Effect of surgical closing in total knee arthroplasty at flexion or extension: a prospective, randomized study

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dc.contributor.authorKomurcu, Erkam
dc.contributor.authorYuksel, Halil Yalcin
dc.contributor.authorErsoz, Murat
dc.contributor.authorAktekin, Cem Nuri
dc.contributor.authorHapa, Onur
dc.contributor.authorCelebi, Levent
dc.contributor.authorAkbal, Ayla
dc.date.accessioned2025-01-27T20:43:38Z
dc.date.available2025-01-27T20:43:38Z
dc.date.issued2014
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractThe aim of this study was to evaluate the effect of knee position during wound closure (flexed vs. extended) in total knee arthroplasty on knee strength and function, as determined by knee society scores and isokinetic testing of extensor and flexor muscle groups. In a prospective, randomized, double-blind trial, 29 patients were divided in two groups: for Group 1 patients, surgical closing was performed with the knee extended, and for Group 2 patients, the knee flexed at 90A degrees. All the patients were treated with the same anaesthesia method, surgical team, surgical technique, prosthesis type, and rehabilitation process. American Knee Society Score values and knee flexion degrees were recorded. Isokinetic muscle strength measurements of both knees in flexion and extension were taken using 60A degrees and 180A degrees/s angular velocity. The peak torque and total work values, isokinetic muscle strength differences, and total work difference values were calculated for surgically repaired and healthy knees. No significant difference in the mean American Knee Society Score values and knee flexion degrees was observed between the two groups. However, using isokinetic evaluation, a significant difference was found in the isokinetic muscle strength differences and total work difference of the flexor muscle between the two groups when patients were tested at 180A degrees/s. Less loss of strength was detected in the isokinetic muscle strength differences of the flexor muscle in Group 2 (-4.2 %) than in Group 1 (-23.1 %). For patients undergoing total knee arthroplasty, post-operative flexor muscle strength is improved if the knee is flexed during wound closure. II.
dc.identifier.doi10.1007/s00167-014-2896-6
dc.identifier.endpage3073
dc.identifier.issn0942-2056
dc.identifier.issn1433-7347
dc.identifier.issue12
dc.identifier.pmid24519622
dc.identifier.scopus2-s2.0-84911985217
dc.identifier.scopusqualityQ1
dc.identifier.startpage3067
dc.identifier.urihttps://doi.org/10.1007/s00167-014-2896-6
dc.identifier.urihttps://hdl.handle.net/20.500.12428/24310
dc.identifier.volume22
dc.identifier.wosWOS:000345336200026
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofKnee Surgery Sports Traumatology Arthroscopy
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20250125
dc.subjectTotal knee arthroplasty
dc.subjectIsokinetic muscle strength
dc.subjectWound closure
dc.subjectFlexion
dc.subjectExtension
dc.subjectKnee society score
dc.titleEffect of surgical closing in total knee arthroplasty at flexion or extension: a prospective, randomized study
dc.typeArticle

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