keyword
https://read.qxmd.com/read/38492062/relationship-between-increased-knee-joint-line-obliquity-after-medial-open-wedge-high-tibial-osteotomy-and-patient-reported-outcome-measures
#1
JOURNAL ARTICLE
Kazushi Horita, Shinichiro Okimura, Kodai Hamaoka, Yasutoshi Ikeda, Yohei Okada, Tomoaki Kamiya, Tomoyuki Suzuki, Atsushi Teramoto
INTRODUCTION: This study evaluated the correlation between postoperative knee joint line obliquity after medial open-wedge high tibial osteotomy and patient-reported outcome measures excluding excessively overcorrected knees. This study further identified preoperative radiological factors related to the increased postoperative knee joint line obliquity. MATERIALS AND METHODS: We retrospectively evaluated patients who underwent medial open-wedge high tibial osteotomy between March 2013 and March 2021...
March 16, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38490169/a-novel-measurement-approach-to-dynamic-change-of-limb-length-discrepancy-using-deep-learning-and-wearable-sensors
#2
JOURNAL ARTICLE
Jianning Wu, Yujie Shi, Xiaoyan Wu
The accurate identification of dynamic change of limb length discrepancy (LLD) in non-clinical settings is of great significance for monitoring gait function change in people's everyday lives. How to search for advanced techniques to measure LLD changes in non-clinical settings has always been a challenging endeavor in recent related research. In this study, we have proposed a novel approach to accurately measure the dynamic change of LLD outdoors by using deep learning and wearable sensors. The basic idea is that the measurement of dynamic change of LLD was considered as a multiple gait classification task based on LLD change that is clearly associated with its gait pattern...
2024: Science Progress
https://read.qxmd.com/read/38489396/effect-of-postoperative-kinesio-taping-on-knee-edema-pain-and-range-of-motion-after-total-knee-arthroplasty-and-anterior-cruciate-ligament-reconstruction-a-systematic-review-and-meta-analysis-of-randomized-clinical-trials
#3
JOURNAL ARTICLE
Amirali Azimi, Shayan Roshdi Dizaji, Fatemeh-Sadat Tabatabaei, Saeed Safari, Morteza Nakhaei Amroodi, Amir Farbod Azimi
BACKGROUND: Kinesio taping (KT) has been shown to be clinically effective in a wide range of musculoskeletal disorders. Despite evidence supporting KT, there still needs to be more certainty regarding its clinical worthiness in managing postoperative conditions. This study aims to assess the effect of postoperative KT on knee edema, pain, and range of motion (ROM) when added to routine physiotherapy after knee surgery. METHODS: In this systematic review and meta-analysis, MEDLINE, Embase, Scopus, Web of Science, and CENTRAL databases were searched from their inception to July 2023...
March 1, 2024: JBJS Reviews
https://read.qxmd.com/read/38488258/functional-knee-phenotypes-appear-to-be-more-suitable-for-the-chinese-oa-population-compared-with-cpak-classification-a%C3%A2-study-based-on-3d-ct-reconstruction-models
#4
JOURNAL ARTICLE
LiMing Liu, Kai Lei, Dekai Du, Yong Lin, Zhaoxun Pan, Lin Guo
PURPOSE: The aim of this study was to investigate the distribution of coronal plane alignment of the knee (CPAK) classification and functional knee phenotypes in a Chinese osteoarthritis (OA) population and to compare different lower limb alignment targets according to the distribution characteristics to find suitable total knee arthroplasty (TKA) bone cut strategies for the Chinese OA patients. METHODS: The computed tomography (CT) images were retrospectively collected and the three-dimensional (3D) models were reconstructed from 434 Chinese OA patients, including 93 males and 341 females, with a mean age of 66...
March 15, 2024: Knee Surgery, Sports Traumatology, Arthroscopy
https://read.qxmd.com/read/38488243/alignment-is-only-part-of-the-equation-high-variability-in-soft-tissue-distractibility-in-the-varus-knee-undergoing-primary-tka
#5
JOURNAL ARTICLE
Matthew J Grosso, Edgar A Wakelin, Christopher Plaskos, Gwo-Chin Lee
PURPOSE: The purpose of this study is to evaluate the in vivo medial and lateral joint laxities across various total knee arthroplasty (TKA) alignment categories correlated to (1) hip-knee-ankle angle, (2) proximal tibial angle and (3) distal femoral angle in a consecutive group of patients undergoing robotic-assisted TKA. METHODS: Using ligament tensions acquired during 805 robotic-assisted TKA with a dynamic ligament tensor under a load of 70-90 N, the relationship between medial and lateral collateral ligament laxity and overall limb alignment was established...
