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Osteoarthritis, Knee

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https://www.readbyqxmd.com/read/28454195/-unicompartmental-vs-total-knee-arthroplasty-for-medial-osteoarthritis
#1
Tilman Pfitzner, Carsten Perka, Philipp von Roth
Background In end-stage medial osteoarthritis, the surgeon can decide whether to use unicompartmental or total knee arthroplasty for operative treatment of the patient. Despite the available literature there is a lack of evidence to suggest if one procedure can be rated as being superior to the other. With increasing demand for knee arthroplasty, treatment with the highest expectation of success will be of particular interest. The purpose of this manuscript was to analyse and compare the available literature on unicompartmental vs...
April 28, 2017: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/28453872/cross-sectional-study-of-the-feasibility-of-urinating-in-a-standing-position-among-women-in-the-third-trimester-of-pregnancy
#2
Pei-Yu Yang, Chi-Cheng Chen, Cherry Yin-Yi Chang, Eric Chieh-Lung Chou, Nai-Hsin Meng
Using a homemade auxiliary device, urinating in a standing position was a feasible alternative to a seated position for women during pregnancy. Pregnant women can experience difficulty voiding in a squatting or crouching position in the absence of a sitting toilet; voiding in a standing position represents a potential alternative. In previous studies [1, 2], voiding in the standing position using a homemade auxiliary device was demonstrated to be a feasible alternative for both young, healthy women [1] and elderly patients with knee osteoarthritis [2]...
April 28, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28448711/-cemented-polyethylene-insert-in-a-well-fixed-total-knee-replacement-case-report
#3
F E García-Dobarganes Barlow, J Negrete-Corona, A A Díaz-Tovar
We present the case of a 94 years- old patient, which was operated 14 years ago of a right total knee replacement for osteoarthritis, actually she suffers of pain and instability; her X ray shown polyethylene wear without loosening of the metal components. The polyethylene insert is not manufactured anymore so we decided cement a new polyethylene insert on the native tibial baseplate. The two years follow up show us a patient asymptomatic, good function and no radiolucencies on the tibial component. We only found a similar case report in Madrid and we believed that this decision, taken from total hip revisions, will succeed...
September 2016: Acta Ortopédica Mexicana
https://www.readbyqxmd.com/read/28448518/clinical-efficacy-and-safety-of-mesenchymal-stem-cell-transplantation-for-osteoarthritis-treatment-a-meta-analysis
#4
Ma Yubo, Li Yanyan, Li Li, Sun Tao, Lin Bo, Chen Lin
PURPOSE: The aim of this study was to evaluate the therapeutic efficacy and safety of mesenchymal stem cells (MSCs) for the treatment of patients with knee osteoarthritis (OA). MATERIALS: We performed a meta-analysis of relevant published clinical studies. An electronic search was conducted for randomized controlled trials (RCTs) of MSC-based therapy in knee OA. The visual analogue scale (VAS), International Knee Documentation Committee (IKDC) form, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Lequesne algofunctional indices (Lequesne), Lysholm knee scale (Lysholm), Tegner activity scale (Tegner) and adverse events (AEs) were evaluated...
2017: PloS One
https://www.readbyqxmd.com/read/28448087/effect-of-a-mediterranean-type-diet-on-inflammatory-and-cartilage-degradation-biomarkers-in-patients-with-osteoarthritis
#5
J Dyer, G Davison, S M Marcora, A R Mauger
OBJECTIVES: To investigate the effects of a Mediterranean type diet on patients with osteoarthritis (OA). PARTICIPANTS: Ninety-nine volunteers with OA (aged 31 - 90 years) completed the study (83% female). SETTING: Southeast of England, UK. DESIGN: Participants were randomly allocated to the dietary intervention (DIET, n = 50) or control (CON, n = 49). The DIET group were asked to follow a Mediterranean type diet for 16 weeks whereas the CON group were asked to follow their normal diet...
