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https://www.readbyqxmd.com/read/29147744/consistency-in-patient-reported-outcome-measures-after-total-knee-arthroplasty-using-patient-specific-instrumentation-a-5-year-follow-up-of-200-consecutive-cases
#1
Daphne A L Schoenmakers, Martijn G M Schotanus, Bert Boonen, Nanne P Kort
PURPOSE: The purpose of this study was to evaluate the 5-year follow-up results of the first 200 total knee arthroplasties (TKA) performed by one high-volume surgeon, using patient-specific information (PSI). To date, there has been no other research into the mid-term follow-up of TKA performed using PSI. MATERIALS AND METHODS: A total of 184 consecutive patients (200 TKA) were evaluated. Outcome measures included implant survival rate, adverse events, and the following patient-reported outcome measures (PROMs); Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Oxford Knee Score (OKS), Pain Visual Analogue Score (VAS) and EuroQol-5D Score (EQ-5D)...
November 17, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29143404/tool-for-osteoarthritis-risk-prediction-toarp-over-8-years-using-baseline-clinical-data-x-ray-and-mri-data-from-the-osteoarthritis-initiative
#2
Gabby B Joseph, Charles E McCulloch, Michael C Nevitt, Jan Neumann, Alexandra S Gersing, Martin Kretzschmar, Benedikt J Schwaiger, John A Lynch, Ursula Heilmeier, Nancy E Lane, Thomas M Link
BACKGROUND: Osteoarthritis (OA), a multifactorial disease causing joint degeneration, often leads to severe disability. The rising rates of disability highlight the need for implementing preventative measures at early stages of the disease, which would especially benefit subjects at high risk for OA development. PURPOSE: To develop a risk prediction tool for moderate-severe OA (TOARP) over 8 years based on subject characteristics, knee radiographs, and MRI data at baseline using data from the Osteoarthritis Initiative (OAI)...
November 16, 2017: Journal of Magnetic Resonance Imaging: JMRI
https://www.readbyqxmd.com/read/29140738/do-outcomes-of-osteochondral-allograft-transplantation-differ-based-on-age-and-sex-a-comparative-matched-group-analysis
#3
Rachel M Frank, Eric J Cotter, Simon Lee, Sarah Poland, Brian J Cole
BACKGROUND: The effect of patient age or sex on outcomes after osteochondral allograft transplantation (OCA) has not been assessed. PURPOSE: To determine clinical outcomes for male and female patients aged ≥40 years undergoing OCA compared with a group of patients aged <40 years. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: A review of prospectively collected data of consecutive patients who underwent OCA by a single surgeon with a minimum follow-up of 2 years was conducted...
November 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29137696/effects-of-self-knee-massage-with-ginger-oil-in-patients-with-osteoarthritis-an-experimental-study
#4
Betul Tosun, Nursemin Unal, Deniz Yigit, Nuray Can, Ozlem Aslan, Servet Tunay
BACKGROUND AND PURPOSE: The purpose of our study was to assess the effects of self-knee massage with ginger oil on pain and daily living activities in patients with knee osteoarthritis. METHODS: Participants (N = 68) were asked about their sociodemographic characteristics, pain level in the last week using the Visual Analog Scale (VAS), and functionality in activities of daily living with the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)...
November 1, 2017: Research and Theory for Nursing Practice
https://www.readbyqxmd.com/read/29134317/the-impact-of-canal-flare-index-on-leg-length-discrepancy-after-total-hip-arthroplasty
#5
Peter Brumat, Borut Pompe, Vane Antolič, Blaž Mavčič
INTRODUCTION: The femoral stem should protrude from femur by an appropriate vertical distance to allow leg length equalization at hip arthroplasty; this distance depends on the size/shape of medullary canal and implant. The relationship between femoral morphology and achievability of leg length restoration is currently unclear. Our aim was to examine the impact of the femoral canal flare index (CFI) on the risk of leg length discrepancy (LLD) after total hip arthroplasty with different femoral stems...
