keyword
https://read.qxmd.com/read/38501253/higher-satisfaction-and-function-scores-in-restricted-kinematic-alignment-versus-mechanical-alignment-with-medial-pivot-design-total-knee-arthroplasty-a-prospective-randomised-controlled-trial
#21
JOURNAL ARTICLE
Max Ettinger, Lare-Rene Tuecking, Peter Savov, Henning Windhagen
PURPOSE: Restricted kinematic alignment (rKA) in total knee arthroplasty (TKA) and medial pivot (MP) knee designs already showed superior outcomes in independent comparative studies. The objective of this study was to assess whether rKA with MP TKA provides better clinical and functional outcomes compared to mechanical alignment (MA) with MP TKA. METHODS: This is a randomised, parallel two group study involving a total of 98 patients with end-stage knee osteoarthritis...
March 19, 2024: Knee Surgery, Sports Traumatology, Arthroscopy
https://read.qxmd.com/read/38497249/impact-of-sugammadex-and-neostigmine-on-outcome-after-major-orthopaedic-surgery-a-population-based-analysis
#22
JOURNAL ARTICLE
Crispiana Cozowicz, Haoyan Zhong, Jashvant Poeran, Alex Illescas, Jiabin Liu, Lazaros A Poultsides, Vassilis Athanassoglou, Stavros G Memtsoudis
BACKGROUND: Residual neuromuscular blockade after surgery remains a major concern given its association with pulmonary complications. However, current clinical practices with and the comparative impact on perioperative risk of various reversal agents remain understudied. OBJECTIVE: We investigated the use of sugammadex and neostigmine in the USA, and their impact on postoperative complications by examining national data. DESIGN: This population-based retrospective study used national Premier Healthcare claims data...
March 18, 2024: European Journal of Anaesthesiology
https://read.qxmd.com/read/38495580/outcomes-of-operatively-managed-periprosthetic-distal-femur-fractures-compared-to-fractures-in-patients-with-native-knees
#23
JOURNAL ARTICLE
Nicholas Bostrom, Thomas Z Paull, Mai P Nguyen
INTRODUCTION: With the increasing incidence of total knee arthroplasty (TKA), there is an expected rise in rate of periprosthetic fractures in the coming years. It is unclear how the outcomes of patients with distal femur fractures (DFF) and a total knee arthroplasty compare to patients of the same age group with native knees (NK). MATERIALS AND METHODS: A retrospective review was completed for distal femur fractures treated with surgical fixation from January 2019-March 2021...
July 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38493963/the-impact-of-cardiac-arrhythmias-on-total-knee-arthroplasty-outcomes
#24
JOURNAL ARTICLE
Travis Kotzur, Aaron Singh, Kathleen Lundquist, Jake Dickinson, Blaire Peterson, Frank Buttacavoli, Chance Moore
INTRODUCTION: Cardiac comorbidities are common in patients undergoing total knee arthroplasty (TKA). While there is an abundance of research showing an association between cardiac abnormalities and poor postoperative outcomes, relatively little is published on specific pathologies. The aim of this study was to assess the impact of cardiac arrhythmias on postoperative outcomes in the setting of TKA. METHODS: This retrospective cohort study included all patients undergoing TKA from a national database, from 2016 to 2019...
March 15, 2024: Journal of Arthroplasty
https://read.qxmd.com/read/38492539/does-the-use-of-tibial-stem-extensions-reduce-the-risk-of-aseptic-loosening-in-obese-patients-undergoing-primary-total-knee-arthroplasty-a-systematic-review-and-meta-analysis
#25
REVIEW
Yushy Zhou, Siddharth Rele, Osama Elsewaisy
BACKGROUND: This study aimed to compare the risk of revision for aseptic loosening in obese (body mass index >30 kg/m2 ) patients with stemmed (ST) versus non-stemmed (NST) tibial implants in primary total knee arthroplasty (TKA). METHODS: A systematic review and meta-analysis were conducted following PRISMA and MOOSE guidelines. Studies reporting a direct comparison between ST and NST tibial implants in obese patients were included. The primary outcome of interest was revision for aseptic loosening...
