keyword
https://read.qxmd.com/read/38533522/a-current-review-in-the-orthopedic-management-of-osteonecrosis-of-the-knee-secondary-to-treatment-of-pediatric-hematologic-malignancy
#21
JOURNAL ARTICLE
Caleb P Gottlich, John C Fisher, Michel Diab
Acute Lymphoblastic Leukemia is the most prevalent pediatric hematologic malignancy. The treatment for this illness has advanced significantly, now touting a 90% cure rate. Although these patients often become disease free, treatment can leave devastating effects that last long after their disease burden is alleviated. A commonly experienced result of treatment is osteonecrosis (ON), often occurring in weight bearing joints. Uncertainty exists in the optimal treatment of this cohort of patients. In this review, we describe the etiology and suspected pathogenesis of ON, as well as treatment options described in the literature...
2024: Orthopedic Reviews
https://read.qxmd.com/read/38533423/delayed-diagnosis-of-mycobacteri-um-bovis-bacillus-calmette-gu%C3%A3-rin-periprosthetic-joint-infection-following-total-knee-arthroplasty
#22
Christopher E Pelt, Salika Shakir, Michael J Cahill, Jakrapun Pupaibool, Barbara C Cahill
Periprosthetic joint infection (PJI) can present challenges in diagnosis and treatment, particularly in the setting of atypical causative organisms such as fungi and mycobacteria. Herein, we present a case and provide a review of the diagnosis and treatment of an unusual PJI caused by bacillus Calmette-Guérin, administered during the treatment of bladder cancer 3 years prior to total knee arthroplasty and subsequent PJI. Although the patient's history of bladder cancer was known, neither his Bacillus Calmette-Guérin treatment nor its potential for distant site spread that could lead to PJI were appreciated, leading to a prolonged diagnostic evaluation and treatment course...
June 2024: Arthroplasty Today
https://read.qxmd.com/read/38533393/medical-and-exercise-consultation-use-for-low-back-and-knee-pain-among-cardiovascular-mass-screening-population-a-cross-sectional-study
#23
JOURNAL ARTICLE
Hiroshige Jinnouchi, Masahiko Kiyama, Akihiko Kitamura, Ko Matsudaira, Hironobu Kakihana, Mina Hayama-Terada, Isao Muraki, Eiko Honda, Takeo Okada, Kazumasa Yamagishi, Hironori Imano, Hiroyasu Iso
Low back and knee pain, as major symptoms and early signs of osteoarthritis, have restricted healthy life expectancy, and numerous guidelines have recommended therapeutic exercise as the first-line treatment for chronic pain. Proportions of medical and exercise consultation use for those pain have been unclear, and these may change in the future. We performed a cross-sectional study of 2,954 persons aged over 30 years in 2017 as a part of the Circulatory Risk in Communities Study. A generalized linear model with logit link and 11-year age-group moving averages were used to estimate sex- and age-specific average proportions of lifetime pain, chronic pain, and dysfunctional chronic pain of the low back and knee, and history of medical and exercise consultation use...
May 2024: Preventive Medicine Reports
https://read.qxmd.com/read/38533274/risankizumab-efficacy-in-synovitis-acne-pustulosis-hyperostosis-and-osteitis-sapho-remission-a-case-report-on-rheumatologic-and-dermatologic-disease-manifestations-with-literature-review
#24
Mario Ferraioli, Luigi Fiannacca, Elisabetta Greco, Eneida Cela, Mauro Fatica, Alberto Bergamini, Maria Sole Chimenti
SAPHO syndrome is a complex disease that encompasses both inflammatory arthritis and/or osteitis and dermatologic manifestations. It is considered a rare disease, in fact, no clinical trials have been conducted on its therapy and management. Therefore, therapeutic approach is based on small case studies. Here, we described the case of a 63-year-old woman affected by SAPHO syndrome, treated with the selective IL-23p19 antagonist, Risankizumab, after unsuccessful therapies with Methotrexate, Infliximab, Adalimumab, and an allergic reaction to Secukinumab...
2024: Case Reports in Immunology
https://read.qxmd.com/read/38533245/correlation-between-tibial-and-femoral-bone-and-cartilage-changes-in-end-stage-knee-osteoarthritis
#25
JOURNAL ARTICLE
Fahimeh Azari, William Colyn, Johan Bellemans, Lennart Scheys, G H van Lenthe
Knee osteoarthritis is a whole joint disease highlighting the coupling of cartilage and bone adaptations. However, the structural properties of the subchondral bone plate (SBP) and underlying subchondral trabecular bone (STB) in the femoral compartment have received less attention compared to the tibial side. Furthermore, how the properties in the femoral compartment relate to those in the corresponding tibial site is unknown. Therefore, this study aimed to quantify the structural bone and cartilage morphology in the femoral compartment and investigate its association with those of the tibial plateau...
