keyword
https://read.qxmd.com/read/38325572/translated-article-closing-wedge-high-tibial-osteotomy-an-old-fashioned-technique-survival-clinical-and-radiological-outcomes-of-a-case-series-analysis
#21
JOURNAL ARTICLE
R Ferrer Rivero, O Pujol, J Ferrer Rivero, G Oliver Far
Introduction Closing wedge high tibial osteotomy (CW-HTO) is a surgical option for active patients with medial knee pain and mild-moderate osteoarthritis with varus limb deformity. Despite its good reported results, this technique has been losing popularity. The aim of this study was to analyse the survival rate, clinical functional outcomes and radiological results of CW-HTO. Methods It is a retrospective case series study. Seventy patients with primary knee osteoarthritis, operated on between 2010 and 2020 in a single Spanish tertiary hospital using the CW-HTO technique and with a minimum follow-up of 2 years were analysed...
February 5, 2024: Revista Española de Cirugía Ortopédica y Traumatología
https://read.qxmd.com/read/38320663/can-an-enhanced-recovery-protocol-result-in-a-safe-and-effective-outpatient-simultaneous-bilateral-total-knee-arthroplasty
#22
JOURNAL ARTICLE
Bharat Chandra Katragadda, Anoop Suresh, Arshad Azeez
OBJECTIVE: Outpatient total knee arthroplasty (OP TKA) is found to benefit patients as well as the health care system. Studies on OP TKA have been limited to unilateral TKA. This study aimed to determine if enhanced recovery after surgery (ERAS) protocols can result in performing simultaneous bilateral total knee arthroplasty (SBTKA) safely and effectively in the outpatient setting. METHODS: This retrospective study compared patients who underwent SBTKA in an OP setting (OP group, n = 100) using an ERAS protocol from 1 April 2021 to 30 June 2022 and a propensity-matched historical group (IP group, n = 100) operated in an inpatient (IP) setting via conventional protocol from 1 July 2019 to 30 June 2020...
February 4, 2024: Journal of Arthroplasty
https://read.qxmd.com/read/38293649/early-results-of-high-tibial-osteotomy-versus-combined-arthroscopic-surgery
#23
JOURNAL ARTICLE
Zhenbin Zhang, Zhaolong Yan, Gongteng Wang, Wenqi Zhang, Guangxing Li, Xufeng Wang, Huaqiang Sun, Shufeng Li
OBJECTIVE: To investigate the early effect of high tibial osteotomy (HTO) compared with combined arthroscopic surgery. METHODS: A retrospective study was conducted on patients who underwent HTO at The First Affiliated Hospital of Shandong First Medical University from January 2018 to January 2022. 138 patients (163 knees) with knee osteoarthritis (KOA) treated with HTO were selected. The medial proximal tibial angle (MPTA), joint line convergence angle (JLCA), femoral tibial angle (FTA), hip-knee-ankle (HKA) angle, weight-bearing line (WBL) ratio of the knee joint, opening gap, opening angle, American Knee Society score (KSS), US Hospital for Special Surgery (HSS) score, and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score were measured to determine the different effects between HTO and HTO combined with arthroscopic by logistic regression analysis...
2024: Frontiers in Surgery
https://read.qxmd.com/read/38285554/four-year-outcomes-of-cementless-versus-cemented-fixation-of-a-newly-introduced-total-knee-arthroplasty-design
#24
JOURNAL ARTICLE
Timothy G Costales, David F Dalury
BACKGROUND: Aseptic loosening continues to be a major cause of failure of total knee arthroplasty (TKA). Although cemented fixation remains the gold standard, there is renewed interest in cementless fixation as a means of decreasing this risk via biologic fixation. The purpose of this study was to evaluate the clinical outcomes of cemented and cementless versions of a newly introduced TKA design at an average of 4 years postoperatively. MATERIALS AND METHODS: This was a retrospective case-control study of 100 primary TKAs comparing cementless vs cemented TKAs using the same cruciate-retaining implant design (ATTUNE Knee System; DePuy Synthes)...
January 25, 2024: Orthopedics
https://read.qxmd.com/read/38281802/-effect-of-changes-in-posterior-tibial-slope-on-the-mid-term-clinical-outcomes-of-oxford-unicompartmental-knee-arthroplasty
#25
JOURNAL ARTICLE
Y K Jiang, Q D Zhang, C Huang, R Ding, Z H Liu, L M Cheng, W G Wang, W S Guo
Objective: To investigate the impact of changes in the posterior tibial slope (PTS) in Oxford unicompartmental knee arthroplasty (OUKA) on the mid-term clinical outcomes of postoperative patients. Methods: This study was a follow-up study. The data of 135 patients (150 knees) who underwent OUKA at the China-Japan Friendship Hospital from January 2012 to January 2013 were analyzed retrospectively. The patients were followed-up for at least ten years. According to the changes in PTS of the medial tibial plateau before and after surgery, patients were divided into three groups: group A (PTS decreased by more than 5°), group B (PTS changed by 5° or less), and group C (PTS increased by more than 5°)...
