Introduction The infrapatellar branch of the saphenous nerve is often injured during total knee arthroplasty (TKA), leading to numbness in its distribution distal to the incision. This is illustrated in a patient who suffered full-thickness burns to the lateral aspect of the knee from a hot water bottle. However, the proportion of patients who are informed of this phenomenon (as well as the effect of informing the patient of numbness) has not previously been studied according to the authors’ knowledge. The aim of this study was to establish the proportion of patients with whom postoperative numbness was discussed during the consent procedure and whether this discussion was documented. Methods A total of 73 patients (103 TKAs) agreed to take part in this study between 16 May and 9 July 2011. Patients were asked about their recollection of numbness being mentioned prior to the procedure as well as whether they experienced postoperative numbness. Statistical analysis was performed using SPSS®. Results Subjective numbness was noted in 27% of the patients in this study. The prevalence of numbness decreased with time. Patients whose consent process included a discussion of numbness were 3.3 times more likely to report numbness after TKA (p=0.003). Conclusions Patient education regarding postoperative numbness increases the patient’s awareness of any insensate skin that may develop. Numbness after TKA does improve with time but does not resolve completely. It is therefore recommended by the authors that numbness is discussed preoperatively with the patient and that this discussion is documented.
Ante Prkić, Christiaan JA van Bergen, Bertram The, and Denise Eygendaal
2016
World J Orthop. 2016 Jan 18; 7(1): 44–49.
Open
Postoperative numbness of the knee following total knee arthroplasty
R Black, 1 C Green,corresponding author 2 and D Sochart 2
2013
Ann R Coll Surg Engl. 2013 Nov; 95(8): 565–568.
Open
Effect of Day of the Week of Primary Total Hip Arthroplasty on Length of Stay at a University-Based Teaching Medical Center
Mr. Pranav Rathi, MBBS, MS, Clinical Fellow, Total Joints, Dr. Sheldon Coleman, MD, Research Coordinator, Dr. Blythe Durbin-Johnson, PhD, Principal Statistician, Dr. Mauro Giordani, MD, Associate Professor, Dr. Gavin Pereira, MBBS, FRCS, Assistant Professor, and Dr. Paul E. Di Cesare, MD, Professor
2014
Am J Orthop (Belle Mead NJ). 2014 Dec; 43(12): E299–E303.
Open
Total hip arthroplasty for Crowe IV hip without subtrochanteric shortening osteotomy -a long term follow up study
Toshiyuki Kawai,corresponding author1,2 Chiaki Tanaka,1 and Hiroshi Kanoe1
2014
BMC Musculoskelet Disord. 2014; 15: 72.
Open
Ambulatory Continuous Posterior Lumbar Plexus Nerve Blocks after Hip Arthroplasty
Brian M. Ilfeld, M.D., M.S.,corresponding author* Scott T. Ball, M.D.,† Peter F. Gearen, M.D.,‡ Linda T. Le, M.D.,§ Edward R. Mariano, M.D.,∥ Krista Vandenborne, Ph.D. P.T.,# Pamela W. Duncan, Ph.D. P.T.,** Daniel I. Sessler, M.D.,†† F. Kayser Enneking, M.D.,‡‡ Jonathan J. Shuster, Ph.D.,§§ Douglas W. Theriaque, M.S.,∥∥ and R. Scott Meyer, M.D.†
2008
Anesthesiology. 2008 Sep; 109(3): 491–501.
Open
Total hip arthroplasty: areview of advances, advantages and limitations
Xin-Wei Liu,1,* Ying Zi,2,* Liang-Bi Xiang,1 and Yu Wang1
2015
Int J Clin Exp Med. 2015; 8(1): 27–36.
Open
Tranexamic Acid Reduces Total Blood Loss and Inflammatory Response in Computer-Assisted Navigation Total Knee Arthroplasty
Kuan-Ting Wu, 1 , 2 Ka-Kit Siu, 1 , 2 Jih-Yang Ko,corresponding author 1 , 2 , 3 , 4 Wen-Yi Chou, 1 , 2 Shu-Jui Kuo, 5 and Ya-Hung Hsu 2 , 3
2019
Biomed Res Int. 2019; 2019: 5207517.
Open
Comparison of mortality and complications between bilateral simultaneous and staged total hip arthroplasty
Liangku Huang, MD,a Tao Xu, MD,b Peng Li, MD,a,∗ Yuben Xu, MD,a Lei Xia, MD,a and Zandong Zhao, MDa
2019
Medicine (Baltimore). 2019 Sep; 98(39): e16774.
Open
Diclofenac Versus Ketorolac for Pain Control After Primary Total Joint Arthroplasty: A Comparative Analysis
Nicole E George,1 Cheryle Gurk-Turner,2 Nequesha S Mohamed,3 Wayne A Wilkie,3 Ethan A Remily,3 Iciar M Dávila Castrodad,4 Elana Roadcloud,3 and Ronald Delanoiscorresponding author3
2020
Cureus. 2020 Mar; 12(3): e7310.
Open
Effects of contact stress on patellarfemoral joint and quadriceps force in fixed and mobile-bearing medial unicompartmental knee arthroplasty
Hyuck Min Kwon,1 Jin-Ah Lee,2 Yong-Gon Koh,3 Kwan Kyu Park,1 and Kyoung-Tak Kangcorresponding author2
2020
J Orthop Surg Res. 2020; 15: 517.
