Total Knee Arthroplasty, All-in-One versus Four-in-One Femoral Cutting Jig System: A Comparison Study.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2022-07-11 eCollection Date: 2022-01-01 DOI:10.1155/2022/2055537

Amanda Pratama, Komang Agung Irianto, Rosy Setiawati, Brigita de Vega

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Abstract

Background: Total knee arthroplasty (TKA) is often indicated for end-stage knee osteoarthritis management. The posterior-stabilized (PS) implant is one of the TKA implants with various component designs, including femoral component cutting jigs. However, little is known about how the differences in cutting jig designs affect the outcomes. This study aims to compare the radiographic and functional outcomes of the patients who underwent cemented TKA using all-in-one and four-in-one femoral component PS implants.

Methods: A retrospective comparative study assessed patients who underwent cemented TKA using PS implants from 2018 to 2019. The patients were divided into all-in-one and four-in-one groups. Demographic data, surgery duration, postoperative radiological findings after one week, and functional outcomes after two years were collected and compared.

Results: A total of 96 patients were included in the study, 55 patients were in all-in-one sample, and 41 patients were in four-in-one sample. The majority of the patients in both groups were female, aged >60 years old, overweight (BMI ≥ 25), and presented with an ASA score of II. We found significantly shorter surgery duration in the all-in-one group compared to the four-in-one group (128.00 ± 36.24 vs. 210.61 ± 57.54, p=0.000). The four-in-one group and the all-in-one group showed the insignificant difference in α, β, δ, and γ angles (p=0.476, 0.273, 0.594, and 0.818). The functional outcomes (SF-12, KSS, and KOOS) showed insignificant differences.

Conclusion: There is no differentiation for the postsurgery functional and radiological outcomes between all-in-one and four-in-one implants.

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全膝关节置换术，全合一与四合一股骨切割夹具系统:比较研究。

背景:全膝关节置换术(TKA)常用于终末期膝关节骨关节炎的治疗。后位稳定(PS)假体是TKA假体中的一种，有多种假体设计，包括股骨假体切割夹具。然而，很少知道如何在切割夹具设计的差异影响的结果。本研究旨在比较使用全合一和四合一股骨假体PS植入物行骨水泥TKA患者的影像学和功能预后。方法:回顾性比较研究评估2018年至2019年使用PS种植体进行骨水泥TKA的患者。患者分为全合一组和四合一组。收集并比较人口统计资料、手术时间、术后一周的放射学表现和两年后的功能结果。结果:共纳入96例患者，all-in-one组55例，four-in-one组41例。两组患者均以女性为主，年龄>60岁，体重超重(BMI≥25)，ASA评分为II。我们发现全合一组的手术时间明显短于四合一组(128.00±36.24比210.61±57.54,p=0.000)。四合一组与全合一组的α、β、δ、γ角差异无统计学意义(p=0.476、0.273、0.594、0.818)。功能结局(SF-12、KSS、kos)差异无统计学意义。结论:全合一种植体与四合一种植体的术后功能及影像学结果无明显差异。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.