April 2024: JBMR Plus
https://read.qxmd.com/read/38533163/rehabilitation-techniques-before-and-after-total-knee-arthroplasty-for-a-better-quality-of-life
#26
REVIEW
Sushmita Dutta, Ratnakar Ambade, Dhanashree Wankhade, Palak Agrawal
The most important gold standard treatment following advanced knee osteoarthritis is total knee arthroplasty. Following surgery of total knee replacement, the majority of patients report decreased pain and successful long-term results, but recovery is unpredictable, and most patients continue to exhibit muscle weakness in their lower limbs and functional limitations in comparison to similarly aged control individuals. The goal of this review article was to systematically review different articles containing controlled and randomized studies to find out the effectiveness of outpatient care postoperatively on short- and long-term functional recovery...
February 2024: Curēus
https://read.qxmd.com/read/38533161/effectiveness-of-recent-physiotherapy-techniques-along-with-conventional-physiotherapy-techniques-in-a-patient-with-knee-osteoarthritis-a-case-report
#27
Kamya J Somaiya, Subrat Samal, Manali A Boob
Osteoarthritis (OA), the most common joint disease, lowers quality of life, restricts social activity participation, and results in incapacity. Osteoarthritis is characterised by changes in subchondral bone, meniscus degeneration, cartilage loss, and synovial inflammation. Physiotherapy plays a vital role in maintaining the stability of this disease. Various treatment approaches have been shown in numerous studies to be successful in improving the condition of individuals with osteoarthritis in the knee. We are presenting a case of a 47-year-old woman who had bilateral osteoarthritis in her knees...
February 2024: Curēus
https://read.qxmd.com/read/38533141/the-effect-of-tranexamic-acid-with-or-without-tourniquet-on-blood-loss-in-total-knee-arthroplasty-at-a-community-hospital
#28
JOURNAL ARTICLE
Elise N Ketelaar, Michael Wagner, Adam Lorenzo, Robert Comrie, Carolina Restini, Grace D Brannan, Roger Corvasce, Saad Mohammad
Tourniquets have long been used in total knee arthroplasty due to the theoretical improvement of bleeding control, integration of cement-bone interface, visibility, and efficiency of the overall surgery. However, this has become increasingly disputed. Comparative studies in total knee arthroplasty employing chemical prophylaxis, i.e., tranexamic acid, have been conducted. This retrospective cohort study evaluated the effect of tranexamic with or without a tourniquet on mean blood loss, hemoglobin, and length of stay in total knee arthroplasty patients...
February 2024: Curēus
https://read.qxmd.com/read/38533134/assessment-of-the-length-of-the-pedicle-of-the-anterolateral-thigh-flap
#29
JOURNAL ARTICLE
Bartłomiej Wilk, Ewa Tramś, Marcin Zlotorowicz, Kamil Kołodziejczyk, Ewa Nosarzewska, Jarosław Czubak
Purpose To estimate the length of the pedicle of the anterolateral thigh flap (ALT) and to assess how this length corresponds with the distances between the anatomical landmarks. Methods The study group consisted of patients who underwent computed tomography angiograms ranging minimally from the anterior superior iliac spine (ASIS) superiorly and tibia inferiorly. In the study we included 44 patients. In the axial window we identified single scans with (1) ASIS, (2) the apex of the greater trochanter, (3) the origin of the descending branch of the lateral femoral circumflex artery (LFCA), (4) the superolateral corner of the patella, (5) knee joint gap...
February 2024: Curēus
https://read.qxmd.com/read/38532912/genicular-artery-embolization-for-recurrent-hemarthrosis-a-case-report
#30
Samr Adnan Abdaljabbar Al Salm, Ali Hadi Abd Alzubaidi, Robert Johannes Leusink
A 44-year-old otherwise healthy male with a history of trauma and surgical interventions in his right knee presented to the emergency department with repeated hemarthrosis of the right knee. The patient underwent blood tests, X-rays, and magnetic resonance imaging of the knee. A computed tomography angiography revealed blushing of the synovium of the knee. The patient underwent successful embolization of the genicular artery branches. Hemarthrosis did not recur. The use of genicular artery embolization, in our case, not only successfully addressed recurrent hemarthrosis but also underscores its emerging role in comprehensive patient management...
