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https://www.readbyqxmd.com/read/29770878/slight-under-correction-following-total-knee-arthroplasty-for-a-valgus-knee-results-in-similar-clinical-outcomes
#1
Sung-Sahn Lee, Hyeon Lee, Dae-Hee Lee, Young-Wan Moon
BACKGROUND: Restoration of correct coronal alignment is one of the main goals of total knee arthroplasty (TKA). Traditionally, TKA has been considered successful when a neutral mechanical hip-knee-ankle (HKA) axis within 3° is achieved. Recent studies have reported no differences or improved clinical outcomes following a slight under-correction of the HKA axis for a varus knee. However, the influence of under-correction of a valgus knee has not been reported. This study investigated the influence of post-operative HKA alignment in TKA patients with valgus deformity on clinical outcomes...
May 16, 2018: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29767270/no-correlation-between-rotation-of-femoral-components-in-the-transverse-plane-and-clinical-outcome-after-total-knee-arthroplasty
#2
Roland Becker, Katharina Bäker, Hagen Hommel, Manfred Bernard, Sebastian Kopf
PURPOSE: It was hypothesized that malrotation of femoral component in total knee arthroplasty (TKA) will significantly impact clinical outcome. METHODS: Eighty-eight consecutive patients with primary osteoarthritis of the knee were prospectively evaluated. They received a cemented posterior stabilized TKA (NexGen, Zimmer/Biomet® Inc., Warsaw, IN, USA). The femoral component was placed in 3° of external rotation referenced to the posterior condylar line. Postoperatively, a CT scan was performed to evaluate rotation of femoral component in the transverse plane...
May 16, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29764447/efficacy-of-intra-articular-hypertonic-dextrose-prolotherapy-versus-normal-saline-for-knee-osteoarthritis-a-protocol-for-a-triple-blinded-randomized-controlled-trial
#3
Regina Wing Shan Sit, Ricky Wing Keung Wu, Kenneth Dean Reeves, David Rabago, Dicken Cheong Chun Chan, Benjamin Hon Kei Yip, Vincent Chi Ho Chung, Samuel Yeung Shan Wong
BACKGROUND: Knee Osteoarthritis (KOA) is a very common condition with prevalence rising with age. It is a major contributor to global disability and has a large socioeconomic burden worldwide. Conservative therapies have marginal effectiveness, and surgery is reserved for severe symptomatic KOA. Dextrose Prolotherapy (DPT) is an evidence-based injection-based therapy for chronic musculoskeletal conditions including KOA. The standard "whole joint" injection method includes intra-articular injection and multiple extra-articular injections at soft tissue bony attachments...
May 15, 2018: BMC Complementary and Alternative Medicine
https://www.readbyqxmd.com/read/29764409/quadriceps-combined-with-hip-abductor-strengthening-versus-quadriceps-strengthening-in-treating-knee-osteoarthritis-a-study-protocol-for-a-randomized-controlled-trial
#4
Yujie Xie, Chi Zhang, Wei Jiang, Juan Huang, Lili Xu, Guoyin Pang, Haiyan Tang, Ruyan Chen, Jihua Yu, Shengmin Guo, Fangyuan Xu, Jianxiong Wang
BACKGROUND: Lower limb strengthening, especially the quadriceps training, is of much necessity for patients with knee osteoarthritis (KOA). Previous studies suggest that strengthening of the hip muscles, especially the hip abductor, can potentially relieve the KOA-associated symptoms. Nevertheless, the effects of quadriceps combined with hip abductor strengthening remain unclear. Therefore, the current randomized controlled trial is designed aiming to observe whether quadriceps in combination with hip abductor strengthening can better improve the function and reduce pain in KOA patients than quadriceps training alone...
May 15, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29761638/ultra-sound-guided-neurolysis-of-six-genicular-nerves-of-knee-for-intractable-pain-from-knee-osteoarthritis-a-case-series
#5
Arif Ahmed, Divesh Arora
INTRODUCTION: Among the elderly populations, the chronic osteoarthritis of knee joint is one of the leading cause of disability and causes considerable pain, joint stiffness and functional limitations. Although knee replacement is a good option for the grade IV osteoarthritis, but many patients failed to undergo surgery due to co-morbidities or other reasons. METHODS: Four patient with severe pain from grade III and IV osteoarthritis of knee joint had underwent ultrasound guided alcohol neurolysis of the six genicular nerves of knee joint after a positive genicular nerve block with local anesthetics...