2017: Journal of Nutrition, Health & Aging
https://www.readbyqxmd.com/read/28447401/valgus-malalignment-and-prevalence-of-lateral-compartmental-radiographic-knee-osteoarthritis-oa-the-wuchuan-oa-study
#6
Bin Wang, Qiang Liu, Barton L Wise, Yan Ke, Dan Xing, Yuankun Xu, Yuqing Zhang, Jianhao Lin
AIM: To evaluate whether knee alignment explains the higher prevalence of lateral compartment tibiofemoral radiographic osteoarthritis (TFROA) among rural Chinese compared with that among Whites. METHODS: The Wuchuan OA Study is a population-based longitudinal study of risk factors for knee OA. At baseline 1030 participants had home interviews, clinical examinations and weight-bearing posteroanterior semi-flexed radiographs of the tibiofemoral joints. Anatomic knee alignment was measured using an e-film workstation and divided into three categories: normal (182°-184°), valgus (> 184°), and varus (< 182°) alignment...
April 26, 2017: International Journal of Rheumatic Diseases
https://www.readbyqxmd.com/read/28447140/quadriceps-muscle-weakness-is-related-to-increased-risk-of-radiographic-knee-oa-but-not-its-progression-in-both-women-and-men-the-matsudai-knee-osteoarthritis-survey
#7
Shigeru Takagi, Go Omori, Hiroshi Koga, Kazuo Endo, Yoshio Koga, Atsushi Nawata, Naoto Endo
PURPOSE: The purpose of this study was to investigate the causal relationship between quadriceps muscle strength and radiographic knee osteoarthritis (OA) in a longitudinal study. METHODS: The present study included 976 knees from 488 subjects who participated in both the 5th (2007) and 7th (2013) surveys of the Matsudai Knee Osteoarthritis Survey. Bilateral quadriceps strengths of each subject were measured using the quadriceps training machine (QTM-05F, Alcare Co...
April 26, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28445855/speed-dependent-effects-of-laterally-wedged-insoles-on-gait-biomechanics-in-healthy-subjects
#8
Felix Kluge, Sebastian Krinner, Matthias Lochmann, Bjoern M Eskofier
Laterally wedged insoles have been shown to be effective for the reduction of the knee adduction moment and other biomechanical variables that are associated with the pathogenesis of knee osteoarthritis. However, inconclusive results such as adverse effects in individual subjects or even no group-wise wedge effects have been presented in different studies and it has been suggested to identify variables that potentially confound the wedge effect. The main objective of this study was the investigation of interaction effects of lateral wedges with walking speed, as different self-selected speeds have mainly been used in previous studies...
April 9, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28445775/changes-in-social-isolation-and-loneliness-following-total-hip-and-knee-arthroplasty-longitudinal-analysis-of-the-english-longitudinal-study-of-ageing-elsa-cohort
#9
Toby O Smith, Jack R Dainty, Alex Macgregor
OBJECTIVE: To determine the prevalence and change in social isolation and loneliness in people before and after THA and TKA in England. DESIGN: The English Longitudinal Study of Ageing dataset, a prospective study of community-dwelling older adults, was used to identify people who had undergone primary THA or TKA because of osteoarthritis. Social isolation was assessed using the ELSA Social Isolation Index. Loneliness was evaluated using the Revised University of California, Los Angeles (UCLA) Loneliness Scale...
April 23, 2017: Osteoarthritis and Cartilage
https://www.readbyqxmd.com/read/28444338/aquatic-exercise-for-the-treatment-of-hip-and-knee-osteoarthritis
#10
Marcia R Franco, Priscilla K Morelhão, Augusto Cesinando, Rafael Z Pinto
Highlights the findings and application of Cochrane reviews and other evidence pertinent to the practice of physical therapy. The Cochrane library is a respected source of reliable evidence related to health care. Cochrane systematic reviews explore the evidence for and against the effectiveness and appropriateness of interventions-medications, surgery, education, nutrition, exercise-and the evidence for and against the use of diagnostic tests for specific conditions. Cochrane reviews are designed to facilitate the decisions of clinicians, patients, and others in health care by providing a careful review and interpretation of research studies published in the scientific literature...
April 21, 2017: Physical Therapy
https://www.readbyqxmd.com/read/28443512/clinical-and-radiographic-features-of-knee-osteoarthritis-of-elderly-patients
#11
Hana Sahli, Aicha Ben Tekaya, Selim Daas, Ines Mahmoud, Rawdha Tekaya
BACKGROUND: Knee osteoarthritis is a common pathology, characterized by a prevalence that increases with age. Absence of anatomo-clinical correlation its management complex, particularly in a geriatric setting where it is not well studied. OBJECTIVE: The aim of the present study is to investigate the epidemio-clinical profile, functional impairment and radiographic features of knee osteoarthritis in the old patients versus younger patients (<65 years). METHODS: Cross-sectional study including patients who were monitored for 6 months at a rheumatology department for knee osteoarthritis...