March 15, 2024: Knee
https://read.qxmd.com/read/38492064/clinical-outcomes-of-patellofemoral-arthroplasty-robotic-assistance-produces-superior-short-and-mid-term-outcomes
#26
JOURNAL ARTICLE
Jonathan L Katzman, Weston Buehring, Muhammad A Haider, Patrick Connolly, Ran Schwarzkopf, Ivan Fernandez-Madrid
INTRODUCTION: Patellofemoral arthroplasty (PFA) has been shown to provide symptomatic improvement for isolated patellofemoral osteoarthritis (PFOA). The efficacy of robotic-assisted PFA and the most suitable PFA implant design, however, remain ongoing matters of debate. This study sought to compare clinical outcomes between patients who underwent robotic-assisted versus conventional PFAs with inlay and onlay prosthetic designs. METHODS: A single-center retrospective review found 237 knees (211 patients) which underwent PFA between 2011 and 2021...
March 16, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38492035/postoperative-bisphosphonates-use-is-associated-with-reduced-adverse-outcomes-after-primary-total-joint-arthroplasty-of-hip-and-knee-a-nationwide-population-based-cohort-study
#27
JOURNAL ARTICLE
Jen-Ta Shih, Timothy L Tan, Pei-Hung Shen, Tsu-Te Yeh, Chia-Chun Wu, Ru-Yu Pan, Wu-Chien Chien, Chi-Hsiang Chung, Sheng-Hao Wang
Bisphosphonates have been associated with a decreased risk of revision surgery after total joint arthroplasty of the hip or knee (TJA) because of their effects on decreased periprosthetic bone loss and prosthetic migration. However, the results in the early literature are inconsistent, and the influence of bisphosphonates on associated complications and subsequent TJA remains unknown. This study investigated the association between the use of bisphosphonates and the risk of adverse outcomes after primary TJA...
March 16, 2024: Calcified Tissue International
https://read.qxmd.com/read/38488903/incidence-of-patella-baja-and-pseudopatella-baja-in-aseptic-revision-total-knee-arthroplasty
#28
JOURNAL ARTICLE
Dimitrios A Flevas, Marco Brenneis, Allina Nocon, Ioannis Gkiatas, Wali Pirzada, Georgios Tsakotos, Peter K Sculco
INTRODUCTION: There are two variants regarding the low location of the patella in relation to the tibio-femoral joint line: patella baja (PB) and pseudo-patella baja (PPB). The purpose of this study is to investigate the incidence of PB and PPB in a cohort of patients that underwent revision total knee arthroplasty (rTKA) for aseptic reasons and describe any differences in each group's ROM. METHODS: This retrospective study included 114 patients that underwent aseptic revision TKA surgery between 2017 and 2022...
March 15, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38484585/prognostic-value-of-perioperative-high-sensitivity-troponin-in-patients-undergoing-hip-and-knee-arthroplasty
#29
JOURNAL ARTICLE
Fábio de Souza, Kelly Biancardini Gomes Barbato, Viviani Barreira Marangoni Ferreira, Danielle Menosi Gualandro, Bruno Caramelli
The authors conducted a prospective observational study to investigate the prognostic value of high-sensitivity Troponin I (hs-TnI) in the short- and long-term periods after orthopedic surgery, including Total Hip and Knee Arthroplasty (THA and TKA, respectively), in a tertiary orthopedic center in Brazil. Perioperative Myocardial Injury (PMI) was defined as an absolute increase in hs-TnI of ≥ 26 ng/L above preoperative values. The primary endpoint was all-cause mortality assessed at 30 days and 18 months after surgery...
March 12, 2024: Clinics
https://read.qxmd.com/read/38479573/a-systematic-review-and-meta-analysis-of-antibiotic-loaded-bone-cement-for-prevention-of-deep-surgical-site-infections-following-primary-total-joint-replacement
#30
JOURNAL ARTICLE
Hideo Kato, Yukihiro Hamada, Shotaro Takano, Shinsuke Ikeda, Yoshinori Seto, Kazuhiko Matsushita, Koji Yamada, Katsufumi Uchiyama
BACKGROUND: The use of antibiotic-loaded bone cement (ALBC) as a mean for preventing deep surgical site infections (SSI) after total joint replacement is controversial. Therefore, we have conducted a meta-analysis to evaluate the prophylactic effect of ALBC for SSI prevention in patients undergoing arthroplasty. This study was conducted to revise treatment guidelines for MRSA infections in Japan. METHODS: PubMed (Medline), Scopus, Embase, Web of Science and Cochrane library were searched for relevant articles comparing preventive effect of ALBC for patients undergoing primary total joint arthroplasty by August 2022...
