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https://www.readbyqxmd.com/read/28077355/no-evidence-for-the-use-of-stem-cell-therapy-for-tendon-disorders-a-systematic-review
#1
Haiko I M F L Pas, Maarten H Moen, Hidde J Haisma, Marinus Winters
INTRODUCTION: Stem cells have emerged as a new treatment option for tendon disorders. We systematically reviewed the current evidence for stem cell therapy in tendon disorders. METHODS: Randomised and non-randomised controlled trials, cohort studies and case series with a minimum of 5 cases were searched in MEDLINE, CENTRAL, EMBASE, CINAHL, PEDro and SPORTDiscus. In addition, we searched grey literature databases and trial registers. Only human studies were included and no time or language restrictions were applied to our search...
January 11, 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/28069060/sticks-study-short-stretch-inelastic-compression-bandage-in-knee-swelling-following-total-knee-arthroplasty-a-feasibility-study
#2
T M Brock, A P Sprowson, S Muller, M R Reed
BACKGROUND: Postoperative knee swelling is common and impairs early postoperative function following total knee arthroplasty. It was hypothesised that the use of a short-stretch, inelastic compression bandage would reduce knee swelling and improve pain and early function. The aim of this study was to provide preliminary data and test feasibility with a view to informing a larger, future trial. METHODS: Fifty consecutive patients selected for primary total knee arthroplasty underwent distance randomisation to receive a short-stretch, inelastic compression bandage or a standard wool and crepe bandage for the first 24 h postoperatively...
January 9, 2017: Trials
https://www.readbyqxmd.com/read/28065944/evaluating-the-effect-of-obesity-on-total-knee-arthroplasty-a-longitudinal-study
#3
You-Bo Ji, Chen-Yu Wang, Xiao-Nan Wang, Hui Jin
OBJECTIVE: To evaluate the effect of obesity on total knee arthroplasty, and on patient-reported outcomes. METHODS: The longitudinal study was conducted from September 2013 to August 2015 at The Second Hospital of Jinlin University, Changchun, Jinlin, China, a tertiary hospital. Using universal sampling method, all patients who underwent elective total knee arthroplasty were included in the study. Data was collected using a semi-structured questionnaire, Oxford Knee Score, and Short Form 12 Questionnaire...
January 2017: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/28063399/sleep-quality-among-elderly-high-altitude-dwellers-in-ladakh
#4
Ryota Sakamoto, Kiyohito Okumiya, Tsering Norboo, Norboo Tsering, Takayoshi Yamaguchi, Mitsuhiro Nose, Shinya Takeda, Toshihiro Tsukihara, Motonao Ishikawa, Shun Nakajima, Taizo Wada, Michiko Fujisawa, Hissei Imai, Yasuko Ishimoto, Yumi Kimura, Eriko Fukutomi, Wenling Chen, Kuniaki Otsuka, Kozo Matsubayashi
It has been already known that people who temporarily stay at high altitude may develop insomnia as a symptom of acute mountain sickness. However, much less is known about people living at high altitude. The aim of this study was to determine the effect of high altitude environment on sleep quality for the elderly who have been living at high altitude for their whole lives. A cross-sectional study was conducted in Domkhar valley at altitudes of 2800-4200m, Ladakh. Sleep quality was assessed using Insomnia Severity Index (ISI)...
December 29, 2016: Psychiatry Research
https://www.readbyqxmd.com/read/28043936/do-foot-ankle-assessments-assist-the-explanation-of-one-year-knee-arthroplasty-outcomes
#5
L S Gates, C J Bowen, M T Sanchez-Santos, A Delmestri, N K Arden
OBJECTIVE: Whilst a number of risk factors for poor patient reported outcomes (PROMs) following knee arthroplasty (KA) have been identified, unexplained variability still remains. The role of pre-operative foot and ankle status on such outcomes has not been investigated. The aim of this study was therefore to determine the association of clinical foot and ankle assessments with patient reported outcomes one year following KA. DESIGN: One hundred and fifteen participants from the Clinical Outcomes in Arthroplasty Study (COASt), underwent detailed foot and ankle assessments at baseline, prior to KA (2012-2014) and were followed up for self-reported outcomes one year after surgery...