April 25, 2017: Current Rheumatology Reviews
https://www.readbyqxmd.com/read/28442928/the-efficacy-and-safety-of-s-flurbiprofen-plaster-in-the-treatment-of-knee-osteoarthritis-a-phase-ii-randomized-double-blind-placebo-controlled-dose-finding-study
#12
Ikuko Yataba, Noboru Otsuka, Isao Matsushita, Hideo Matsumoto, Yuichi Hoshino
BACKGROUND: Nonsteroidal anti-inflammatory drug (NSAID) patches are convenient for use and show much less gastrointestinal side effects than oral NSAIDs, whereas its percutaneous absorption is not sufficient for the expression of clinical efficacy at satisfactory level. S-flurbiprofen plaster (SFPP) has shown dramatic improvement in percutaneous absorption results from animal and clinical studies. In this study, the efficacy and safety of SFPP were compared with placebo in patients with knee osteoarthritis (OA) to determine its optimal dose...
2017: Journal of Pain Research
https://www.readbyqxmd.com/read/28442110/ethanolic-extracts-of-babandotan-leaves-ageratum-conyzoides-l-prevents-inflammation-and-proteoglycan-degradation-by-inhibiting-tnf-%C3%AE-and-mmp-9-on-osteoarthritis-rats-induced-by-monosodium-iodoacetate
#13
Anton Bahtiar, Mutiara Nurazizah, Tirza Roselina, Anita Paulina Tambunan, Ade Arsianti
OBJECTIVE: To analyze the effects of Ageratum conyzoides L. on the monosodium iodoacetate induced osteoarthritis rats. METHODS: Thin layer chromatography was performed to analyze the constituents of the babandotan extract leaves. White male Sprague-Dawley rats used in this study were divided into 6 groups: normal control and negative control groups, both given 0.5% carboxymethyl cellulose; the positive control group that was given glucosamine and chondroitin suspension (486 mg/200 g B...
March 2017: Asian Pacific Journal of Tropical Medicine
https://www.readbyqxmd.com/read/28442078/knee-pain-in-adolescents-prevalence-risk-factors-and-functional-impairment
#14
Mirelle O Saes, Maria C F Soares
OBJECTIVE: To investigate knee pain prevalence, associated factors, and functional impairment among adolescents. METHOD: This was a cross-sectional study conducted between May and June 2014 with a random sample of 619 adolescents aged between 10 and 17 years. Knee pain prevalence was investigated using the Nordic Questionnaire for Osteomuscular Symptoms and a number of independent variables (demographic data, nutritional status, form of carrying backpacks, and pain during and after walking) obtained by self-report questionnaires...
January 2017: Brazilian Journal of Physical Therapy
https://www.readbyqxmd.com/read/28439705/cementless-oxford-medial-unicompartimental-knee-replacement-an-independent-series-with-a-5-year-follow-up
#15
Benjamin Panzram, Ines Bertlich, Tobias Reiner, Tilman Walker, Sébastien Hagmann, Tobias Gotterbarm
PURPOSE: Cemented unicompartmental knee replacement (UKR) has proven excellent long-term survival rates and functional scores in Price et al. (Clin Orthop Relat Res 435:171-180, 2005), Price and Svard (Clin Orthop Relat Res 469(1):174-179, 2011) and Murray et al. (Bone Joint Surg Br 80(6):983-989, 1998). The main causes for revision, aseptic loosening and pain of unknown origin might be addressed by cementless UKR in Liddle et al. (Bone Joint J 95-B(2):181-187, 2013), Pandit et al. (J Bone Joint Surg Am 95(15):1365-1372, 2013), National Joint Registry for England, Wales and Northern Ireland: 10th Annual Report 2013 ( http://www...
