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https://www.readbyqxmd.com/read/28689784/gedos-secot-consensus-on-the-care-process-of-patients-with-knee-osteoarthritis-and-arthoplasty
#1
M A Ruiz Iban, A Tejedor, E Gil Garay, C Revenga, J C Hermosa, J Montfort, M J Peña, J M López Millán, A Montero Matamala, A Capa Grasa, M J Navarro, M Gobbo, E Loza
OBJECTIVE: To develop recommendations on the evaluation and management procedure in patients undergoing total knee replacement based on best evidence and the experience of a panel of experts. METHODS: A multidisciplinary group of 12 experts was selected that defined the scope, users and the document parts. Three systematic reviews were performed in patients undergoing knee replacement: (i)efficacy and safety of fast-tracks; (ii)efficacy and safety of cognitive interventions in patients with catastrophic pain, and (iii) efficacy and safety of acute post-surgical pain management on post-surgical outcomes...
July 6, 2017: Revista Española de Cirugía Ortopédica y Traumatología
https://www.readbyqxmd.com/read/28487456/deriving-literature-based-benchmarks-for-surgical-complications-in-high-income-countries-a-protocol-for-a-systematic-review-and-meta-analysis
#2
Mary E Brindle, Derek J Roberts, Oluwatomilayo Daodu, Alex Bernard Haynes, Christy Cauley, Elijah Dixon, Claude La Flamme, Paul Bain, William Berry
INTRODUCTION: To improve surgical safety, health systems must identify preventable adverse outcomes and measure changes in these outcomes in response to quality improvement initiatives. This requires understanding of the scope and limitations of available population-level data. To derive literature-based summary estimates of benchmarks of care, we will systematically review and meta-analyse rates of postoperative complications associated with several common and/or high-risk operations performed in five high-income countries (HICs)...
May 9, 2017: BMJ Open
https://www.readbyqxmd.com/read/28481956/tibial-revision-knee-arthroplasty-with-metaphyseal-sleeves-the-effect-of-stems-on-implant-fixation-and-bone-flexibility
#3
Jan Nadorf, Stefan Kinkel, Simone Gantz, Eike Jakubowitz, J Philippe Kretzer
INTRODUCTION: Revision total knee arthoplasty often requires modular implants to treat bone defects of varying severity. In some cases, it may not be clear which module size and implant combination (e.g. sleeve and stem) should be chosen for a specific defect. When balancing implant stability and osseointegration against stress-shielding, it is important to choose an appropriate implant combination in order to match the given level of bone loss. Therefore, the necessity of stems in less extensive tibial defects and the advantage of different stems (lengths and stiffnesses) in combination with large metaphyseal sleeves on implant fixation and bone flexibility using a modular tibial revision knee system, were analyzed...
2017: PloS One
https://www.readbyqxmd.com/read/27294830/is-there-an-association-between-low-serum-25-oh-d-levels-and-the-length-of-hospital-stay-in-orthopaedic-patients-after-arthroplasty
#4
Gerrit Steffen Maier, Uwe Maus, Djordje Lazovic, Konstantin Horas, Klaus Edgar Roth, Andreas Alois Kurth
BACKGROUND: The purpose of this observational study was to evaluate serum levels of 25-OH-D in patients scheduled to undergo elective hip or knee arthroplasty. We hypothesised that 25-OH-D level is an independent risk factor for length of stay in orthopaedic patients after elective hip or knee arthoplasty. MATERIALS AND METHODS: 25-OH-D levels were measured in 1083 patients admitted to an orthopaedic surgery department to undergo elective hip or knee arthroplasty...
December 2016: Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/26997909/knee-arthroplasty-revision-with-a-constrained-implant-using-hinge-and-rotating-tibial-basis
#5
Fabio Jansen Angelini, Camilo Partezani Helito, Bruno Azevedo Veronesi, Tales Mollica Guimarães, José Ricardo Pécora, Marco Kawamura Demange
OBJECTIVE: To evaluate the results of total knee arthoplasty revisions performed in high complexity cases, with large bone defects or serious ligament deficiencies using a constrained implant hinge associated to a rotating tibial basis. METHODS: We evaluated 11 patients in which we used the constrained implant hinge associated to rotating tibial basis, with minimum follow-up of two years. The indications for the procedure included instability, septic loosening, late postoperative infection without loosening and periprosthetic fracture...