December 30, 2016: Osteoarthritis and Cartilage
https://www.readbyqxmd.com/read/28032123/ten-year-patient-reported-outcomes-following-total-and-minimally-invasive-unicompartmental-knee-arthroplasty-a-propensity-score-matched-cohort-analysis
#6
Edward Burn, Maria T Sanchez-Santos, Hemant G Pandit, Thomas W Hamilton, Alexander D Liddle, David W Murray, Rafael Pinedo-Villanueva
PURPOSE: For patients with medial compartment arthritis who have failed non-operative treatment, either a total knee arthroplasty (TKA) or a unicompartmental knee arthroplasty (UKA) can be undertaken. This analysis considers how the choice between UKA and TKA affects long-term patient-reported outcome measures (PROMs). METHODS: The Knee Arthroplasty Trial (KAT) and a cohort of patients who received a minimally invasive UKA provided data. Propensity score matching was used to identify comparable patients...
December 29, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28031493/improvement-in-health-related-quality-of-life-after-unilateral-total-knee-arthroplasty-in-patients-with-bilateral-knee-osteoarthritis
#7
Desmond Thiam, Daniel Jing Wen Teh, Hamid Rahmatullah Bin Abd Razak, Andrew Hwee Chye Tan
PURPOSE: To review the outcome of unilateral total knee arthroplasty (TKA) in patients with bilateral knee osteoarthritis (OA) to determine whether unilateral TKA can achieve good health-related quality of life (HRQoL). METHODS: Records of 68 women and 25 men with severe bilateral knee OA who underwent unilateral TKA on the more symptomatic knee by a single surgeon and did not return for the second TKA within 2 years were reviewed. Outcome at 6 months and 2 years was assessed using the mental and physical component summary (MCS and PCS) of the Short-Form 36 (SF-36) for HRQoL as well as the Oxford Knee Score (OKS) and Knee Society Score (KSS) for knee-specific outcome...
December 2016: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/28029533/unexplained-pain-post-total-knee-arthroplasty-with-an-oxford-knee-score-%C3%A2-20-at-6-months-predicts-good-2-year-outcome
#8
Renyi Benjamin Seah, Winston Shang Rong Lim, Ngai Nung Lo, Andy Khye Soo Yew, Hwei Chi Chong, Seng Jin Yeo
BACKGROUND: Total knee arthroplasty (TKA) is an effective procedure for end-stage osteoarthritis of the knee. Some patients experience persistent unexplained pain post-TKA despite normal investigations. The purpose of this study is to identify which of these patients are likely to improve without any surgical intervention. We hypothesize that patients with unexplained persistent pain and a poor 6-month Oxford knee score (OKS) post-TKA can improve at 2 years. METHODS: Prospectively collected data for all primary unilateral TKA performed from June 2004 to January 2012 were analyzed to identify which patients with unexplained pain at 6 months will improve at 2 years...
October 4, 2016: Journal of Arthroplasty
https://www.readbyqxmd.com/read/28026733/long-term-function-following-periprosthetic-fractures
#9
J Zwingmann, M Krieg, F Thielemann, N Südkamp, P Helwig
PURPOSE OF THE STUDY Clinical results of long-term follow-up after traumatic periprosthetic femur fractures and different therapies (ORIF vs. revision arthroplasty) MATERIAL AND METHODS The Visual Analog Scale (VAS), Harris-Hip-Score (HHS), Oxford-Hip-Score (OHS), Oxford-Knee-Score (OKS), Knee-Society-Score (KSS), SF-36 Questionnaire and Funktionsfragebogen Hannover (FFH) were used to evaluate outcome and functionality. Radiological examinations were performed and the Vancouver (THA) and Lewis and Rorabeck (TKA) classifications used...
2016: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
https://www.readbyqxmd.com/read/27999502/pain-functional-scores-and-radiographic-severity-of-illness-influence-the-perception-of-time-spent-with-the-physician-by-patients-presenting-for-initial-evaluation-of-knee-osteoarthritis
#10
Ronak Kedia, Chandni Dargan, Omar Hassan, Vinod Dasa
BACKGROUND: Patient satisfaction has become a significant factor in reimbursement schedules for physicians. A matter of debate is whether the patient's perception of time spent with the physician improves patient satisfaction. We sought to determine whether patient-physican time correlates with patient satisfaction and which factors are associated with patient perception of time. METHODS: A total of 73 patients who presented for an initial evaluation of knee osteoarthritis were evaluated by the same orthopedic surgeon at an outpatient clinic in New Orleans, LA...