March 15, 2024: Knee Surgery, Sports Traumatology, Arthroscopy
https://read.qxmd.com/read/38486844/compliant-intramedullary-stems-for-joint-reconstruction
#6
JOURNAL ARTICLE
John A Mccullough, Brandon T Peterson, Alexander M Upfill-Brown, Thomas J Hardin, Jonathan B Hopkins, Nelson F Soohoo, Tyler R Clites
The longevity of current joint replacements is limited by aseptic loosening, which is the primary cause of non-infectious failure for hip, knee, and ankle arthroplasty. Aseptic loosening is typically caused either by osteolysis from particulate wear, or by high shear stresses at the bone-implant interface from over-constraint. Our objective was to demonstrate feasibility of a compliant intramedullary stem that eliminates over-constraint without generating particulate wear. The compliant stem is built around a compliant mechanism that permits rotation about a single axis...
2024: IEEE Journal of Translational Engineering in Health and Medicine
https://read.qxmd.com/read/38486644/prevention-of-equinus-deformity-after-external-fixation-for-open-tibia-fractures-a-comparison-between-plaster-of-paris-backslab-and-passive-ankle-physiotherapy
#7
JOURNAL ARTICLE
Samuel Quarshie Lartey, Henry Holdbrook-Smith, Daniel Tettey Baddoo, Agbeko Ocloo, Senyo Gudugbe
BACKGROUND: Ankle equinus deformity is a common complication of prolonged external fixator use in tibia fractures with an incidence of 15%-16%. It affects gait and may lead to foot, leg, and back problems. Treatment of equinus deformity increases the cost of treatment of open tibia fractures and increases the time spent off work. Several preventive modalities have been suggested in literature with variable success, but no standard protocol exists. OBJECTIVES: The aim of this study was to determine the most appropriate method of preventing equinus deformity of the ankle joint during the management of open tibia fractures with unilateral uniplanar external fixators by comparing plaster of paris (POP) backslab application with passive ankle physiotherapy using strips of car tyre inner tubing...
2024: Journal of the West African College of Surgeons
https://read.qxmd.com/read/38481070/effects-of-a-12-week-telehealth-exercise-intervention-on-gait-speed-and-gait-deviations-in-adults-with-down-syndrome
#8
JOURNAL ARTICLE
T Hilgenkamp, R Lum, C Roys, T Souza, D Stopka, S Mann, K-Y Ho
BACKGROUND: Altered gait patterns and reduced walking speed are commonly reported in adults with Down syndrome (DS). Research on the effects of DS-specific exercise programmes on adults with DS is lacking. The purpose of this quasi-experimental study was to evaluate the changes in gait deviations and walking speed in adults with DS after a DS-specific exercise programme. METHODS: Twenty participants underwent a 12-week, DS-specific exercise programme in a telehealth format...
March 13, 2024: Journal of Intellectual Disability Research: JIDR
https://read.qxmd.com/read/38480997/whole-body-and-targeted-narrowband-ultraviolet-b-phototherapy-effectively-stabilize-acral-vitiligo-with-negligible-repigmentation-beyond-wrists-and-ankles-results-from-a-split-body-randomized-controlled-trial
#9
RANDOMIZED CONTROLLED TRIAL
Anish Thind, Keshavamurthy Vinay, Hitaishi Mehta, Anuradha Bishnoi, Muthu Sendhil Kumaran, Davinder Parsad
BACKGROUND: Narrowband ultraviolet B (NB-UVB) phototherapy promotes stability and repigmentation in vitiligo. No studies have compared targeted NB-UVB with whole-body NB-UVB in treatment of acral vitiligo. OBJECTIVES: This randomized split-body study compared whole-body NB-UVB with targeted NB-UVB in inducing stability and repigmentation in acral vitiligo. METHODS: Thirty-two patients with bilaterally symmetrical acral vitiligo lesions (distal to elbows and knees) were recruited...
March 2024: Photodermatology, Photoimmunology & Photomedicine
https://read.qxmd.com/read/38478081/imaging-of-soccer-injuries-in-adolescent-female-athletes
#10
REVIEW
Fernanda Babler, Kara Gaetke-Udager, Eileen A Crawford, Corrie M Yablon
Soccer participation is increasing among female adolescents with a concomitant rise of injuries in this group. Age- and sex-related factors, such as the transition from skeletal immaturity to skeletal maturity as well as anatomic, physiologic, neuromuscular, and behavioral differences between females and males, all play a role in injury patterns for these athletes. Anterior cruciate ligament (ACL) tears in this group have received a great deal of attention in the medical literature and the media in recent years with increasing knowledge about causative factors, surgical management, and injury prevention...