March 12, 2024: Journal of Infection and Chemotherapy: Official Journal of the Japan Society of Chemotherapy
https://read.qxmd.com/read/38473607/cemented-vs-cementless-fixation-in-primary-knee-replacement-a-narrative-review
#31
REVIEW
Mikołaj Wilczyński, Michał Bieniek, Przemysław Krakowski, Robert Karpiński
Knee osteoarthritis (OA) is one of the leading causes of disability around the globe. Osteoarthritis is mainly considered a disease affecting the elderly. However, more and more studies show that sports overuse, obesity, or congenital disorders can initiate a pathologic cascade that leads to OA changes in the younger population. Nevertheless, OA mostly affects the elderly, and with increasing life expectancy, the disease will develop in more and more individuals. To date, the golden standard in the treatment of the end-stage of the disease is total joint replacement (TJR), which restores painless knee motion and function...
February 29, 2024: Materials
https://read.qxmd.com/read/38472434/the-impact-of-asymptomatic-human-immunodeficiency-virus-hiv-positive-disease-status-on-inpatient-complications-following-total-joint-arthroplasty-a-propensity-score-matched-analysis
#32
JOURNAL ARTICLE
Neil V Shah, Matthew J Lettieri, David Kim, Jack J Zhou, Nathaniel Pineda, Bassel G Diebo, Colin Y L Woon, Qais Naziri
PURPOSE: The number of patients with asymptomatic human immunodeficiency virus (AHIV) is increasing as the efficacy of antiretroviral therapy improves. While there is research on operative risks associated with having HIV, there is a lack of literature describing the impact of well-controlled HIV on postoperative complications. This study seeks to elucidate the impact of AHIV on postoperative outcomes after total hip (THA) and knee (TKA) arthroplasty. METHODS: The Nationwide Inpatient Sample was retrospectively reviewed for patients undergoing TKA and THA from 2005 to 2013...
March 12, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/38467650/compliance-with-australian-orthopaedic-association-guidelines-does-not-reduce-the-risk-of-venous-thromboembolism-after-total-hip-and-knee-arthroplasty
#33
JOURNAL ARTICLE
Helen Badge, Tim Churches, Justine M Naylor, Wei Xuan, Elizabeth Armstrong, Leeanne Gray, John Fletcher, Iain Gosbell, Chung-Wei Christine Lin, Ian A Harris
Preventing avoidable venous-thrombo-embolism (VTE) is a priority to improve patient and service outcomes after total hip and total knee arthroplasty (THA, TKA), but compliance with relevant clinical guidelines varies. This study aims to determine the degree to which prophylaxis was compliant with Australian Orthopaedic Association (AOA) VTE prophylaxis guidelines and whether non-compliance is associated with increased risk of VTE. A prospective multi-centre cohort study of adults with osteoarthritis undergoing primary TKA/THA was completed at 19 high-volume public and private hospitals...
March 12, 2024: Scientific Reports
https://read.qxmd.com/read/38467202/the-association-between-oral-bone-mineral-density-reducing-medications-and-the-risk-of-2-year-implant-related-complications-following-total-knee-arthroplasty
#34
JOURNAL ARTICLE
Emile-Victor Kuyl, Philip M Parel, Amil R Agarwal, Alex Gu, Andrew B Harris, Sandesh Rao, Gregory J Golladay, Savyasachi C Thakkar
INTRODUCTION: Certain medications interfere with the bone remodeling process and may potentially increase the risk of complications after total knee arthroplasty (TKA). As patients undergoing TKA may be taking these bone mineral density (BMD)-reducing medications, it is unclear as to whether and which medications impact TKA outcomes. Therefore, the purpose of this study was to observe the impact of various BMD-reducing medications on 2-year implant-related complications following TKA...
March 9, 2024: Journal of Arthroplasty
https://read.qxmd.com/read/38466828/site-of-service-disparities-exist-for-total-joint-arthroplasty
#35
JOURNAL ARTICLE
Nicole M Truong, Chelsea V Leversedge, Thompson Zhuang, Lauren M Shapiro, Matthew Whittaker, Robin N Kamal
BACKGROUND: The rate of outpatient total joint arthroplasty procedures, including those performed at ambulatory surgical centers (ASCs) and hospital outpatient departments, is increasing. The purpose of this study was to analyze if type of insurance is associated with site of service (inpatient vs outpatient) for total joint arthroplasty and adverse outcomes. MATERIALS AND METHODS: We identified patients undergoing unicompartmental knee arthroplasty (UKA), total knee arthroplasty (TKA), or total hip arthroplasty (THA) using Current Procedural Terminology codes in a national administrative claims database...