November 13, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29125384/is-it-necessary-to-perform-prehabilitation-exercise-for-patients-undergoing-total-knee-arthroplasty-meta-analysis-of-randomized-controlled-trials
#6
Huifen Chen, Suyun Li, Tingyu Ruan, Li Liu, Li Fang
OBJECTIVES: This study was designed to test whether it is necessary to perform prehabilitation exercise for patients undergoing total knee arthroplasty (TKA). METHODS: Literatures were identified from Pubmed, Clinicaltrials, Cochrane library, and SpringerLink. All studies that compared a prehabilitation exercise group with control group before TKA were included. The primary outcome was length of hospital stay. Secondary outcomes were quadriceps strength and functional ability in short term (1...
November 10, 2017: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/29117967/updated-systematic-review-and-meta-analysis-of-acupuncture-for-chronic-knee-pain
#7
Qinhong Zhang, Jinhuan Yue, Brenda Golianu, Zhongren Sun, Ying Lu
OBJECTIVE: To assess the effectiveness and safety of acupuncture for the treatment of chronic knee pain (CKP). METHODS: We searched the MEDLINE, EMBASE, Cochrane CENTERAL, CINAHL and four Chinese medical databases from their inception to June 2017. We included randomised controlled trials of acupuncture as the sole treatment or as an adjunctive treatment for CKP. The primary outcome was pain intensity measured by visual analogue scale (VAS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain subscale and 11-point numeric rating scale...
November 8, 2017: Acupuncture in Medicine: Journal of the British Medical Acupuncture Society
https://www.readbyqxmd.com/read/29114637/percutaneous-fat-transfer-to-treat-knee-osteoarthritis-symptoms-preliminary-results
#8
Ezio Adriani, Mariagrazia Moio, Berardino Di Paola, Walter Salustri, Andrea Alfieri, Paola Parisi, Marco Ruggiero, Zack Borab, Bruno Carlesimo
Purpose  This study aims to evaluate the safety and efficacy of autologous aspirated and purified fat tissue injected percutaneously into the knee joint for the treatment of symptomatic osteoarthritis (OA). Methods  We reviewed 30 patients, who received an autologous percutaneous fat injection for the treatment of knee OA, from January 2012 to March 2015. Mean patients' age was 63.3 ± 5.3 years (range, 50-80 years). Body mass index was 25.1 ± 1.7. Clinical evaluation was based on pain visual analog scale (VAS) and WOMAC score for functional and subjective assessment...
June 2017: Joints
https://www.readbyqxmd.com/read/29114635/early-efficacy-of-intra-articular-hyadd%C3%A2-4-hymovis%C3%A2-injections-for-symptomatic-knee-osteoarthritis
#9
Ferdinando Priano
Purpose  The aim of the study was to evaluate the clinical effects of HYADD® 4, an hydrogel based on a hyaluronic acid derivative, in patients with symptomatic knee osteoarthritis, on symptoms, and joint function. Methods  This retrospective study of patients with Kellgren-Lawrence grade II to IV knee osteoarthritis (American College of Rheumatology criteria) enrolled patients who had received two infiltrations of HYADD® 4, (24 mg/3 mL) 1 week apart, and evaluated: pain at rest, pain with movement, change in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score; change in nonsteroidal anti-inflammatory drugs (NSAIDs)/acetaminophen use; satisfaction with therapy; tolerability...
June 2017: Joints
https://www.readbyqxmd.com/read/29114622/single-platelet-rich-plasma-injection-for-early-stage-of-osteoarthritis-of-the-knee
#10
Liborio Ingala Martini, Alessio Giai Via, Chiara Fossati, Filippo Randelli, Pietro Randelli, Davide Cucchi
Purpose  The purpose of this study was to determine the safety efficacy and outcomes of platelet-rich plasma (PRP) intra-articular injections for early stages of knee osteoarthritis (OA). Methods  Twenty-five patients affected by grade I and II knee primary OA according to the Kellgren-Lawrence scale received a single intra-articular PRP injection. Patients were prospectively evaluated for 6 months. Visual analog scale (VAS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and Knee injury and Osteoarthritis Outcome Score (KOOS) scoring scales were used to evaluate clinical outcomes...
March 2017: Joints
https://www.readbyqxmd.com/read/29102985/study-protocol-for-a-randomised-controlled-trial-of-ultrasound-guided-pulsed-radiofrequency-of-the-genicular-nerves-in-the-treatment-of-patients-with-osteoarthritis-knee-pain
#11
Javier Mata, Pedro Valentí, Beatriz Hernández, Bartolome Mir, Jose Luis Aguilar
INTRODUCTION: The goals for the management of patients with osteoarthritis (OA) of the knee are to control pain and to minimise disability. Because the number of patients will increase as the population ages, alternative approaches to alleviate their joint pain other than conventional treatments are necessary. The purpose of this article is to present a refined protocol to determine if there is long-term improvement in pain and function after ultrasound-guided pulsed radiofrequency treatment of the genicular nerves (GNs) in patients with chronic painful knee OA...