January 2016: Acta Ortopedica Brasileira
https://www.readbyqxmd.com/read/26762497/wound-dressing-following-primary-total-hip-arthroplasty-a-prospective-randomised-controlled-trial
#6
RANDOMIZED CONTROLLED TRIAL
M Siddiqui, A Bidaye, E Baird, R Abu-Rajab, A Stark, B Jones, R Ingram, I Anthony
OBJECTIVE: This study compared three methods of surgical wound dressing in patients undergoing primary total hip arthroplasty to determine their effect on wound leakage. METHOD: Total hip arthroplasties were randomised to 3 groups: 2-octyl cyanoacrylate (Dermabond-Ethicon Inc, G) with Opsite (Smith & Nephew; O) [G+O], 2-octyl cyanoacrylate with Tegaderm (3M; T) [G+T], and Opsite without 2-octyl cyanoacrylate [O]. Postoperative wound leakage was assessed and graded daily until discharge, the frequency of the dressing changes was also recorded...
January 2016: Journal of Wound Care
https://www.readbyqxmd.com/read/26537815/the-opvi-trial-perioperative-hemodynamic-optimization-using-the-plethysmographic-variability-index-in-orthopedic-surgery-study-protocol-for-a-multicenter-randomized-controlled-trial
#7
RANDOMIZED CONTROLLED TRIAL
Marc-Olivier Fischer, Georges Daccache, Sandrine Lemoine, Benoît Tavernier, Vincent Compère, Christophe Hulet, Chems Eddine Bouchakour, Christophe Canevet, Jean-Louis Gérard, Lydia Guittet, Emmanuel Lorne, Jean-Luc Hanouz, Jean-Jacques Parienti
BACKGROUND: Hemodynamic optimization during surgery is of major importance to decrease postoperative morbidity and length of hospital stay. However, conventional cardiac output monitoring is rarely used at the bedside. Recently, the plethysmographic variability index (PVI) was described as a simplified alternative, using plug-and-play noninvasive technology, but its clinical utility remains to be established. METHODS/DESIGN: The hemodynamic optimization using the PVI (OPVI) trial is a multicenter randomized controlled two-arm trial, randomizing 440 patients at intermediate risk of postoperative complications after orthopedic surgery...
November 4, 2015: Trials
https://www.readbyqxmd.com/read/26130276/primary-modular-total-knee-replacement-in-severe-and-unstable-osteoarthritis-predictive-factors-for-failure
#8
Rafael Luque, Belen Rizo, Antonio Urda, Rodrigo Garcia-Crespo, Enrique Moro, Luis López-Durán
PURPOSE: Severe cases of osteoarthritis with ligamentous instability require the use of a modular knee arthoplasty. To assess the survival, the complications, the clinical, radiological and functional outcomes, and the quality of life of those patients in whom a Optetrak Condylar Constrained Knee (CCK) had been implanted as a primary implant. To study how the pre-operative conditions (deformity, age, sex …) and the characteristics of the arthroplasty (stems, supplements, constrained component …) could change the survival or the clinical outcomes of the implants...
November 2015: International Orthopaedics
https://www.readbyqxmd.com/read/26083697/alpine-skiing-with-total-knee-arthroplasty-aswap-clinical-and-radiographic-outcomes
#9
T Hofstaedter, C Fink, U Dorn, B Pötzelsberger, C Hepperger, K Gordon, E Müller
The aim of the study was to assess the effect of a recreational alpine skiing intervention on implant-related factors, such as loosening and wear, in patients with total knee arthoplasty (TKA). A group of 16 TKA patients were examined 2.3 ± 0.1 years after skiing about 80 days over three seasons inclusive of a ski intervention of 2-3 times per week (25.5 days) over a 12-week period. Mean follow-up period was 5.1 ± 1 years after surgery. All patients had excellent clinical and radiological outcomes...