May 14, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/29761054/is-high-intensity-interval-cycling-feasible-and-more-beneficial-than-continuous-cycling-for-knee-osteoarthritic-patients-results-of-a-randomised-control-feasibility-trial
#6
Justin W Keogh, Josephine Grigg, Christopher J Vertullo
Background: Knee osteoarthritis (OA) patients often suffer joint pain and stiffness, which contributes to negative changes in body composition, strength, physical performance (function), physical activity and health-related quality of life. To reduce these symptoms and side effects of knee OA, moderate-intensity continuous training (MICT) cycling is often recommended. While resistance training is considered the optimal form of training to improve sarcopenic outcomes, it imposes higher joint loads and requires supervision, either initially or continuously by trained exercise professionals...
2018: PeerJ
https://www.readbyqxmd.com/read/29757058/outcomes-following-hip-and-knee-replacement-in-diabetic-versus-nondiabetic-patients-and-well-versus-poorly-controlled-diabetic-patients-a-prospective-cohort-study
#7
Erik Lenguerrand, Andrew D Beswick, Michael R Whitehouse, Vikki Wylde, Ashley W Blom
Background and purpose - The impact of diabetes and glycemic control before joint replacement on clinical and patient-reported outcomes is unclear. We compared pain, function, complications, and length of hospital stay in diabetic and nondiabetic patients receiving primary total hip (THR) or knee replacement (TKR) and compared these outcomes in patients with poorly controlled versus well-controlled diabetes. Patients and methods - We conducted a prospective cohort study of patients undergoing primary THR (n = 300) or TKR (n = 287) for osteoarthritis...
May 14, 2018: Acta Orthopaedica
https://www.readbyqxmd.com/read/29748697/increased-symptoms-of-stiffness-1-year-after-total-knee-arthroplasty-are-associated-with-a-worse-functional-outcome-and-lower-rate-of-patient-satisfaction
#8
N D Clement, M Bardgett, D Weir, J Holland, D J Deehan
PURPOSE: Symptoms of stiffness after total knee arthroplasty (TKA) cause significant morbidity, but there is limited data to facilitate identification of those most at risk after surgery. Stratifying risk can aid earlier directed treatment options. METHODS: A retrospective cohort consisting of 2589 patients undergoing a primary TKA was identified from an established arthroplasty database. Patient demographics, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and short form (SF) 12 scores were collected pre-operatively and 1 year post-operatively...
May 10, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29739086/mir-300-serves-as-potential-biomarker-to-screen-knee-osteoarthritis-patients-by-targeting-tnf%C3%AE
#9
Zihao Zhou, Fengde Tian, Ning An, Yao Zhang, Changcheng Wang, Lin Guo
BACKGROUND: This study mainly explored the serum level of miR-300 with the risk of knee OA, thereby evaluating their diagnostic ability for treatment of knee osteoarthritis (KOA) patients. METHODS: In the current study, we evaluated the level of TNFα in KOA patients and HCs. The serum was used to quantify the level of TNF-α by way of a sandwich enzyme-linked immunosorbent assay. Dual luciferase reporter assay was carried out to identify the possible target gene of miR-300...
April 1, 2018: Clinical Laboratory
https://www.readbyqxmd.com/read/29734816/hip-resurfacing-with-a-highly-cross-linked-polyethylene-acetabular-liner-and-a-titanium-nitride-coated-femoral-component
#10
James W Pritchett
AIMS: This study evaluated a specific hip resurfacing system to determine the: (1) function and complications, (2) implant survivorship, (3) acetabular bone conservation and joint biomechanics and (4) osteolysis and polyethylene wear. METHODS: I performed 234 resurfacing procedures (192 patients) using a two-piece titanium acetabular component with a 4 mm highly cross-linked polyethylene liner and a cementless titanium nitride-coated titanium femoral component. Function was assessed with Harris Hip, WOMAC, SF-12, and UCLA scores...
May 1, 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/29733680/change-in-koos-and-womac-scores-in-a-young-athletic-population-with-and-without-anterior-cruciate-ligament-injury
#11
Ivan J Antosh, Steven J Svoboda, Karen Y Peck, E'Stephan J Garcia, Kenneth L Cameron
BACKGROUND: Several studies have examined changes in patient-reported outcome measures (PROMs) after anterior cruciate ligament (ACL) injury, but no studies to date have prospectively evaluated changes from preinjury baseline through injury and follow-up among ACL-injured patients compared to the baseline and follow-up changes of uninjured patients. PURPOSE: To examine changes in PROMs over time from preinjury baseline to at least 2 years after ACL reconstruction and to compare these changes with those of an uninjured control group having similar physical activity requirements...