November 3, 2017: BMJ Open
https://www.readbyqxmd.com/read/29102588/effect-of-weight-losing-on-the-improving-clinical-statement-of-patients-with-knee-osteoarthritis
#12
Alireza Sadeghi, Zahra Abbaspour Rad, Behnam Sajedi, Amir Hossein Heydari, Samira Akbarieh, Behzad Jafari
OBJECTIVE: Osteoarthritis causes severe pain and disability in joints, one of the most prevalent involved joints is the knee joint. There are several therapeutics ways to control pain and disability, but almost none of them are definite treatment. In this article, we tried to reveal the effect of weight loss on improving symptoms of knee osteoarthritis as an effective and permanent therapeutic approach. METHODS: We chose 62 patients with grade 1-2 (mild to moderate) knee osteoarthritis and divided them equally into case and control groups...
November 1, 2017: Reumatología Clinica
https://www.readbyqxmd.com/read/29101777/percutaneous-electrical-nerve-stimulation-for-chronic-knee-pain-a-randomized-sham-controlled-trial
#13
Da-Peng He, Jun Zhang, Zheng-Fa Bai
Context • Anti-inflammatory drugs are often used to treat chronic knee pain (CKP), but their long-term use is associated with decreased effectiveness and numerous side effects. Complementary and alternative medicine provides additional treatments for the condition, including percutaneous electrical nerve stimulation (PENS). However, the benefits of PENS for treatment of CKP are still controversial. Objective • The study intended to assess the effects and safety of PENS for treatment of CKP. Methods • This study was a 2-arm, randomized, sham-controlled trial...
November 4, 2017: Alternative Therapies in Health and Medicine
https://www.readbyqxmd.com/read/29101670/concordance-between-clinical-and-radiographic-evaluations-of-knee-osteoarthritis
#14
Camille Parsons, Nicholas R Fuggle, Mark H Edwards, Lyndsey Goulston, Anna E Litwic, Darshan Jagannath, Suzan van der Pas, Cyrus Cooper, Elaine M Dennison
BACKGROUND: Significant correlation has been previously demonstrated between radiographic and clinical diagnoses of knee osteoarthritis (OA); however, the specific findings on clinical examination that relate best to a radiographic diagnosis have not been fully elicited. AIMS: We aimed to explore the relationship between clinical symptoms and physical findings with radiographic diagnoses of tibiofemoral and patellofemoral OA. METHODS: This study was based on 409 individuals from the Hertfordshire Cohort Study, born between 1931 and 1939...
November 3, 2017: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/29096934/a-randomized-trial-of-a-motivational-interviewing-intervention-to-increase-lifestyle-physical-activity-and-improve-self-reported-function-in-adults-with-arthritis
#15
Abigail L Gilbert, Jungwha Lee, Linda Ehrlich-Jones, Pamela A Semanik, Jing Song, Christine A Pellegrini, Daniel Pinto Pt, Dorothy D Dunlop, Rowland W Chang
BACKGROUND: Arthritis is a leading cause of chronic pain and functional limitations. Exercise is beneficial for improving strength and function and decreasing pain. We evaluated the effect of a motivational interviewing-based lifestyle physical activity intervention on self-reported physical function in adults with knee osteoarthritis (KOA) or rheumatoid arthritis (RA). METHODS: Participants were randomized to intervention or control. Control participants received a brief physician recommendation to increase physical activity to meet national guidelines...
October 5, 2017: Seminars in Arthritis and Rheumatism
https://www.readbyqxmd.com/read/29094006/neuropathic-pain-like-symptoms-and-pre-surgery-radiographic-severity-contribute-to-patient-satisfaction-4-8-years-post-total-joint-replacement
#16
Sophie C Warner, Helen Richardson, Wendy Jenkins, Thomas Kurien, Michael Doherty, Ana M Valdes
AIM: To investigate a comprehensive range of factors that contribute to long-term patient satisfaction post-total joint replacement (TJR) in people who had undergone knee or hip replacement for osteoarthritis. METHODS: Participants (n = 1151) were recruited from Nottinghamshire post-total hip or knee replacement. Questionnaire assessment included medication use, the pain-DETECT questionnaire (PDQ) to assess neuropathic pain-like symptoms (NP) and TJR satisfaction measured on average 4...