June 2024: Radiology Case Reports
https://read.qxmd.com/read/38532880/comparison-of-kinematics-and-joint-moments-calculations-for-lower-limbs-during-gait-using-markerless-and-marker-based-motion-capture
#31
JOURNAL ARTICLE
Tianchen Huang, Mianfang Ruan, Shangjun Huang, Linlin Fan, Xie Wu
Objective: This study aimed at quantifying the difference in kinematic and joint moments calculation for lower limbs during gait utilizing a markerless motion system (TsingVA Technology, Beijing, China) in comparison to values estimated using a marker-based motion capture system (Nokov Motion Capture System, Beijing, China). Methods: Sixteen healthy participants were recruited for the study. The kinematic data of the lower limb during walking were acquired simultaneously based on the markerless motion capture system (120 Hz) and the marker-based motion capture system (120 Hz)...
2024: Frontiers in Bioengineering and Biotechnology
https://read.qxmd.com/read/38532878/kinematic-analysis-of-an-unrestrained-passenger-in-an-autonomous-vehicle-during-emergency-braking
#32
JOURNAL ARTICLE
Silvia Santos-Cuadros, Álvaro Page Del Pozo, Carolina Álvarez-Caldas, José Luis San Román García
Analyzing human body movement is a critical aspect of biomechanical studies in road safety. While most studies have traditionally focused on assessing the head-neck system due to the restraint provided by seat belts, it is essential to examine the entire pelvis-thorax-head kinematic chain when these body regions are free to move. The absence of restraint systems is prevalent in public transport and is also being considered for future integration into autonomous vehicles operating at low speeds. This article presents an experimental study examining the movement of the pelvis, thorax and head of 18 passengers seated without seat belts during emergency braking in an autonomous bus...
2024: Frontiers in Bioengineering and Biotechnology
https://read.qxmd.com/read/38532871/injury-epidemiology-in-beach-tennis-incidence-and-risk-factors
#33
JOURNAL ARTICLE
Fabio Lucas Rodrigues, Paulo Sergio Barone, Ramylla Saldanha Penha, Isabela Pagliaro Franco
INTRODUCTION: Due to the growing increase in beach tennis practice in Brazil and the lack of studies on the injuries that occur in this sport, it has become necessary to develop more research on the subject. OBJECTIVE: to identify risk and protection factors for injuries in beach tennis, in order to generate prevention strategies for musculoskeletal injuries. METHOD: A cross-sectional epidemiological study, level 3 of evidence, was carried out through an electronic form with 698 Beach Tennis players, who answered questions about their relationship with the practice of the sport and occurrences of injuries...
2024: Acta Ortopedica Brasileira
https://read.qxmd.com/read/38532868/the-effects-of-drainage-tube-on-pain-and-functional-recovery-after-unicompartmental-knee-arthroplasty
#34
JOURNAL ARTICLE
Ting Fu, Shuzhen Ren, Yu Nie
OBJECTIVE: The objective of this study was to evaluate the impact of drainage tube placement on postoperative pain, recovery, and opioid consumption within a 72-hour period following unicompartmental knee arthroplasty (UKA). METHODS: Patients with medial knee osteoarthritis who underwent UKA from January 2019 to August 2020 were enrolled in the study and divided into two groups based on whether they received a drain postoperatively. RESULTS: The drainage group had significantly lower VAS scores on day 1, day 2, and day 3, in addition to significantly smaller changes in the circumference of the knee joint within 3 days postoperatively (P <0...
2024: Acta Ortopedica Brasileira
https://read.qxmd.com/read/38532861/benefits-of-a-clinical-pathway-in-total-knee-arthroplasty
#35
JOURNAL ARTICLE
Márcio de Castro Ferreira, Gilvânia Silva, Carolina Padrão Amorim Marinelli, Julia Souza de Oliveira, Pedro Aurélio Mathiasi, Gilberto Luis Camanho
OBJECTIVE: Demonstrate whether a multiprofessional Clinical Pathway Program in Total Knee Arthroplasty (CPPA) contributesto optimizing hospital care. METHOD: Retrospective study of medical data of care indicators in 310 patients divided into two groups: A- who underwent arthroplasty in the last biennium before the introduction of the CPPA (n=144) and group B- who underwent TKA in the biennium after the introduction of the CPPA (n=166). RESULTS: Postoperative showed a significant difference in favor of group B over group A for hospitalization time in days 4...