May 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29733117/incorporation-of-photobiomodulation-therapy-into-a-therapeutic-exercise-program-for-knee-osteoarthritis-a-placebo-controlled-randomized-clinical-trial
#12
Cid A F de Paula Gomes, Ernesto C P Leal-Junior, Almir V Dibai-Filho, Adriano R de Oliveira, André S Bley, Daniela A Biasotto-Gonzalez, Paulo de Tarso Camillo de Carvalho
OBJECTIVE: To investigate the clinical effects of incorporation of phototherapy in a therapeutic exercise program for individuals with knee osteoarthritis (OA) when compared to a group that received exercise alone and to a group that received exercise + placebo phototherapy. MATERIALS AND METHODS: This is a randomized, blinded and placebo-controlled trial. Thus, sixty male and female individuals aged 40-80 years with knee pain in the previous 6 months participated of the study, with diagnosis of unilateral knee OA based on the criteria established by the American College of Rheumatology and radiographic confirmation and Grades 2 or 3 of the Kellgren-Lawrence Classification...
May 7, 2018: Lasers in Surgery and Medicine
https://www.readbyqxmd.com/read/29723872/knee-osteoarthritis-after-arthroscopic-partial-meniscectomy-prevalence-and-progression-of-radiographic-changes-after-5-to-12-years-compared-with-contralateral-knee
#13
Umile Giuseppe Longo, Mauro Ciuffreda, Vincenzo Candela, Giacomo Rizzello, Valerio D'Andrea, Nicholas Mannering, Alessandra Berton, Giuseppe Salvatore, Vincenzo Denaro
The purpose of this study was to study the clinical and radiographic changes in the knee after arthroscopic partial meniscectomy (APM) at a long-term follow-up compared with the contralateral knee. We assessed 57 patients (38 males and 19 females) with pre- and postoperative weight-bearing radiography with a follow-up ranging from 5.1 to 12.1 years (mean: 8.1) to analyze prevalence and progression of knee osteoarthritis (OA) after APM. We stratified patients according to body mass index (BMI), type of lesion (degenerative vs...
May 3, 2018: Journal of Knee Surgery
https://www.readbyqxmd.com/read/29721659/who-disability-assessment-schedule-2-0-is-related-to-upper-and-lower-extremity-disease-specific-quality-of-life
#14
Jun-Il Yoo, Jin-Sung Park, Rock-Beum Kim, Ae-Rim Seo, Young-Jin Park, Mi-Ji Kim, Ki Soo Park
PURPOSE: We evaluated whether two disease-specific quality of life instruments (Disabilities of the Arm, Shoulder and Hand, DASH and Western Ontario & McMaster Universities Osteoarthritis Index, WOMAC) reflect a patient's perception of general disability using the WHO Disability Assessment Schedule 2.0 (WHODAS 2.0) and determined whether disability components are explained by upper and lower extremity HRQOL. METHODS: We recruited 421 participants, 50 years or older without stroke, cancer, or history of surgery for musculoskeletal disease, who participated in the NAMGARAM Cohort...
May 2, 2018: Quality of Life Research
https://www.readbyqxmd.com/read/29721464/unicompartmental-knee-replacement-in-patients-aged-70-years-and-older
#15
Alberto Ventura, Claudio Legnani, Enrico Borgo
Introduction: The management of isolated unicompartmental osteoarthritis in the patient aged 70 years and older is an issue of debate. The purpose of the present study was to retrospectively evaluate the outcomes of patients aged over 70 years who underwent unicompartmental knee replacement (UKR) for the treatment of isolated unicompartmental osteoarthritis. The hypothesis was that this represents a safe and viable procedure leading to improved functional outcome in elderly patients affected by isolated unicompartmental osteoarthritis...