October 18, 2017: World Journal of Orthopedics
https://www.readbyqxmd.com/read/29091152/study-of-the-relation-between-body-weight-and-functional-limitations-and-pain-in-patients-with-knee-osteoarthritis
#17
Fábio Marcon Alfieri, Natália Cristina de Oliveira Vargas E Silva, Linamara Rizzo Battistella
OBJECTIVE: To assess the influence of the body weight in functional capacity and pain of adult and elderly individuals with knee osteoarthritis. METHODS: The sample consisted of 107 adult and elderly patients with knee osteoarthritis divided into two groups (adequate weight/adiposity and excessive weight/adiposity) according to body mass index and percent of body fat mass, assessed by electric bioimpedance. Subjects were evaluated for functional mobility (Timed Up and Go Test), pain, stiffness and function (Western Ontario and MacMaster Universities Osteoarthritis Index - WOMAC), pain intensity (Visual Analogue Scale - VAS) and pressure pain tolerance threshold (algometry in vastus medialis and vastus lateralis muscles)...
July 2017: Einstein
https://www.readbyqxmd.com/read/29081706/compared-efficacy-of-intra-articular-injection-of-methylprednisolone-and-triamcinolone
#18
Abdul Fettah Buyuk, Eray Kilinc, Ismet Yalkin Camurcu, Savas Camur, Hanifi Ucpunar, Adnan Kara
OBJECTIVE: To compare the effect of two different corticosteroid types in bilateral and symmetrical knee osteoarthritis (OA). METHODS: One hundred and twenty-six patients received injections of methylprednisolone acetate (MP) in one knee and triamcinolone hexacetonide (TH) in the contralateral knee. Patients were evaluated before injection and 2, 4, 8, 12, and 24 weeks after. RESULTS: Mean patient age was 68.5±9 years. Mean BMI was 26.3±2...
September 2017: Acta Ortopedica Brasileira
https://www.readbyqxmd.com/read/29079961/in-achilles-tendinopathy-the-neovascularization-detected-by-contrast-enhanced-ultrasound-ceus-is-abundant-but-not-related-to-symptoms
#19
Armanda De Marchi, Simona Pozza, Enzo Cenna, Franco Cavallo, Giorgia Gays, Luca Simbula, Paola De Petro, Alessandro Massè, Giuseppe Massazza
PURPOSE AND HYPOTHESIS: Mid-portion Achilles tendinopathy is characterized by a proliferation of small vessels, called neovascularization, which can be demonstrated by power Doppler sonography (PD). Neovascularization can be correlated with diagnosis and consequent therapies focused on vascular supply. Published data regarding the relationship between neovascularisation and symptoms, such as pain and disability, are contradictory. The hypothesis that contrast-enhanced ultrasound (CEUS) could detect with more sensibility than PD the new vessel ingrowth in human degenerated Achilles tendons and therefore the correlation of neovascularization with pain and disability, was evaluated...
October 27, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29072019/-clinical-studies-of-abdominal-acupuncture-combined-with-warm-needling-on-knee-osteoarthritis
#20
Qi-You Li, Jin Guo, Hua-Zhang Tian, Chun-Yan Zhang, Zhi-Xian Peng, Xing-Peng Huang
OBJECTIVE: To explore the clinical effects of abdominal acupuncture combined with warm needling on knee osteoarthritis (KOA). METHODS: Eighty-six patients with KOA were divided into a treatment group and a control group according to the digital random table, 43 cases in each one. In the treatment group, patients were treated with abdominal acupuncture at Zhongwan (CV 12), Guanyuan (CV 4) and Huaroumen (ST 24), Wailing (ST 26) and Xiafengshidian (Extra) on the affected side, as well as warm needling at Neixiyan (EX-LE 4), Dubi (ST 35), Heding (EX-LE 2), Liangqiu (ST 34) and Xuehai (SP 10) of the affected side...
August 25, 2017: Zhen Ci Yan Jiu, Acupuncture Research
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