An evaluation of the clinical outcomes (American Knee Society Score, Knee Range of Motion, Quadriceps Function, Functional Mobility, Pain, Patella Vascularity) of the subvastus versus the medial parapatella approach to total knee replacement

Queensland Health0 个研究点目标入组 64 人开始时间: 2006年8月28日最近更新: 2020年1月13日

适应症

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•Adult participants. The expected age range of subjects undergoing total knee replacement surgery is between 50 and 65 years. Patients undergoing primary unilateral total knee replacement. Diagnosis of osteoarthritis. Healthy and no comorbidities that would prevent participating in the required rehabilitation programme. Normal mentation with the ability to accurately follow commands. Ability to attend supervised outpatient physiotherapy rehabilitation session(s) after being discharged from hospital. Ability to participate voluntarily and provide signed informed consent.

•Persons with concomitant medical conditions such as malignant tumours or severe Chronic Obstructive Pulmonary Disease that would prevent participation in the required rehabilitation programme. Lateral surgical approach required. Inability to follow commands. Persons not able to mobilise in a bipedal manner with or without a walking aid. Conditions preventing full weight bearing post-operatively. The inability to provide signed informed consent. Revision TKR or any previous major arthrotomy or previous High Tibial Osteotomy on the knee to be operated onLess than 70 degrees of flexion. Persons undergoing bi-lateral total knee replacements. Persons identified as being unlikely to follow Queensland Health's TKR Clinical Pathway (e.g. requiring admission to the rehabilitation unit preoperatively) Greater than 15 degree FFD (Fixed flexion deformity).

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