2016: Ochsner Journal
https://www.readbyqxmd.com/read/27984441/outcome-following-tibial-plateau-fracture-how-important-is-restoration-of-articular-congruity
#11
Neal Singleton, Vahe Sahakian, Dawson Muir
OBJECTIVES: Does restoration of articular congruity have any effect on long-term outcome following tibial plateau fracture? DESIGN: Cohort study. SETTING: A secondary hospital in New Zealand, which services a population of 150,000. PATIENTS: All patients with a depressed tibial plateau fracture seen over a six year period were invited to participate in the study. There were 41 patients (average age 54 years) recruited from an eligible population of 97...
November 24, 2016: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/27979688/the-use-of-the-core-outcome-measures-index-comi-in-patients-undergoing-total-knee-replacement
#12
Franco M Impellizzeri, Michael Leunig, Stefan Preiss, Thomas Guggi, Anne F Mannion
BACKGROUND: The Core Outcome Measure Index (COMI) is a very short outcome instrument used in spine patients. The aim of this study was to examine the utility of a knee version of the COMI in patients undergoing total knee arthroplasty (TKA) by assessing the reproducibility, construct and discriminant validity, and responsiveness. METHODS: Preoperatively, 224 patients completed the Oxford Knee Score (OKS), EuroQoL (EQ-5D) and the COMI-Knee; 189 (84) % also completed the questionnaires at follow-up and 73 patients completed preoperatively the COMI-knee twice...
December 12, 2016: Knee
https://www.readbyqxmd.com/read/27916473/aseptic-revision-knee-arthroplasty-with-total-stabilizer-prostheses-achieves-similar-functional-outcomes-to-primary-total-knee-arthroplasty-at-2-years-a-longitudinal-cohort-study
#13
David F Hamilton, Philip M Simpson, James T Patton, Colin R Howie, Richard Burnett
BACKGROUND: Patient function is poorly characterized following revision total knee arthroplasty (TKA), although is generally accepted to be inferior to that following primary procedures. METHODS: Fifty-three consecutive aseptic revisions to total stabilizer devices were prospectively evaluated, preoperatively and at 6, 26, 52, and 104 weeks postoperatively, using the Oxford Knee Score (OKS), range of motion, pain rating scale, and timed functional performance battery...
October 31, 2016: Journal of Arthroplasty
https://www.readbyqxmd.com/read/27909124/predicting-dissatisfaction-following-total-knee-arthroplasty-in-patients-under-55-years-of-age
#14
C E H Scott, W M Oliver, D MacDonald, F A Wade, M Moran, S J Breusch
AIMS: Risk of revision following total knee arthroplasty (TKA) is higher in patients under 55 years, but little data are reported regarding non-revision outcomes. This study aims to identify predictors of dissatisfaction in these patients. PATIENTS AND METHODS: We prospectively assessed 177 TKAs (157 consecutive patients, 99 women, mean age 50 years; 17 to 54) from 2008 to 2013. Age, gender, implant, indication, body mass index (BMI), social deprivation, range of movement, Kellgren-Lawrence (KL) grade of osteoarthritis (OA) and prior knee surgery were recorded...
December 2016: Bone & Joint Journal
https://www.readbyqxmd.com/read/27907935/a-meta-analysis-of-functional-outcomes-in-patient-specific-instrumented-knee-arthroplasty
#15
Ashim Mannan, Deji Akinyooye, Fahad Hossain
Alignment data in patient-specific instrumented (PSI) knee arthroplasty have been examined in several meta-analyses, with demonstration of comparative but not improved restitution of a neutral mechanical axis and favorable outcomes in femoral implant axial alignment. To date, no comprehensive synthesis of data has been conducted specifically for functional outcomes. Relevant databases were searched according to Preferred Reporting Items for Systematic reviews and Meta-analyses guidelines during the period 2000 to 2015 of Levels 1 and 2 studies comparing functional outcomes of patient-specific instrumentation (PSI) versus conventional instrumentation...