October 2017: Muscles, Ligaments and Tendons Journal
https://www.readbyqxmd.com/read/29717032/responsiveness-of-single-versus-composite-measures-of-pain-in-knee-osteoarthritis
#16
Matthew J Parkes, Michael J Callaghan, Leslie Tive, Mark Lunt, David T Felson
OBJECTIVE: In rheumatoid arthritis, composite outcomes constructed from a combination of outcome measures are widely used to enhance responsiveness (sensitivity to change) and comprehensively summarize response. Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain is the primary outcome measure in many osteoarthritis (OA) trials. Information from other outcomes, such as rescue medication use and other WOMAC subscales, could be added to create composite outcomes, but the sensitivity of such a composite has not been tested...
May 1, 2018: Journal of Rheumatology
https://www.readbyqxmd.com/read/29715221/concomitant-ankle-osteoarthritis-is-related-to-increased-ankle-pain-and-a-worse-clinical-outcome-following-total-knee-arthroplasty
#17
Chong Bum Chang, Jin Hwa Jeong, Moon Jong Chang, Chan Yoon, Min Kyu Song, Seung-Baik Kang
BACKGROUND: Occasionally, patients experience new or increased ankle pain following total knee arthroplasty (TKA). The aims of this study were to determine (1) how the correction of varus malalignment of the lower limb following TKA affected changes in alignment of the ankle and hindfoot, (2) the difference in changes in alignment of the ankle and hindfoot between patients with and without ankle osteoarthritis (OA), and (3) whether the rate of ankle pain and the clinical outcome following TKA differed between the 2 groups...
May 2, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29713967/effects-of-glucosamine-in-patients-with-osteoarthritis-of-the-knee-a-systematic-review-and-meta-analysis
#18
Toru Ogata, Yuki Ideno, Masami Akai, Atsushi Seichi, Hiroshi Hagino, Tsutomu Iwaya, Toru Doi, Keiko Yamada, Ai-Zhen Chen, Yingzi Li, Kunihiko Hayashi
Osteoarthritis (OA) of the knee is one of the main causes of mobility decline in the elderly. Non-surgical treatments such as administration of supplements to strengthen the joint cartilage matrix have become popular not only for pain relief but also for joint preservation. Glucosamine has been used in many countries based on the increasing evidence of its effectiveness for OA. Although there are many previous studies and systematic reviews, the findings vary and different conclusions have been drawn. We aimed to review recent randomized controlled trials on glucosamine for knee OA to reveal up-to-date findings about this supplement...
April 30, 2018: Clinical Rheumatology
https://www.readbyqxmd.com/read/29713647/a-prospective-randomized-double-blind-parallel-group-placebo-controlled-study-evaluating-meniscal-healing-clinical-outcomes-and-safety-in-patients-undergoing-meniscal-repair-of-unstable-complete-vertical-meniscal-tears-bucket-handle-augmented-with-platelet
#19
Rafal Kaminski, Krzysztof Kulinski, Katarzyna Kozar-Kaminska, Monika Wielgus, Maciej Langner, Marcin K Wasko, Jacek Kowalczewski, Stanislaw Pomianowski
Objective: The present study aimed to investigate the effectiveness and safety of platelet-rich plasma (PRP) application in arthroscopic repair of complete vertical tear of meniscus located in the red-white zone. Methods: This single center, prospective, randomized, double-blind, placebo-controlled, parallel-arm study included 37 patients with complete vertical meniscus tears. Patients received an intrarepair site injection of either PRP or sterile 0.9% saline during an index arthroscopy...
2018: BioMed Research International
https://www.readbyqxmd.com/read/29710676/single-dose-intra-articular-corticosteroid-injection-prior-to-platelet-rich-plasma-injection-resulted-in-better-clinical-outcomes-in-patients-with-knee-osteoarthritis-a-pilot-study
#20
Yalkin Camurcu, Hakan Sofu, Hanifi Ucpunar, Nizamettin Kockara, Adem Cobden, Serda Duman
BACKGROUND: The synergistic and protective effect of platelet-rich plasma (PRP) added to methlyprednisolone (MP) has been demonstrated via in-vitro studies. However, there is no report in the literature about this issue. OBJECTIVE: The aim of this study was to evaluate clinical outcomes of intra-articular (IA) MP injection prior to PRP injection in comparison with single-dose MP and PRP injections alone in patients with knee osteoarthritis (OA). METHODS: The treatment groups were "PRP group" (n= 37) who underwent single-dose IA PRP injection, "PRP + MP group" (n= 40) who underwent MP injection one week prior to single-dose PRP injection, and "MP group" (n= 38) who underwent single-dose MP injection...
April 20, 2018: Journal of Back and Musculoskeletal Rehabilitation
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