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ArticleInternational orthopaedics2024

The objective measurement of hypoaesthesia after Total Knee Arthroplasty and its correlation with skin incision length: a prospective study.

Rudra Prabhu, Ronak Kothari, Swapnil A Keny, Prashant Kamble, Tushar Rathod, Shubhranshu S Mohanty

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Article in International orthopaedics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Rudra PrabhuDepartment of Orthopaedics, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, 400012, India.ORCID 0000-0003-1189-3281
Ronak KothariDepartment of Orthopaedics, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, 400012, India.ORCID 0009-0003-6026-8834
Swapnil A KenyDepartment of Orthopaedics, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, 400012, India.ORCID 0000-0003-2940-6752
Prashant KambleDepartment of Orthopaedics, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, 400012, India.ORCID 0000-0002-9912-9116
Tushar RathodDepartment of Orthopaedics, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, 400012, India.ORCID 0000-0003-1031-9245
Shubhranshu S MohantyDepartment of Orthopaedics, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, 400012, India. drssmohanty@hotmail.com.ORCID 0000-0003-1722-3027

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aims to measure the peri-incisional numbness developing after Total Knee Arthroplasty (TKA) performed using the midline skin incision. It studies the natural course of the numbness and determines its correlation with the skin incision length (SIL). MATERIALS &

methods66 knees undergoing primary TKA with a standard midline incision were evaluated. The SIL and the area of numbness (AON) were measured in complete knee extension and 90° of flexion. The area was marked by the patient using a sketch pen and then determined by an independent observer using monofilament testing. The "ImageJ" software was used to calculate the area.

resultsAll patients developed numbness around the knee after TKA. There was a statistically significant correlation between the SIL and AON in both flexion and extension at two weeks (p < 0.001) and three months (p < 0.001). However, there was a weak and insignificant correlation at six months (p = 0.217).

conclusionWhen TKA is performed using the midline skin incision, the SIL positively correlates with the AON postoperatively during the initial short-term follow-up. At six monthly follow-ups, there is no significant correlation between the two.

Indexed as

Arthroplasty, Replacement, KneeHypesthesiaAgedAged, 80 and overFemaleHumansKnee JointMaleMiddle AgedPostoperative ComplicationsProspective StudiesRange of Motion, ArticularArea of numbnessMidline skin incisionSaphenous nerveSkin incision lengthTotal Knee Arthroplasty

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.