Laptop Battery 250 Faculty of Medicine Siriraj Hospital TOTAL KNEE ARTHROPLASTY - PS TYPE IB-II VS NEXGEN V. Rojvanit Department of Orthopaedic Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University Bangkok, Thailand.
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Thinkpad Key words : Knee, TKA, Arthroplasty
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Microsoft Purpose: A group of patients performed and followed up by a single surgeon was reviewed retrospectively. There were some significant clinical improvement in the latest group that using newer model prosthesis. The clinical outcome was measured and reported.
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Laptop Computers Material and Methods: Between Sept. 1990 _ July 1997 there were 178 cases underwent TKA using mostly IB-II-PS type of prosthesis. There were 158 females and 20 males. The age ranged from 46 to 81 years (Av. 63.4). The latest group (Aug 1997 _ June 1998) underwent TKA using NEXGEN _ LPS prosthesis. There were 37 females and 5 males in this later group. The age ranged from 55 to 81 years old. (Av. 65.8) The surgical approach were mostly anteromedial.
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Laptop Computer Results: The follow up period of the first group averaged 4.8 years. The latest group was followed from 4 _ 14 months. As far as the instrumentation was concerned, the newer system gave better femoral component alignment (3 degree external rotation). Clinically, the group that NEXGEN-LPS were used showed better range of motion (110° - 130° of flexion) The patellar tracking was smoother. Only a few case in the later group that need lateral release. This in turn reduced postoperative bleeding and enhance rapid postoperative rehabilitation. There were 3 superficial wound infection and 5 deep wound infection. Three deep wound infection were salvaged after multiple joint debridement including gentamycin _ beads placement. Two cases required knee arthrodesis. There were 2 patellar components loosening which were left without replacing a new one. Three patellar clunk syndrome were encountered in the IB-II group. These were cleared easily under arthroscopic control. There were 3 DVT and 1 suspected pulmonary embolism.
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Desktop Computer Conclusion: When a well design total knee prosthesis was chosen, with good surgical technique and thorough postoperative rehabilitation program, the satisfactory outcome can be expected and obtained. We elected to resurface most of the patella. The most often used size was "button" Æ 29 mm. The original thickness of the patella were measured and restored.
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