March 13, 2024: Skeletal Radiology
https://read.qxmd.com/read/38477107/calipered-kinematic-alignment-restored-the-arithmetic-hip-knee-ankle-angle-achieved-high-satisfaction-and-improved-clinical-outcomes
#11
JOURNAL ARTICLE
Leina Suzuki, Selin Munir, Jorgen Hellman
PURPOSE: The purpose of this study was to determine whether unrestricted calipered kinematic alignment (KA), coupled with a medial-stabilised (MS) implant system, can reproduce the patient's constitutional alignment as per the arithmetic hip-knee-ankle (aHKA) and improve clinical outcomes. METHODS: One-hundred and ninety-three patients received total knee arthroplasty by the senior author. To determine whether the constitutional alignment was achieved, the postoperative hip-knee-ankle (HKA) alignment was compared against the aHKA...
March 13, 2024: Knee Surgery, Sports Traumatology, Arthroscopy
https://read.qxmd.com/read/38472313/tapping-into-the-human-spinal-locomotor-centres-with-transspinal-stimulation
#12
JOURNAL ARTICLE
Andreas Skiadopoulos, Maria Knikou
Human locomotion is controlled by spinal neuronal networks of similar properties, function, and organization to those described in animals. Transspinal stimulation affects the spinal locomotor networks and is used to improve standing and walking ability in paralyzed people. However, the function of locomotor centers during transspinal stimulation at different frequencies and intensities is not known. Here, we document the 3D joint kinematics and spatiotemporal gait characteristics during transspinal stimulation at 15, 30, and 50 Hz at sub-threshold and supra-threshold stimulation intensities...
March 12, 2024: Scientific Reports
https://read.qxmd.com/read/38471425/influence-of-ankle-invertor-muscle-fatigue-on-workload-of-the-lower-extremity-joints-during-single-leg-landing-in-the-sagittal-and-frontal-planes
#13
JOURNAL ARTICLE
Tomoyo Komatsu, Hiroshige Tateuchi, Tetsuya Hirono, Momoko Yamagata, Noriaki Ichihashi
BACKGROUND: Insufficient rigidity of the foot owing to its ligaments and muscles can decrease the attenuation of the ground reaction force during landing. Therefore, dysfunction of the ankle invertors may increase the proximal joint load during landing. RESEARCH QUESTION: What are the effects of the fatigued ankle invertors on workload in the lower extremity joints during single-leg landing? METHODS: Twenty-seven young adults (13 men and 14 women) performed landing trials in the forward and medial directions before and after exercise-induced fatigue of the ankle invertors...
March 2, 2024: Gait & Posture
https://read.qxmd.com/read/38470706/incidence-and-risk-factors-for-acute-articular-cartilage-tears-in-military-and-other-occupational-settings-a-systematic-review
#14
REVIEW
Kristy Robson, Rodney Pope, Robin Orr
UNLABELLED: Damage to the articular cartilage resulting in an acute tear can lead to functional changes within the joint and increase the risk of osteoarthritis developing. There is limited understanding of the association between occupational risk factors and sustaining an acute articular cartilage tear in the military and other physically demanding occupations. Therefore, the aim of this systematic review was to identify and evaluate original research reporting on occupational risk factors associated with sustaining acute articular cartilage tears...
March 6, 2024: Healthcare (Basel, Switzerland)
https://read.qxmd.com/read/38470376/influence-of-walking-over-unexpected-uneven-terrain-on-joint-loading-for-individuals-with-transtibial-amputation
#15
JOURNAL ARTICLE
Kristen M Stewart, Glenn Klute, Richard Neptune
Individuals with transtibial amputation (TTA) experience asymmetric lower-limb loading which can lead to joint pain and injuries. However, it is unclear how walking over unexpected uneven terrain affects their loading patterns. This study sought to use modeling and simulation to determine how peak joint contact forces and impulses change for individuals with unilateral TTA during an uneven step and subsequent recovery step and how those patterns compare to able-bodied individuals. We expected residual limb loading during the uneven step and intact limb loading during the recovery step would increase relative to flush walking...
