Limb length discrepancy after total knee arthroplasty: A systematic review and meta-analysis.

Arthroplasty Joint diseases Knee Limb length Replacement Surgery

Journal

World journal of clinical cases
ISSN: 2307-8960
Titre abrégé: World J Clin Cases
Pays: United States
ID NLM: 101618806

Informations de publication

Date de publication:
16 Jan 2021
Historique:
received: 16 09 2020
revised: 14 11 2020
accepted: 11 12 2020
entrez: 1 2 2021
pubmed: 2 2 2021
medline: 2 2 2021
Statut: ppublish

Résumé

Limb length discrepancy (LLD) after total knee arthroplasty (TKA) has been considered as one of the reasons for the unsatisfactory outcome. However, there is no consensus about the extent of LLD that can be considered as clinically relevant. To evaluate the incidence of radiographic LLD and its impact on functional outcome following TKA. All randomized-controlled trial and observational studies on LLD in TKA, published till 22 Of 45 retrieved studies, qualitative and quantitative assessment of data was performed from eight studies and six studies, respectively. Five studies ( Limb lengthening after TKA is common, and it is significantly more in valgus than varus deformity. Significant LLD (≥ 10 mm) is associated with suboptimal functional outcome.

Sections du résumé

BACKGROUND BACKGROUND
Limb length discrepancy (LLD) after total knee arthroplasty (TKA) has been considered as one of the reasons for the unsatisfactory outcome. However, there is no consensus about the extent of LLD that can be considered as clinically relevant.
AIM OBJECTIVE
To evaluate the incidence of radiographic LLD and its impact on functional outcome following TKA.
METHODS METHODS
All randomized-controlled trial and observational studies on LLD in TKA, published till 22
RESULTS RESULTS
Of 45 retrieved studies, qualitative and quantitative assessment of data was performed from eight studies and six studies, respectively. Five studies (
CONCLUSION CONCLUSIONS
Limb lengthening after TKA is common, and it is significantly more in valgus than varus deformity. Significant LLD (≥ 10 mm) is associated with suboptimal functional outcome.

Identifiants

pubmed: 33521103
doi: 10.12998/wjcc.v9.i2.357
pmc: PMC7812892
doi:

Types de publication

Journal Article

Langues

eng

Pagination

357-371

Informations de copyright

©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.

Déclaration de conflit d'intérêts

Conflict-of-interest statement: On behalf of all authors, the corresponding author states that there is no conflict of interest.

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Auteurs

Sujit Kumar Tripathy (SK)

Department of Orthopaedics, All India Institute of Medical Sciences, Bhubaneswar 751019, Odisha, India. sujitortho@yahoo.co.in.

Siddharth Satyakam Pradhan (SS)

Department of Orthopaedics, All India Institute of Medical Sciences, Bhubaneswar 751019, Odisha, India.

Paulson Varghese (P)

Department of Orthopaedics, All India Institute of Medical Sciences, Bhubaneswar 751019, Odisha, India.

Prabhudev Prasad Purudappa (PP)

Department of Orthopedics, VA Boston Health care, Boston, Massachusetts 02130, United States.

Sandeep Velagada (S)

Department of Orthopaedics, All India Institute of Medical Sciences, Bhubaneswar 751019, Odisha, India.

Tarun Goyal (T)

Department of Orthopaedics, All India Institute of Medical Sciences, Bathinda 209201, India.

Bijnya Birajita Panda (BB)

Department of Ophthalmology, SCB Medical College, Cuttack 751019, India.

Jagadeesh Vanyambadi (J)

Department of Orthopaedics, Salford Royal NHS Foundation Trust, Salford M6 8HD, United Kingdom.

Classifications MeSH