ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2017
Quadriceps strength impairment in the mid- to long-term follow-up period after total knee arthroplasty.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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15 citing papers in PubMed, 26 citations in OpenAlex.
- Characteristics of muscle morphological changes in the lower limb after total knee arthroplasty.International orthopaedics · 2026Article
- Satisfied with the worst health outcomes or unsatisfied with the best: explaining the divergence between good patient-reported outcomes and low satisfaction and vice versa among knee arthroplasty patients - a retrospective cohort study.Journal of orthopaedic surgery and research · 2025Article
- Cut-off values of preoperative knee extensor strength and hip abductor strength for predicting good walking ability after total knee arthroplasty.Archives of orthopaedic and trauma surgery · 2024Article
- Arterial Stiffness, Assessed Using the Cardio-Ankle Vascular Index, before and 2 Years after Total Knee Arthroplasty in Patients with Knee Osteoarthritis.Journal of clinical medicine · 2023Article
- Anterior knee pain and sit-up tests predicts patients' satisfaction and improvement in quality of life after anterior stabilized total knee replacement without patellar resurfacing.Journal of experimental orthopaedics · 2023Article
- Positive effect of total knee arthroplasty on progression of arteriosclerosis evaluated by cardio-ankle vascular index.Archives of orthopaedic and trauma surgery · 2023Article
- Cycle Sprint Test for the Evaluation of Lower Limb Muscle Power After Total Knee Arthroplasty: A Proof-of-Concept Study.Arthroplasty today · 2021Article
- Biomechanical Parameters that May Influence Lower Limb Injury during Landing in Taekwondo.Medicina (Kaunas, Lithuania) · 2021Article
- Outcome reporting patterns in total knee arthroplasty: A systematic review.Journal of clinical orthopaedics and trauma · 2020Article
- Reference Values and Correlations for Multiple Physical Performance Measures: A Cross-Sectional Study among Independently Mobile Older Men in Japan.International journal of environmental research and public health · 2020Article
- Knee Osteoarthritis Grade does not Correlate with Quadriceps Muscle Strength or Bone Properties of the Calcaneus in Men Aged 80 Years or More who Can Walk independently.International journal of environmental research and public health · 2020Article
- Short-term outcomes for total knee arthroplasty patients with active extension lag.Annals of translational medicine · 2018Article
- [Choice of total knee arthroplasty: posterior cruciate ligament preserved or not].Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2018Review
- Circuit training enhances function in patients undergoing total knee arthroplasty: a retrospective cohort study.Journal of orthopaedic surgery and research · 2017Article
- Association of knee osteoarthritis grade with one-leg standing balance and quadriceps strength in male independent ambulators aged ≥80 years.Journal of orthopaedicsArticle
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeQuadriceps strength impairment after total knee arthroplasty (TKA) continues to be a concern. However, most studies of quadriceps strength have short-term follow-up periods. Whether quadriceps strength impairment occurs in the long-term follow-up period after TKA remains unclear. The purpose of this study was to compare the quadriceps strength between posterior cruciate ligament-retaining (CR) and substituting (PS) design mobile-bearing TKA (1) in the same patients after an average of 10 years and (2) between TKA patients and age-matched controls.
methodsA prospective, quasi-randomized design was used. Thirty-four patients (68 knees) who underwent bilateral TKA (CR on one side and PS on the other) were followed for a minimum of 5 years, and 35 age-matched controls (70 knees) were evaluated. A handheld dynamometer was used to measure quadriceps isometric strength. For each patient, the maximum value of three trials was used. The ratio of muscle strength to body weight (MS/BW ratio; N/kg) was used to evaluate outcomes.
resultsThe median MS/BW ratio was 3.3 (range 1.4-10.5) for CR 3.4 (range 0.9-9.3) for PS, and 4.6 (range 0.4-8.8) for controls. The MS/BW ratio did not differ between prosthesis designs, but was significantly smaller in both CR (p = 0.020) and PS (p = 0.024) than in controls.
conclusionsPosterior cruciate ligament-retaining TKA does not confer a substantial advantage an average of 10 years postoperatively. In addition, quadriceps strength, as measured using a hand-held dynamometer, was significantly lower in both TKA patient groups than in age-matched controls. Clinically, the results of this study indicate that quadriceps-strengthening exercises should be continued in the long term after TKA. LEVEL OF EVIDENCE: II.
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