Open
Patient outcomes in Anteromedial osteoarthritis patients over 80 years old undergoing Oxford Unicompartmental knee Arthroplasty in China
Jingbo Cheng, Mingli Feng,corresponding author Guanglei Cao, Zheng Li, Shuai An, and Shibao Lu
2020
BMC Musculoskelet Disord. 2020; 21: 446.
Open
Effect of pulsed electromagnetic field therapy in patients undergoing total knee arthroplasty: a randomised controlled trial
Paolo Adravanti,1 Stefano Nicoletti,1 Stefania Setti,2 Aldo Ampollini,1 and Laura de Girolamocorresponding author3,4
2014
Int Orthop. 2014 Feb; 38(2): 397–403.
Open
Is the combined application of both drain-clamping and tranexamic acid superior to the single use of either application in patients with total-knee arthroplasty?
Yan-hong Han, MD,a He-tao Huang, PhD,a Jian-ke Pan, PhD,b Ling-feng Zeng, PhD,b,c Gui-hong Liang, MD,b,c Hao-dong Liang, MD,a Wei-yi Yang, PhD,b Da Guo, PhD,b and Jun Liu, PhDb,c,∗
2018
Medicine (Baltimore). 2018 Sep; 97(36): e11573.
Open
Primary total knee arthroplasty using constrained condylar knee design for severe deformity and stiffness of knee secondary to post-traumatic arthritis
Saroj Rai,1 Xianzhe Liu,1 Xiaobo Feng,1 Bimal Rai,2 Nira Tamang,3 Jing Wang,1 Shunan Ye,1 and Shuhua Yangcorresponding author1
2018
J Orthop Surg Res. 2018; 13: 67.
Open
Incidence and Complication Rates for Total Hip Arthroplasty in Rheumatoid Arthritis: A Systematic Review and Meta-Analysis Across Four Decades
Owen Taylor-Williams,1 Johannes Nossent,corresponding author1,2 and Charles A. Inderjeethcorresponding author1,2
2020
Rheumatol Ther. 2020 Dec; 7(4): 685–702.
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Comparison of Constrained Acetabular Components and Dual Mobility Cups in Revision Total Hip Arthroplasty: A Literature Review
Eduard Van Eecke, MD,corresponding author Jens Vanbiervliet, MD, Jan Dauwe, MD, MSc, and Michiel Mulier, MD, PhD
2020
Hip Pelvis. 2020 Jun; 32(2): 59–69.
Open
Two-stage revision arthroplasty for coagulase-negative staphylococcal periprosthetic joint infection of the hip and knee
Ewout S Veltman, Dirk Jan F Moojen, Marc L van Ogtrop, and Rudolf W Poolman
2019
World J Orthop. 2019 Oct 18; 10(10): 348–355.
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Extramedullary versus intramedullary femoral alignment technique in total knee arthroplasty: a meta-analysis of randomized controlled trials
Qian Tang,#1 Ping Shang,#2 Gang Zheng,1 Hua-Zi Xu,1 and Hai-Xiao Liucorresponding author1
2017
J Orthop Surg Res. 2017; 12: 82.
Open
Rotating Hinge Prosthesis for Primary and Revision Knee Arthroplasty: Comparison and Indications
Hans-Joachim Neuhaus 1 and Kristin Maiercorresponding author 2
2022
Biomed Res Int. 2022; 2022: 9930675.
Open
Younger age increases the risk of early prosthesis failure following primary total knee replacement for osteoarthritis
Jaakko Julin,1,2 Esa Jämsen,2 Timo Puolakka,2 Yrjö T Konttinen,2,3 and Teemu Moilanencorresponding author2
2010
Acta Orthop. 2010 Aug; 81(4): 413–419.
Open
Cementless total hip arthroplasty in rheumatoid arthritis: a systematic review of the literature
Rob E. Zwartelé,corresponding author1,2 Suzanne Witjes,2 H. Cornelis Doets,2 Theo Stijnen,3 and Rudolf G. Pöll2,4
2012
Arch Orthop Trauma Surg. 2012; 132(4): 535–546.
Open
A Novel Fast Mobile-Window Small Incision Technique for Hip Arthroplasty in the Elderly and Comparison with Conventional Incision
Junmin Li,A,E Jiayu Xiao,B Zhongzi Zhang,C Fu Jia,A and Zhongxiong WuB
2017
Med Sci Monit. 2017; 23: 3303–3310.
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Results after arthroscopic treatment of iliopsoas impingement after total hip arthroplasty
A. Zimmerer,corresponding author1,2 M. Hauschild,1 R. Nietschke,1 M. M. Schneider,1,3 G. Wassilew,2 C. Sobau,1 and W. Miehlke1
2022
Arch Orthop Trauma Surg. 2022; 142(2): 189–195.
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Increased Muscle Strength Limits Postural Sway During Daily Living Activities in Total Hip Arthroplasty Patients
Siri B. Winther, PhD, Olav A. Foss, PhD, Jomar Klaksvik, MSc, and Vigdis S. Husby, PhD
2020
Am J Phys Med Rehabil. 2020 Jul; 99(7): 608–612.
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Effectiveness of ERAS (Enhanced Recovery after Surgery) Protocol via Peripheral Nerve Block for Total Knee Arthroplasty
Hyun Hee Lee,1,2 Hyuck Min Kwon,3 Woo-Suk Lee,4 Ick Hwan Yang,5 Yong Seon Choi,6,* and Kwan Kyu Park3,*
2022
J Clin Med. 2022 Jun; 11(12): 3354.
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