December 1, 2016: Journal of Knee Surgery
https://www.readbyqxmd.com/read/27898989/identifying-an-ideal-time-frame-for-staged-bilateral-total-knee-arthroplasty-to-maximize-functional-outcome
#16
Jared Ze Yang Yeh, Jerry Yongqiang Chen, Wu Chean Lee, Hwei Chi Chong, Hee Nee Pang, Darren Keng Jin Tay, Shi-Lu Chia, Ngai Nung Lo, Seng Jin Yeo
Compared with staged bilateral total knee arthroplasty (TKA), simultaneous bilateral TKA carries a higher risk of cardiac complications, pulmonary complications, and mortality, especially in patients with preexisting cardiopulmonary disease or advanced age. However, the period of time between staged TKAs that would eliminate these increased risks has yet to be determined. The purpose of this study is to evaluate complication rates and functional outcome in patients who underwent staged bilateral TKA and to determine an optimal time frame for the second knee...
November 29, 2016: Journal of Knee Surgery
https://www.readbyqxmd.com/read/27894176/complications-and-short-term-outcomes-of-medial-opening-wedge-high-tibial-osteotomy-using-a-locking-plate-for-medial-osteoarthritis-of-the-knee
#17
Seung-Suk Seo, Ok-Gul Kim, Jin-Hyeok Seo, Do-Hoon Kim, Youn-Gu Kim, In-Seung Lee
Purpose: The purpose of this study was to investigate complications and radiologic and clinical outcomes of medial opening wedge high tibial osteotomy (MOWHTO) using a locking plate. Materials and Methods: This study reviewed 167 patients who were treated with MOWHTO using a locking plate from May 2012 to June 2014. Patients without complications were classified into group 1 and those with complications into group 2. Medical records, operative notes, and radiographs were retrospectively reviewed to identify complications...
December 1, 2016: Knee Surgery & related Research
https://www.readbyqxmd.com/read/27855775/use-of-closed-suction-drain-after-primary-total-knee-arthroplasty-an-overrated-practice
#18
Gaurav M Sharma, Gauresh Palekar, Dilip D Tanna
PURPOSE: The age-old practice of closed suction drain following orthopedic procedures has been challenged since past few decades. Our aim was to assess the effectiveness of closed suction drain after total knee arthroplasty. MATERIALS AND METHODS: One hundred twenty patients (135 knees) with primary Total Knee Arthroplasty were divided into a study group (no drain) and a control group (drain used). Inclusion criteria were grade 3 and grade 4 osteoarthritis of the knee...
2016: SICOT-J
https://www.readbyqxmd.com/read/27761742/cementless-metaphyseal-sleeves-without-stem-in-revision-total-knee-arthroplasty
#19
David Gøttsche, Thomas Lind, Thorbjørn Christiansen, Henrik M Schrøder
INTRODUCTION: Revision total knee arthroplasty with a cementless metaphyseal sleeve is suggested to be used without stem in revision total knee arthroplasty (rTKA). To the best of our knowledge, no papers investigating this have been published. The purpose of this study was to evaluate clinical outcome. METHOD: In this retrospective study, 71 patients operated with rTKA with sleeves without stem in the period 2009-2011 were identified; 63 were examined. All patients with the prosthesis still in place were invited to a medical examination including X-rays...
December 2016: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/27755599/a-systematic-review-of-the-effects-of-single-event-multilevel-surgery-on-gait-parameters-in-children-with-spastic-cerebral-palsy
#20
Robert P Lamberts, Marlette Burger, Jacques du Toit, Nelleke G Langerak
BACKGROUND: Three-dimensional gait analysis (3DGA) is commonly used to assess the effect of orthopedic single-event multilevel surgery (SEMLS) in children with spastic cerebral palsy (CP). PURPOSE: The purpose of this systematic review is to provide an overview of different orthopedic SEMLS interventions and their effects on 3DGA parameters in children with spastic CP. METHODS: A comprehensive literature search within six databases revealed 648 records, from which 89 articles were selected for the full-text review and 24 articles (50 studies) included for systematic review...
2016: PloS One
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