drop in Hg was higher in the first-generation PSI than with the CI (p=0.006). Conclusions: Three months after TKA, the functioning achieved with the first-generation PSI was greater than the CI. However, the functional results between second-generation PSI and CI were similar.Medip AcademySapientiaFontes, Ana PaulaCINTRA, RUIGomes, LuisJoão Paulo Sousa2023-01-30T10:10:07Z2023-022023-01-28T12:47:07Z2023-02-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.1/18959engcv-prod-312940010.18203/2320-6012.ijrms202301572320-6012info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-07-24T10:31:21Zoai:sapientia.ualg.pt:10400.1/18959Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:08:39.337658Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Functional evolution in total knee arthroplasty: first and second-generation patient-specific instrumentation compared with conventional instrumentation |
title |
Functional evolution in total knee arthroplasty: first and second-generation patient-specific instrumentation compared with conventional instrumentation |
spellingShingle |
Functional evolution in total knee arthroplasty: first and second-generation patient-specific instrumentation compared with conventional instrumentation Fontes, Ana Paula Functioning Functional outcomes Patient-specific instrument Total knee arthroplasty Knee replacement |
title_short |
Functional evolution in total knee arthroplasty: first and second-generation patient-specific instrumentation compared with conventional instrumentation |
title_full |
Functional evolution in total knee arthroplasty: first and second-generation patient-specific instrumentation compared with conventional instrumentation |
title_fullStr |
Functional evolution in total knee arthroplasty: first and second-generation patient-specific instrumentation compared with conventional instrumentation |
title_full_unstemmed |
Functional evolution in total knee arthroplasty: first and second-generation patient-specific instrumentation compared with conventional instrumentation |
title_sort |
Functional evolution in total knee arthroplasty: first and second-generation patient-specific instrumentation compared with conventional instrumentation |
author |
Fontes, Ana Paula |
author_facet |
Fontes, Ana Paula CINTRA, RUI Gomes, Luis João Paulo Sousa |
author_role |
author |
author2 |
CINTRA, RUI Gomes, Luis João Paulo Sousa |
author2_role |
author author author |
dc.contributor.none.fl_str_mv |
Sapientia |
dc.contributor.author.fl_str_mv |
Fontes, Ana Paula CINTRA, RUI Gomes, Luis João Paulo Sousa |
dc.subject.por.fl_str_mv |
Functioning Functional outcomes Patient-specific instrument Total knee arthroplasty Knee replacement |
topic |
Functioning Functional outcomes Patient-specific instrument Total knee arthroplasty Knee replacement |
description |
Background: This study compares the functional evolution between the first- and second-generation patient-specific instrumentation and conventional instrumentation pre-surgery and the third month post-surgery after TKA. We analyzed the functional outcomes achieved and the absolute gains of each study variable. In addition, we aimed to elucidate the results of the three surgical techniques regarding the surgery length of time, length of hospital stay, percentage drop in hemoglobin (Hg) at 24 h, and hip-knee-ankle angle post-surgery. Methods: We reported our experience in TKA using PSI Visionaire System® and CI technique in 688 procedures. The patients were divided into first (N=272) and second-generation (N=151) PSI designs. The control group (N=265) underwent TKA with the CI. The instruments for assessing the functioning were: visual analog scale, goniometry, 6- minute walk test (6MWT), and domains of the WOMAC Index. Results: The functioning achieved three months after surgery was lower in the CI than the first-generation PSI. The respective differences at absolute gains were found in the 6MWT and pain and function WOMAC scores (p=0.023, p=0.049, and p=0.018, respectively). The mean surgical time was higher in the CI compared to PSI designs (both p<0.001), and the mean hospital length of stay was higher in the CI compared to second-generation PSI (p=0.002). The percentual drop in Hg was higher in the first-generation PSI than with the CI (p=0.006). Conclusions: Three months after TKA, the functioning achieved with the first-generation PSI was greater than the CI. However, the functional results between second-generation PSI and CI were similar. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-01-30T10:10:07Z 2023-02 2023-01-28T12:47:07Z 2023-02-01T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.1/18959 |
url |
http://hdl.handle.net/10400.1/18959 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
cv-prod-3129400 10.18203/2320-6012.ijrms20230157 2320-6012 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Medip Academy |
publisher.none.fl_str_mv |
Medip Academy |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
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1799133333353922560 |