April 24, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28439701/the-influence-of-different-sets-of-surgical-instrumentation-in-oxford-uka-on-bearing-size-and-component-position
#16
Tilman Walker, Pascal Heinemann, Thomas Bruckner, Marcus R Streit, Stefan Kinkel, Tobias Gotterbarm
INTRODUCTION: The Oxford unicompartmental knee arthroplasty (OUKA) has been proven to be an effective treatment for anteromedial osteoarthritis of the knee joint. New instrumentation has been introduced to improve the reproducibility of implant positioning and to minimize bone loss during tibial resection (Oxford Microplasty; Zimmer Biomet, Warsaw, Indiana, USA). METHODS: To assess the effect of the new instrumentation, we retrospectively evaluated the postoperative radiographs and surgical records of 300 OUKAs in three consecutive cohorts of patients...
April 24, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28439649/differences-in-tibial-subchondral-bone-structure-evaluated-using-plain-radiographs-between-knees-with-and-without-cartilage-damage-or-bone-marrow-lesions-the-oulu-knee-osteoarthritis-study
#17
Jukka Hirvasniemi, Jérôme Thevenot, Ali Guermazi, Jana Podlipská, Frank W Roemer, Miika T Nieminen, Simo Saarakkala
OBJECTIVES: To investigate whether subchondral bone structure from plain radiographs is different between subjects with and without articular cartilage damage or bone marrow lesions (BMLs). METHODS: Radiography-based bone structure was assessed from 80 subjects with different stages of knee osteoarthritis using entropy of Laplacian-based image (ELap) and local binary patterns (ELBP), homogeneity index of local angles (HIAngles,mean), and horizontal (FDHor) and vertical fractal dimensions (FDVer)...
April 24, 2017: European Radiology
https://www.readbyqxmd.com/read/28439638/total-knee-arthroplasty-using-ultra-congruent-inserts-can-provide-similar-stability-and-function-compared-with-cruciate-retaining-total-knee-arthroplasty
#18
Eun-Kyoo Song, Hong-An Lim, Sang-Don Joo, Sung-Kyu Kim, Keun-Bae Lee, Jong-Keun Seon
PURPOSE: Recently, ultra-congruent (UC) inserts have shown successful outcomes following total knee arthroplasty (TKA). It was hypothesized that patients in the UC group would not show significantly different in vivo stability or functional outcomes from those in the cruciate-retaining (CR) group. METHODS: The prospective study enrolled patients who had been treated with either CR or UC TKAs (38 cases in each group), after a minimum 3-year follow-up. The same surgical technique was used with the same femoral components in both groups except for the polyethylene inserts (CR or UC)...
April 24, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28438380/the-role-of-muscle-strengthening-in-exercise-therapy-for-knee-osteoarthritis-a-systematic-review-and-meta-regression-analysis-of-randomized-trials
#19
REVIEW
Cecilie Bartholdy, Carsten Juhl, Robin Christensen, Hans Lund, Weiya Zhang, Marius Henriksen
OBJECTIVES: To analyze if exercise interventions for patients with knee osteoarthritis (OA) following the American College of Sports Medicine (ACSM) definition of muscle strength training differs from other types of exercise, and to analyze associations between changes in muscle strength, pain, and disability. METHODS: A systematic search in 5 electronic databases was performed to identify randomized controlled trials comparing exercise interventions with no intervention in knee OA, and reporting changes in muscle strength and in pain or disability assessed as standardized mean differences (SMD) with 95% confidence intervals (95% CI)...
March 18, 2017: Seminars in Arthritis and Rheumatism
https://www.readbyqxmd.com/read/28438185/comparison-of-the-efficacy-between-conventional-moxibustion-and-smoke-free-moxibustion-on-knee-osteoarthritis-study-protocol-of-a-randomized-controlled-trial
#20
Lin-Lin Zhu, Jian-Ying Zhou, Ling Luo, Xiang Wang, Jia-Xi Peng, Sha-Sha Chen, Hai-Yan Yin, Qiao-Feng Wu, Cheng-Shun Zhang, Peng Lv, Yong Tang, Shu-Guang Yu
BACKGROUND: Conventional moxibustion is a representative non-drug intervention in traditional Chinese medicine, and it has been reported to produce encouraging results and benefits in relieving symptoms and improving the quality of life for patients with knee osteoarthritis (KOA) in previous clinical trials and systematic reviews. Given that increasing concerns on the safety of generated smoke from conventional moxibustion have received much attention, smoke-free moxibustion is regarded as a potential alternative...
April 24, 2017: Trials
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