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https://www.readbyqxmd.com/read/28918523/focal-metallic-inlay-resurfacing-prosthesis-for-the-treatment-of-localized-cartilage-defects-of-the-femoral-condyles-a-systematic-review-of-clinical-studies
#1
REVIEW
Andreas Fuchs, Helge Eberbach, Kaywan Izadpanah, Gerrit Bode, Norbert P Südkamp, Matthias J Feucht
PURPOSE: To systematically review the results of focal metallic inlay resurfacing prosthesis for the treatment of isolated cartilage defects of the femoral condyles. METHODS: A systematic electronic search of the PubMed database and the Cochrane Library was performed in April 2017 to identify studies that reported clinical or radiographic outcome of focal metallic inlay resurfacing prosthesis for the treatment of isolated cartilage defects of the femoral condyles...
September 16, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28916885/geometric-analysis-and-clinical-outcome-of-two-cemented-stems-for-primary-total-hip-replacement-with-and-without-modular-necks
#2
Marcel Haversath, Christine Wendelborn, Marcus Jäger, Boris Schmidt, Wojciech Kowalczyk, Stefan Landgraeber
INTRODUCTION: Restoration of the physiological biomechanical principles of the hip is crucial in total hip replacement. The aim of this study was to compare an arthroplasty system with different offset options (a: Exeter(®)) with a dual-modular stem (b: Profemur Xm(®)). MATERIALS AND METHODS: A local and an inertial coordinate system were used to assist the description of the components' assembly in the prosthesis. A resection line of the femoral head in standard position was added to the arthroplasties and geometric parameters were measured...
September 15, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28910372/correlation-of-serum-cartilage-oligometric-matrix-protein-comp-and-interleukin-16-il-16-levels-with-disease-severity-in-primary-knee-osteoarthritis-a-pilot-study-in-a-malaysian-population
#3
Esha Das Gupta, Wei Ren Ng, Shew Fung Wong, Abdul Kareem Bhurhanudeen, Swan Sim Yeap
OBJECTIVE: The aim of this study was to investigate the correlations between serum cartilage oligomeric matrix protein (COMP), interleukin-16 (IL-16) and different grades of knee osteoarthritis (KOA) in Malaysian subjects. METHODS: Ninety subjects were recruited comprising 30 with Kellgren-Lawrence (K-L) grade 2 KOA, 27 with K-L grade 3 KOA, 7 with grade 4 KOA, and 30 healthy controls. All subjects completed the Western Ontario and McMaster Universities Arthritis Index (WOMAC) questionnaire...
2017: PloS One
https://www.readbyqxmd.com/read/28899844/a-new-lipid-formulation-of-low-dose-ibuprofen-shows-non-inferiority-to-high-dose-standard-ibuprofen-the-flare-study-flaring-arthralgia-relief-evaluation-in-episodic-flaring-knee-pain-a-randomised-double-blind-study
#4
Sita Ma Bierma-Zeinstra, John Brew, Karen Stoner, Rosamund Wilson, Anthony Kilbourn, Philip G Conaghan
OBJECTIVE: To investigate short-term efficacy and safety of a novel lipid ibuprofen formulation 1200mg/day compared with standard ibuprofen 1200mg/day and 2400mg/day in episodic knee arthralgia/flaring pain. DESIGN: Multicentre, randomised, double-blind, 3-arm, non-inferiority trial conducted at 27 primary care centres. Adults with ≥1 knee flare episode within 12 months were recruited within 24 hours of new flare with pain severity ≥5 on a 0-10 numerical rating scale (NRS)...
September 9, 2017: Osteoarthritis and Cartilage
https://www.readbyqxmd.com/read/28899428/proximal-tibial-trabecular-bone-mineral-density-is-related-to-pain-in-patients-with-osteoarthritis
#5
Wadena D Burnett, Saija A Kontulainen, Christine E McLennan, Diane Hazel, Carl Talmo, David R Wilson, David J Hunter, James D Johnston
BACKGROUND: Our objective was to examine the relationships between proximal tibial trabecular (epiphyseal and metaphyseal) bone mineral density (BMD) and osteoarthritis (OA)-related pain in patients with severe knee OA. METHODS: The knee was scanned preoperatively using quantitative computed tomography (QCT) in 42 patients undergoing knee arthroplasty. OA severity was classified using radiographic Kellgren-Lawrence scoring and pain was measured using the pain subsection of the Western Ontario and McMaster Universities Arthritis Index (WOMAC)...