August 2015: Scandinavian Journal of Medicine & Science in Sports
https://www.readbyqxmd.com/read/25989782/metallosis-complete-osteolysis-of-ilium-acetabulum-and-proximal-femur-disastrous-complication-of-total-hip-arthoplasty-a-case-report
#10
Badaruddin Sahito, Dileep Kumar, Hassan Dost Afridi, Farooq Mamji
Metallosis is serious condition that comes about when metallic debris builds up in the soft tissues of the body. This condition is seen in individuals undergoing joint replacement surgery, like those of the hip, knee and elbow. Incidence of metallosis is not common. Here we present a case of 61 year-old male, who had undergone right-sided total hip replacement 20 years earlier due to avascular necrosis. He presented to us with one-year history of massive swelling of right thigh and mild pain and discomfort in September 2013...
December 2014: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/25840826/pre-operative-predictive-factors-of-post-operative-pain-in-patients-with-hip-or-knee-arthroplasty-a-systematic-review
#11
REVIEW
Clara Hernández, Jorge Díaz-Heredia, María Luisa Berraquero, Pablo Crespo, Estíbaliz Loza, Miguel Ángel Ruiz Ibán
OBJECTIVE: To analyze pre-surgical predictive factors of post-surgical pain in patients undergoing hip or knee arthoplasty. METHODS: A systematic literature review was performed. We defined a sensitive strategy on Medline, Embase and Cochrane Library up to May 2013. The inclusion criteria were: patients undertaking knee and/or hip arthroplasty, adults with moderate or severe pain (≥4 on a Visual Analog Scale) in whom predictive factors of post-surgical pain were evaluated before surgery...
November 2015: Reumatología Clinica
https://www.readbyqxmd.com/read/25743408/no-difference-between-unicompartmental-versus-total-knee-arthroplasty-for-the-management-of-medial-osteoarthtritis-of-the-knee-in-the-same-patient-a-systematic-review-and-pooling-data-analysis
#12
REVIEW
Umile Giuseppe Longo, Mattia Loppini, Ugo Trovato, Giacomo Rizzello, Nicola Maffulli, Vincenzo Denaro
INTRODUCTION: One-third of patients with knee osteoarthritis (OA) has involvement of only one compartment, especially the medial one. SOURCES OF DATA: We performed a comprehensive search of studies comparing unicompartmental knee arthoplasty (UKA) and total knee arthroplasty (TKA) in the same patient on PubMed, OVID/Medline, Cochrane, CINAHL, Google scholar and Embase databases. AREAS OF AGREEMENT: UKA is indicated in knee with medial OA, no flexion deformity, no joint instability and no varus deformity...
June 2015: British Medical Bulletin
https://www.readbyqxmd.com/read/25614775/letter-to-the-editor-revision-of-unicondylar-to-total-knee-arthoplasty-a-systematic-review
#13
Christof Pabinger
No abstract text is available yet for this article.
2014: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/25518276/antibiotic-loaded-cement-spacer-for-treatment-of-klebsiella-infected-total-hip-and-knee-arthroplasty
#14
Radoslav Barjaktarović, Dragan Radoičić, Milorad Mitković
BACKGROUND/AIM: Infection following total hip arthroplasty (THA) or total knee arthoplasty (TKA) may have devastating consequences. Some bacterial strains are often encountered as agents of these infections, others occur less frequently but are sometimes burdened with more severe complications. Kebsiella spp. are uncommon causes of THA or TKA infection. The aim of this study was to identify an effective treatment algorithm for multidrug resistant Kebsiella spp. caused THA or TKA infections...
October 2014: Vojnosanitetski Pregled. Military-medical and Pharmaceutical Review
https://www.readbyqxmd.com/read/25238436/2-to-9-year-outcome-of-stemmed-total-knee-arthroplasty-similar-failure-rates-in-patients-when-used-primary-or-as-a-revision
#15
Rüdiger J Weiss, Martin Thorsell, André Stark, Josefina Nyvang, Margareta Hedström
BACKGROUND AND PURPOSE: There is an increase in demand for primary and revision total knee joint procedures. We studied implant survival and functional outcome of patients operated with a constrained condylar knee (CCK) or a rotating hinge implant (RH) as a primary or a revision total knee arthoplasty (TKA). PATIENTS AND METHODS: We evaluated clinically and radiographically 65 surgical procedures with a mean follow-up time of 5 (2-9) years (40 CCK and 25 RH). There were 24 primary TKAs-due to instability-and 41 revision TKAs, mostly due to aseptic loosening...