2024: Acta Ortopedica Brasileira
https://read.qxmd.com/read/38532769/arthroscopic-saucerization-of-discoid-lateral-meniscus-with-meniscus-repair-as-indicated-results-in-excellent-outcomes-in-pediatric-patients-younger-than-12-years-of-age
#36
JOURNAL ARTICLE
George A Rublev, Levan Natchkebia, Vazha Gaprindashvili, Mohamed Ahmed Mohamed, Tamaz Tamazishvili, Irakli Kartozia, Mikheil Zimlitski
PURPOSE: To evaluate the experiences and outcomes of arthroscopic partial meniscectomy in symptomatic non-Wrisberg discoid lateral meniscus in children younger than 12 years old at a single center. METHODS: We retrospectively reviewed the medical records of all pediatric patients who were treated for non-Wrisberg discoid meniscus at our institute between 2013 and 2021. Patients were separated into 2 groups: Patients who underwent partial resection with saucerization (group A) or patients who underwent saucerization, tear repair, and fixation (group B)...
April 2024: Arthroscopy, sports medicine, and rehabilitation
https://read.qxmd.com/read/38532766/comparison-of-time-zero-primary-stability-between-a-biodegradable-magnesium-bone-staple-and-metal-bone-staples-for-knee-ligament-fixation-a-biomechanical-study-in-a-porcine-model
#37
JOURNAL ARTICLE
Adrian Deichsel, Johannes Glasbrenner, Michael J Raschke, Matthias Klimek, Christian Peez, Thorben Briese, Elmar Herbst, Christoph Kittl
BACKGROUND: Bone staples have been shown previously to be a viable modality for cortical tendon graft fixation in ligament knee surgery. However, soft tissue reactions have been reported, making implant removal necessary. Magnesium alloys are a promising material for biodegradable orthopaedic implants, with mechanical properties closely resembling those of human bone. PURPOSE: To compare the primary stability of a biodegradable bone staple prototype made from magnesium to bone staples made from metal in the cortical fixation of tendon grafts during knee surgery...
March 2024: Orthopaedic Journal of Sports Medicine
https://read.qxmd.com/read/38532765/changes-in-functional-meniscal-morphology-during-skeletal-growth-and-maturation
#38
JOURNAL ARTICLE
Shankar G Kaushal, Samuel C Barnett, Shayan Hosseinzadeh, Gabriel S Perrone, Ata M Kiapour
BACKGROUND: Little is known on how meniscal morphology develops during skeletal growth and maturation and its subsequent relationship with the corresponding bony anatomy. HYPOTHESES: (1) Meniscal dimensions and morphology would change by age during skeletal growth and maturation in different ways in boys compared with girls. (2) Morphological features of the medial and lateral menisci would correlate to medial and lateral femoral condyle curvatures. STUDY DESIGN: Cross-sectional study; Level of evidence, 3...
March 2024: Orthopaedic Journal of Sports Medicine
https://read.qxmd.com/read/38532528/subjective-causes-for-failure-to-return-to-sport-after-anterior-cruciate-ligament-reconstruction-a-systematic-review-and-meta-analysis
#39
REVIEW
Katie Yensen, Cory K Mayfield, Ioanna K Bolia, Ryan A Palmer, Michael Brown, Daniel R Kim, Maya S Abu-Zahra, Jacob L Kotlier, Thomas Webb, Emmett Cleary, Nima Saboori, Frank A Petrigliano, Alexander E Weber
CONTEXT: While current literature has explored the outcomes of athletes who return to sport (RTS) after anterior cruciate ligament (ACL) injuries, less is known about the outcomes of those who are unsuccessful in returning to sport. OBJECTIVE: To determine the rate of athletes who did not RTS after primary ACL reconstruction (ACLR) and to identify the specific subjective reasons for failure to RTS. DATA SOURCES: A comprehensive search of the PubMed/MEDLINE, Scopus, and Web of Science databases was conducted through April 2021...
March 26, 2024: Sports Health
https://read.qxmd.com/read/38532466/the-dejour-classification-for-trochlear-dysplasia-shows-slight-interobserver-and-substantial-intraobserver-reliability
#40
JOURNAL ARTICLE
Juan Pablo Martinez-Cano, Maria Tuca, Alejandro Gallego, Yorlany Rodas-Cortes, William R Post, Betina Hinckel
PURPOSE: Trochlear dysplasia is one of the main risk factors for recurrent patellar dislocation. The Dejour classification identifies four categories that can be used to classify trochlear dysplasia. The purpose of this study is to evaluate the inter- and intraobserver reliability of the Dejour classification for trochlear dysplasia. The hypothesis was that both intra- and interobserver reliability would be at least moderate. METHODS: This is a cross-sectional, reliability study...
March 26, 2024: Knee Surgery, Sports Traumatology, Arthroscopy
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