September 12, 2017: Arthritis Research & Therapy
https://www.readbyqxmd.com/read/28893757/effectiveness-and-cost-effectiveness-of-duloxetine-added-to-usual-care-for-patients-with-chronic-pain-due-to-hip-or-knee-osteoarthritis-protocol-of-a-pragmatic-open-label-cluster-randomised-trial-the-duo-trial
#6
Jacoline J van den Driest, Dieuwke Schiphof, Pim A J Luijsterburg, Aafke R Koffeman, Marc A Koopmanschap, Patrick J E Bindels, Sita M A Bierma-Zeinstra
INTRODUCTION: Osteoarthritis (OA) is a highly prevalent painful condition of the musculoskeletal system. The effectiveness of current analgesic options has proven to be limited and improved analgesic treatment is needed. Several randomised placebo-controlled trials have now demonstrated the efficacy of duloxetine, an antidepressant with a centrally acting effect, in the treatment of OA pain. The aim of the current study is to investigate if duloxetine is effective and cost-effective as a third-choice analgesic added to usual care for treating chronic pain compared with usual care alone in general practice...
September 11, 2017: BMJ Open
https://www.readbyqxmd.com/read/28893678/hip-inflammation-mri-scoring-system-himriss-to-predict-response-to-hyaluronic-acid-injection-in-hip-osteoarthritis
#7
Nicolas Deseyne, Thierry Conrozier, Henri Lellouche, Bernard Maillet, Ulrich Weber, Jacob L Jaremko, Joel Paschke, Jonathan Epstein, Walter P Maksymowych, Damien Loeuille
OBJECTIVE: To assess predictors of response, according to hip MRI inflammatory scoring system (HIMRISS), in a sample of patients with hip osteoarthritis (OA) treated by hyaluronic acid (HA) injection. METHOD: 60 patients with hip OA were included. Clinical outcomes were assessed at baseline and three months after HA injection by WOMAC. On hip MRI performed before HA injection, bone marrow lesion (BML) and synovitis were assessed by HIMRISS by four readers. The inter-reader reliability of HIMRISS was for HIMRISS total, acetabular BML, femoral BML and synovitis-effusion respectively 0...
September 8, 2017: Joint, Bone, Spine: Revue du Rhumatisme
https://www.readbyqxmd.com/read/28893676/rationale-and-design-of-the-staying-positive-with-arthritis-spa-study-a-randomized-controlled-trial-testing-the-impact-of-a-positive-psychology-intervention-on-racial-disparities-in-pain
#8
Leslie R M Hausmann, Said A Ibrahim, C Kent Kwoh, Ada Youk, D Scott Obrosky, Debra K Weiner, Ernest Vina, Rollin M Gallagher, Genna T Mauro, Acacia Parks
Knee osteoarthritis is a painful, disabling condition that disproportionately affects African Americans. Existing arthritis treatments yield small to moderate improvements in pain and have not been effective at reducing racial disparities in the management of pain. The biopsychosocial model of pain and evidence from the positive psychology literature, suggest that increasing positive psychological skills (e.g., gratitude, kindness) could improve pain and functioning and reduce disparities in osteoarthritis pain management...
September 8, 2017: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/28884273/validation-of-the-chinese-mandarin-version-of-the-oxford-knee-score-in-patients-with-knee-osteoarthritis
#9
Kai Lin, Liangxiao Bao, Jian Wang, Kimie Fujita, Kiyoko Makimoto, Xiaoyan Liao
BACKGROUND: With the increasing number of patients with knee osteoarthritis undergoing TKAs in China, there is a clear need for a valid, short, joint-specific patient-reported outcome measure such as the Oxford Knee Score (OKS). QUESTIONS/PURPOSES: To test the translated and cross-culturally adapted Chinese (Mandarin) version of the Oxford Knee Score (OKS-CV) and its (1) reliability, (2) construct validity, (3) dimensionality, and (4) responsiveness. METHODS: Three native Chinese bilingual translators (a professional English translator, an experienced orthopaedic surgeon, an advanced-practice nursing specialist) translated the English-language OKS into Mandarin Chinese...