March 12, 2024: Orthopedics
https://read.qxmd.com/read/38464356/mid-term-outcomes-of-a-kinematically-designed-cruciate-retaining-total-knee-arthroplasty
#36
JOURNAL ARTICLE
Jonathan L Katzman, Akram A Habibi, Muhammad A Haider, Casey Cardillo, Ivan Fernandez-Madrid, Morteza Meftah, Ran Schwarzkopf
BACKGROUND: Advances in implant material and design have allowed for improvements in total knee arthroplasty (TKA) outcomes. A cruciate retaining (CR) TKA provides the least constraint of TKA designs by preserving the native posterior cruciate ligament. Limited research exists that has examined clinical outcomes or patient reported outcome measures (PROMs) of a large cohort of patients undergoing a CR TKA utilizing a kinematically designed implant. It was hypothesized that the studied CR Knee System would demonstrate favorable outcomes and a clinically significant improvement in pain and functional scores...
February 18, 2024: World Journal of Orthopedics
https://read.qxmd.com/read/38464351/assessment-of-the-effectiveness-of-weight-adjusted-antibiotic-administration-for-reduced-duration-in-surgical-prophylaxis-of-primary-hip-and-knee-arthroplasty
#37
JOURNAL ARTICLE
Tosan Okoro, Michael Wan, Takura Darlington Mukabeta, Ella Malev, Marketa Gross, Claudia Williams, Muhammad Manjra, Jan Herman Kuiper, John Murnaghan
BACKGROUND: Prophylactic antibiotics have significantly led to a reduction in the risk of post-operative surgical site infections (SSI) in orthopaedic surgery. The aim of using antibiotics for this purpose is to achieve serum and tissue drug levels that exceed, for the duration of the operation, the minimum inhibitory concentration of the likely organisms that are encountered. Prophylactic antibiotics reduce the rate of SSIs in lower limb arthroplasty from between 4% and 8% to between 1% and 3%...
February 18, 2024: World Journal of Orthopedics
https://read.qxmd.com/read/38463662/post-operative-protein-supplementation-following-orthopaedic-surgery-a-systematic-review
#38
REVIEW
Andrew George, Brendan M Holderread, Bradley S Lambert, Joshua D Harris, Patrick C McCulloch
Decreased mechanical loading after orthopaedic surgery predisposes patients to develop muscle atrophy. The purpose of this review was to assess whether the evidence supports oral protein supplementation can help decrease postoperative muscle atrophy and/or improve patient outcomes following orthopaedic surgery. A systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA). PubMed (MEDLINE), Embase, Scopus, and Web of Science were searched for randomized controlled trials that assessed protein or amino acid supplementation in patients undergoing orthopaedic surgery...
March 2024: Sports medicine and health science
https://read.qxmd.com/read/38461859/first-knee-for-pain-and-function-versus-second-knee-for-quality-of-life
#39
JOURNAL ARTICLE
Adriane M Lewin, Kara Cashman, Dylan Harries, Ilana N Ackerman, Justine M Naylor, Ian A Harris
AIMS: The aim of this study was to describe and compare joint-specific and generic health-related quality of life outcomes of the first versus second knee in patients undergoing staged bilateral total knee arthroplasty (BTKA) for osteoarthritis. METHODS: This retrospective cohort study used Australian national arthroplasty registry data from January 2013 to January 2021 to identify participants who underwent elective staged BTKA with six to 24 months between procedures...
March 11, 2024: Bone & joint open
https://read.qxmd.com/read/38459532/characterizing-patient-factors-perioperative-interventions-and-outcomes-associated-with-inpatients-falls-after-total-knee-arthroplasty
#40
JOURNAL ARTICLE
Kyle W Lawrence, Lauren Link, Patricia Lavin, Ran Schwarzkopf, Joshua C Rozell
INTRODUCTION: Mechanical falls represent a potential adverse event after total knee arthroplasty (TKA) and may introduce further injury and delay postoperative recovery. This study aimed to identify patient characteristics associated with inpatient falls, to determine the impact of inpatient falls on surgical outcomes following TKA, and to describe the relationship between tourniquet and/or adductor canal block (ACB) use and fall rates. METHODS: Patients undergoing primary, elective TKA at a single institution between 2018 and 2022 were retrospectively analyzed...
March 8, 2024: Knee Surgery & related Research
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