December 2014: Acta Orthopaedica
https://www.readbyqxmd.com/read/24822866/geometric-total-knee-replacement-an-eight-year-experience-at-the-new-england-baptist-hospital
#16
EDITORIAL
C N Hopson, J F Lawsing, L S Borden, W T Stillwell, M A Snyder, T Potter
Total knee arthoplasty has been accepted as a valuable adjunct in the treatment of knees severely compromised by disease or trauma. One hundred nine geometric total knee replacements were reviewed to determine the efficacy of the device in the relief of pain, the correction of deformity and instability, and the restoration of functional motion in the diseased knee.1.
June 1, 1980: Orthopedics
https://www.readbyqxmd.com/read/24574012/makoplasty-and-the-accuracy-and-efficacy-of-robotic-assisted-arthroplasty
#17
REVIEW
Steven D Werner, Matthew Stonestreet, David J Jacofsky
In comparison with standard surgical techniques robotic-assisted surgery has the advantages of increased surgical accuracy, reproducibility, optimization of component position, and improved patient outcomes in unicompartmental knee arthroplasty (UKA) and total hip arthoplasty (THA) procedures. The MAKO Tactile Guidance System (TGS; MAKO Surgical Corp, Fort Lauderdale, FL) facilitates robotic-assisted arthroplasty procedures currently implemented in many operating rooms. The benefits of this technology are evident, but have not been shown to improve patient outcomes and justify the added financial burden imposed...
March 2014: Surgical Technology International
https://www.readbyqxmd.com/read/24274851/patient-specific-instrumentation-and-return-to-activities-after-unicondylar-knee-arthroplasty
#18
REVIEW
Joel L Boyd, Chad A Kurtenbach, Robby S Sikka
In the past decade, there has been a major increase in the use of unicompartmental knee arthroplasty (UKA) as surgical techniques have been refined and patient selection has improved. UKAs now account for 8% to 10% of knee arthoplasty procedures. Recent studies have suggested excellent medium- and long-term results of UKA. Overall, results have shown 85% to 90% survivorship at 10 years, with 90% of patients reporting good to excellent subjective and objective outcomes. Recent studies suggest that unicompartmental arthroplasty allows a high percentage of patients to return to presurgical sport and activity participation...
January 2014: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/23978948/knee-strength-retention-and-analgesia-with-continuous-perineural-fentanyl-infusion-after-total-knee-replacement-randomized-controlled-trial
#19
RANDOMIZED CONTROLLED TRIAL
Devanand Mangar, Rachel A Karlnoski, Collin J Sprenker, Katheryne L Downes, Narrene Taffe, Robert Wainwright, Kenneth Gustke, Thomas L Bernasek, Enrico Camporesi
PURPOSE: Despite providing adequate pain relief, a femoral nerve block can induce postoperative muscle weakness after total knee arthoplasty (TKA). Fentanyl has been shown to have peripheral effects but has not been used as a perineural infusate alone after TKA. METHODS: Sixty patients scheduled for TKA were randomized to one of three blinded groups: a continuous 24 h infusion of either fentanyl 3 μg/ml, ropivacaine 0.1%, or 0.9% normal saline through a femoral nerve sheath catheter at 10 ml/h...
April 2014: Journal of Anesthesia
https://www.readbyqxmd.com/read/23731496/probability-of-mechanical-loosening-of-the-femoral-component-in-high-flexion-total-knee-arthroplasty-can-be-reduced-by-rather-simple-surgical-techniques
#20
S van de Groes, M de Waal-Malefijt, N Verdonschot
BACKGROUND: Some follow-up studies of high flexion total knee arthoplasties report disturbingly high incidences of femoral component loosening. Femoral implant fixation is dependant on two interfaces: the cement-implant and the cement-bone interface. The present finite-element model (FEM) is the first to analyse both the cement-implant interface and cement-bone interface. The cement-bone interface is divided into cement-cancellous and cement-cortical bone interfaces, each having their own strength values...
January 2014: Knee
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