September 7, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28884102/effects-of-preoperative-walking-ability-and-patient-s-surgical-education-on-quality-of-life-and-functional-outcomes-after-total-knee-arthroplasty
#10
Sunil K Dash, Nishit Palo, Geetanjali Arora, Sidharth S Chandel, Mithilesh Kumar
OBJECTIVE: Prospectively analyze the effect of preoperative walking status and the patient's surgical education on functional outcomes and the three dimensions of quality of life (QoL) (pain, physical function, and mental health) after elective total knee arthroplasty (TKA). METHODS: A comparative analysis on the QoL and functional outcomes in patients who underwent total knee arthroplasty between January 2014 and June 2015. To compare effects of the patient's walking status and knowledge of the surgical procedure on QoL and functional outcomes following TKA by means of SF-36 questionnaire, CES D10, VAS, KSS, KSFS, WOMAC, as well as Friedmann and Wyman scores, 10MWT, and 30-second timed chair test, assessed before the operation and one, three, and six months after the operation...
June 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28880416/the-effect-of-self-administered-superficial-local-hot-and-cold-application-methods-on-pain-functional-status-and-quality-of-life-in-primary-knee-osteoarthritis-patients
#11
Semra Aciksoz, Aygul Akyuz, Servet Tunay
AIMS AND OBJECTIVES: To investigate the effect of the self-administered superficial local hot and cold applications on pain, and the functional status and the quality of life in primary knee osteoarthritis patients. BACKGROUND: Superficial local hot and cold application is used as a non-pharmacological method for the treatment of knee osteoarthritis. However, various guidelines for the management of knee osteoarthritis have conflicting recommendation for hot and cold therapy...
September 7, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28872524/the-influence-of-arthritis-in-other-major-joints-and-the-spine-on-the-one-year-outcome-of-total-hip-replacement-a-prospective-multicenter-cohort-study-eurohip-measuring-the-influence-of-musculoskeletal-morbidity
#12
Joerg Huber, Paul Dieppe, Karsten Dreinhoefer, Klaus-Peter Günther, Andrew Judge
BACKGROUND: Although arthritis in other affected major joints and back pain are known to lead to worse outcomes following total hip replacement, to our knowledge, these risk factors have not previously been operationalized as a musculoskeletal morbidity profile. The aim of this study was to measure the influence of other major joints and the spine (as grades of musculoskeletal morbidity) on the 1-year outcome of primary total hip replacement. METHODS: The EUROHIP study consists of 1,327 patients undergoing primary total hip replacement for arthritis across 20 European orthopaedic centers...
September 6, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/28865574/can-competitive-athletes-return-to-high-level-play-after-osteochondral-allograft-transplantation-of-the-knee
#13
Mark A McCarthy, Maximilian A Meyer, Alexander E Weber, David M Levy, Annemarie K Tilton, Adam B Yanke, Brian J Cole
PURPOSE: To investigate functional outcomes among competitive athletes undergoing osteochondral allograft (OCA) transplantation of the knee, including rates of return to play (RTP), and factors preventing RTP. METHODS: A retrospective review identified all competitive athletes (high school, intercollegiate, professional) undergoing isolated femoral condyle OCA from 2004 to 2013. Patient-reported outcome (PRO) questionnaires (Lysholm, International Knee Documentation Committee [IKDC], Knee Injury and Osteoarthritis Outcome Score [KOOS], Western Ontario and McMasters Universities Arthritis Index [WOMAC], 12-Item Short Form Health Survey [SF-12], Tegner, and Marx) and custom RTP surveys were administered...
September 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28860683/simultaneous-ipsilateral-knee-arthroscopy-and-unicondylar-knee-arthroplasty-is-effective-for-bicompartmental-symptoms
#14
Akshay Lakra, Taylor Murtaugh, Jeffrey A Geller, William Macaulay, Roshan P Shah
BACKGROUND: Patients with unicompartmental radiographic arthritis but bicompartmental symptoms pose a clinical challenge. Some surgeons may perceive it as a contraindication for unicondylar knee arthroplasty (UKA). We investigated patient outcomes 2 years after simultaneous ipsilateral arthroscopy and UKA as compared to a similar group of patients who had total knee replacement (TKA) for a similar clinical presentation. METHODS: We identified 9 patients with simultaneous ipsilateral arthroscopy and UKA between 2004 and 2013, and 12 clinically similar patients treated with TKA...
December 2017: Journal of Orthopaedics
https://www.readbyqxmd.com/read/28854768/efficacy-of-joins-on-cartilage-protection-in-knee-osteoarthritis-prospective-randomized-controlled-trial
#15
Joong Il Kim, Ja Young Choi, Kwang Gi Kim, Myung Chul Lee
Purpose: In this study, we compared the clinical efficacy of JOINS (SKI306X, SK Chemicals) with placebo on cartilage protection using magnetic resonance imaging (MRI). Materials and Methods: Sixty-nine patients were randomized to the JOINS group (200 mg, three times daily for 1 year; n=33) or the placebo group (n=36). Changes in cartilage volume and thickness were measured using MRI. Changes in the delayed gadolinium-enhanced MRI of cartilage (dGEMRIC) index, subchondral bone marrow abnormality scores, and clinical scores including knee pain visual analog scale (VAS) score and Korean Western Ontario and McMaster Universities Osteoarthritis Index (K-WOMAC) were also evaluated...
