Publication: Does the length of incision in the quadriceps affect the recovery of strength after total knee replacement?: A prospective randomised clinical trial
Issued Date
2014-01-01
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ISSN
20494408
20494394
20494394
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2-s2.0-85047689051
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Mahidol University
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SCOPUS
Bibliographic Citation
Bone and Joint Journal. Vol.96 B, No.7 (2014), 902-906
Suggested Citation
K. Chareancholvanich, C. Pornrattanamaneewong Does the length of incision in the quadriceps affect the recovery of strength after total knee replacement?: A prospective randomised clinical trial. Bone and Joint Journal. Vol.96 B, No.7 (2014), 902-906. doi:10.1302/0301-620X.96B7.32728 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/34576
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Title
Does the length of incision in the quadriceps affect the recovery of strength after total knee replacement?: A prospective randomised clinical trial
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Abstract
We have compared the time to recovery of isokinetic quadriceps strength after total knee replacement (TKR) using three different lengths of incision in the quadriceps. We prospectively randomised 60 patients into one of the three groups according to the length of incision in the quadriceps above the upper border of the patella (2 cm, 4 cm or 6 cm). The strength of the knees was measured pre-operatively and every month post-operatively until the peak quadriceps torque returned to its pre-operative level. There was no significant difference in the mean operating time, blood loss, hospital stay, alignment or pre-operative isokinetic quadriceps strength between the three groups. Using the Kaplan-Meier method, group A had a similar mean recovery time to group B (2.0 ± 0.2 vs 2.5 ± 0.2 months, p = 0.176). Group C required a significantly longer recovery time (3.4 ± 0.3 months) than the other groups (p < 0.03). However, there were no significant differences in the mean Oxford knee scores one year post-operatively between the groups. We conclude that an incision of up to 4 cm in the quadriceps does not delay the recovery of its isokinetic strength after TKR. © 2014 The British Editorial Society of Bone & Joint Surgery.