March 12, 2024: Journal of Biomechanical Engineering
https://read.qxmd.com/read/38469940/simultaneous-mpfl-reconstruction-and-guided-growth-result%C3%A2-in-low-rates-of-recurrent-patellofemoral-instability
#16
JOURNAL ARTICLE
Joshua T Bram, Olivia C Tracey, Emilie Lijesen, Don T Li, Danielle E Chipman, Julia S Retzky, Peter D Fabricant, Daniel W Green
PURPOSE: Implant-mediated guided growth (IMGG) is used to address coronal plane deformity in skeletally immature patients. Few studies have reported on IMGG and simultaneous medial patellofemoral ligament (MPFL) reconstruction for paediatric patients with concurrent genu valgum and patellofemoral instability (PFI). This study aimed to report on the outcomes of these simultaneous procedures. MATERIALS AND METHODS: This was a retrospective review of paediatric patients undergoing simultaneous MPFL reconstruction and IMGG between 2016 and 2023...
March 12, 2024: Knee Surgery, Sports Traumatology, Arthroscopy
https://read.qxmd.com/read/38469922/the-tipping-point-in-medial-opening-wedge-high-tibial-osteotomy-relates-to-the-shape-of-the-proximal-tibia-more-than-to-lower-limb-alignment-correction
#17
JOURNAL ARTICLE
Ahmed Mabrouk, Levi Reina Fernandes, Christophe Jacquet, Kristian Kley, Steven Claes, Matthieu Ollivier
PURPOSE: The tipping point (TP) of the knee joint is the centre of rotation of the joint in the coronal plane. This study aimed to define the TP in medial opening wedge high tibial osteotomy (MOWHTO). METHODS: Data from 154 consecutive patients with varus knee malalignment, who underwent MOWHTO between 2017 and 2021, was retrospectively reviewed. The degree of preoperative osteoarthritis (OA), using the Kellgren-Lawrence (KL) grading system, was recorded...
March 12, 2024: Knee Surgery, Sports Traumatology, Arthroscopy
https://read.qxmd.com/read/38469862/chronic-ankle-instability-affects-the-association-between-knee-joint-angle-and-loading-musculoskeletal-simulation-study
#18
JOURNAL ARTICLE
Hoon Kim, Kristof Kipp
The purpose of this study was to calculate and compare (1) knee loads, (2) muscle-specific contributions to knee loads, and (3) effects of knee flexion angle on knee loads and muscle-specific load contributions during a forward jump-landing task in people with and without chronic ankle instability (CAI). Eight CAI patients and seven healthy controls performed a forward jump-landing task. We collected 3D kinematics, ground reaction force, and muscle activation and used musculoskeletal modeling. The results showed that only healthy controls exhibited an association between knee flexion angle and knee compressive impulse ( r  = 0...
March 12, 2024: Computer Methods in Biomechanics and Biomedical Engineering
https://read.qxmd.com/read/38467172/bioactive-and-bioinductive-implants-are-increasingly-used-in-orthopaedic-sports-medicine-but-adequately-controlled-studies-are-needed-a-scoping-review
#19
REVIEW
Bradley J Lauck, Alan W Reynolds, Jelle P van der List, Kyle Deivert, Robert S Dean, Nicholas A Trasolini, Brian R Waterman
PURPOSE: To describe the currently available literature reporting clinical outcomes for bioactive and bioinductive implants in sports medicine. METHODS: In accordance with PRISMA guidelines, a systematic search of four databases was completed to identify eligible studies. Inclusion criteria were studies using bioactive or bioinductive implants in human clinical studies for sports medicine procedures. Data were extracted and reported in narrative form along with study characteristics...
March 9, 2024: Arthroscopy
https://read.qxmd.com/read/38466058/improving-clinical-outcomes-hightibialosteotomy-plate-placement-combined-with-arthroscopic-surgery
#20
JOURNAL ARTICLE
Qiang Shen, Shucheng Deng, Juan Hong, Bo Liu, Guoyong Cao, Qiang Zhou, Han Zhao
OBJECTIVE: Our study aimed to investigate the clinical efficacy of hightibialosteotomy (HTO) posterior plate placement combined with arthroscopic surgery for degenerative injury of the posterior horn of the medial meniscus with poor force lines in the lower extremity, improve joint function or relieve pain. METHODS: The case data of 98 patients with osteoarthritis of the knee admitted to the Department of Orthopedics in our hospital from January 2019 to January 2023 were selected for retrospective analysis...
March 8, 2024: Alternative Therapies in Health and Medicine
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