September 1, 2017: Knee Surgery & related Research
https://www.readbyqxmd.com/read/28854763/early-clinical-outcomes-of-a-new-posteriorly-stabilized-total-knee-arthroplasty-prosthesis-comparisons-with-two-established-prostheses
#16
Nimesh P Jain, Sung Yup Lee, Vivek M Morey, Suri Chong, Yeon Gwi Kang, Tae Kyun Kim
Purpose: We sought to determine whether early clinical performance of new posterior stabilized (PS) knee system, the Vega-PS (Aesculap), is better than that of two established total knee arthroplasty (TKA) prostheses, the E.motion-PS (Aesculap) and the Genesis II (Smith & Nephew) in terms of functional outcomes, patient satisfaction, and incidence of adverse events. Materials and Methods: We compared the clinical outcomes of 206 consecutive TKAs using Vega-PS with those of 205 TKAs using E...
September 1, 2017: Knee Surgery & related Research
https://www.readbyqxmd.com/read/28852353/management-of-painful-patellar-clunk-and-crepitance-results-at-a-mean-follow-up-of-five-years
#17
J Joseph Gholson, Devon D Goetz, Robert W Westermann, John Hart, John J Callaghan
INTRODUCTION: Painful patellar clunk and crepitance (PCC) is a known complication of total knee arthroplasty (TKA) with posterior-stabilized designs. Arthroscopic management of PCC has been proposed as a treatment option for PCC. METHODS: We reviewed all cases of PCC from a consecutive single-surgeon series using a specific posterior stabilized (PS) design treated with arthroscopy for PCC. In a series of 1,488 TKA cases, forty-six patients (3.1%) were identified to have clinical signs and symptoms of PCC during post-operative clinic follow-up...
2017: Iowa Orthopaedic Journal
https://www.readbyqxmd.com/read/28852345/outside-in-vs-anteromedial-portal-drilling-during-primary-acl-reconstruction-comparison-at-two-years
#18
Tyler CarlLee, Zach Ries, Kyle Duchman, Yubo Gao, Brian Wolf, Annunziato Amendola, Carolyn Hettrich, Matthew Bollier
BACKGROUND: Anteromedial (AM) and outside-in (OI) are two commonly used techniques for drilling the femoral tunnel during anterior cruciate ligament reconstruction (ACLR). The purpose of this study was to compare clinical and radiographic outcomes of patients undergoing primary ACLR using either AM or OI femoral drilling with minimum two year follow-up. METHODS: Overall, 138 prospectively enrolled patients undergoing primary ACLR underwent AM or OI femoral drilling...
2017: Iowa Orthopaedic Journal
https://www.readbyqxmd.com/read/28844767/comparison-of-high-flexion-fixed-bearing-and-high-flexion-mobile-bearing-total-knee-arthroplasties-a-prospective-randomized-study
#19
Young-Hoo Kim, Jang-Won Park, Jun-Shik Kim
BACKGROUND: There is none, to our knowledge, about comparison of high-flexion fixed-bearing and high-flexion mobile-bearing total knee arthroplasties (TKAs) in the same patients. The purpose of this study was to determine whether clinical results; radiographic and computed tomographic scan results; and the survival rate of a high-flexion mobile-bearing TKA is better than that of a high-flexion fixed-bearing TKA. METHODS: The present study consisted of 92 patients (184 knees) who underwent same-day bilateral TKA...
August 1, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/28840750/efficacy-and-safety-of-adalimumab-by-intra-articular-injection-for-moderate-to-severe-knee-osteoarthritis-an-open-label-randomized-controlled-trial
#20
Jianping Wang
Objective To evaluate the efficacy and safety of adalimumab (ADA) versus hyaluronic acid (HA) by intra-articular injection for moderate to severe knee osteoarthritis. Methods Fifty-six consecutive patients with moderate to severe knee osteoarthritis were randomly allocated to either the ADA group or HA group. On day 0, patients in the ADA group received 10 mg of ADA by intra-articular injection, while those in the HA group received 25 mg of HA. All patients received celecoxib at 200 mg/day for 4 weeks...
January 1, 2017: Journal of International Medical Research
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