January 30, 2024: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://read.qxmd.com/read/38251078/the-use-of-a-modern-robotic-system-for-the-treatment-of-severe-knee-deformities
#26
JOURNAL ARTICLE
Stefano Marco Paolo Rossi, Rudy Sangaletti, Luca Andriollo, Luca Matascioli, Francesco Benazzo
BACKGROUND: Robotic-assisted total knee arthroplasty (TKA) have shown promising results in recent years with improved clinical outcomes using standard primary implants. OBJECTIVE: The purpose of this study was to assess the experience of a single center in correcting severe coronal deformities with the use of a robotic-assisted TKA system and an increased constrained implant. METHODS: Between July 2020 and December 2022, 30 knees in 28 patients with a major deformity and an associated ligament laxity requiring an increased constrained implant treated using an imageless robotic-assisted TKA were prospectively enrolled...
January 4, 2024: Technology and Health Care: Official Journal of the European Society for Engineering and Medicine
https://read.qxmd.com/read/38249205/robotic-assisted-knee-arthroplasty-insights-and-implications-from-current-literature
#27
REVIEW
Zaid Yasen, Hugo Woffenden, Andrew P Robinson
Robotic-assisted knee arthroplasty has emerged as a promising development, aiming to enhance surgical precision and patient outcomes. This literature review examines the clinical efficacy, cost implications, environmental impact, and potential of telesurgery in robotic-assisted total knee arthroplasty (RATKA) and robotic-assisted unicompartmental knee arthroplasty (RAUKA) relative to conventional techniques. A thorough literature search was conducted across medical databases. Clinical and radiological outcomes of RATKA and RAUKA were extracted and analyzed...
December 2023: Curēus
https://read.qxmd.com/read/38241323/associations-of-postoperative-outcomes-with-geriatric-nutritional-risk-index-after-conventional-and-robotic-assisted-total-knee-arthroplasty-a-randomized-controlled-trial
#28
JOURNAL ARTICLE
Guanzhi Liu, Qimeng Liu, Run Tian, Kunzheng Wang, Pei Yang
BACKGROUND: The association between postoperative outcomes of robotic-assisted total knee arthroplasty (RA-TKA) and nutrition status among elderly adults remained unclear. We aimed to evaluate these associations and provide a nutrition status reference for the surgical technique selection of total knee arthroplasty. METHODS: In present study, we used data from a multicenter, prospective, randomized controlled project which recruited patients underwent total knee arthroplasty therapy...
January 18, 2024: International Journal of Surgery
https://read.qxmd.com/read/38240728/short-term-functional-outcomes-of-robotic-assisted-tka-are-better-with-functional-alignment-compared-to-adjusted-mechanical-alignment
#29
JOURNAL ARTICLE
Michaud Jeffrey, Philippe Marchand, Pascal Kouyoumdjian, Remy Coulomb
INTRODUCTION: Ligament balancing is essential to the functional outcome of total knee arthroplasty (TKA). The optimal method of alignment remains a controversial issue. The primary objective was to compare the clinical outcomes of TKA between functional and adjusted mechanical alignment techniques. The secondary objectives were to compare bone resection, robotic alignment, and radiological assessment. MATERIALS AND METHODS: This was a retrospective case-control series comparing TKA performed with functional alignment (FA) and adjusted mechanical alignment (aMA)...
2024: SICOT-J
https://read.qxmd.com/read/38233873/different-modalities-of-patellar-management-in-primary-total-knee-arthroplasty-a-bayesian-network-meta-analysis-of-randomized-controlled-trials
#30
Lun Liu, Juebei Li, Yunlu Wang, Xiyong Li, Pengfei Han, Xiaodong Li
BACKGROUND: The primary management modalities for the patella in TKA include patellar resurfacing, patellar non-resurfacing, patellar resurfacing with denervation, and patellar non-resurfacing with denervation. Traditionally, meta-analyses have predominantly focused on examining comparisons between two management modalities. However, this study performed a network meta-analysis to compare all four patellar management interventions to identify the most optimal approach for patellar management in TKA...
January 17, 2024: Journal of Orthopaedic Surgery and Research
https://read.qxmd.com/read/38232933/-not-available
#31
JOURNAL ARTICLE
G Garabano, C A Pesciallo, J Rodriguez, L Perez Alamino, F Tillet, H Del Sel, F Lopreite
INTRODUCTION: Aseptic total knee arthroplasty (TKA) failure has been associated with radiolucent lines. This study aimed to determine the impact of the early appearance of radiolucent lines (linear images of 1, 2, or >2 mm at the cement-bone interface) around the TKA on prosthetic survival and functional outcomes in rheumatoid arthritis (RA) patients during a 2-20 years follow-up. METHODS: We retrospectively analysed a consecutive series of RA patients treated with TKA between 2000 and 2011...
January 15, 2024: Revista Española de Cirugía Ortopédica y Traumatología
https://read.qxmd.com/read/38225834/-evaluation-of-early-effectiveness-of-local-infiltration-anesthesia-with-compound-betamethasone-in-total-knee-arthroplasty
#32
JOURNAL ARTICLE
Yuhang Zheng, Yang Li, Hua Tian
OBJECTIVE: To evaluate the early effectiveness of local infiltration anesthesia (LIA) with compound betamethasone in total knee arthroplasty (TKA). METHODS: The clinical data of 102 patients with knee osteoarthritis who were treated by TKA and met the selection criteria between May 2022 and March 2023 were retrospectively analyzed. They were divided into control group and study group according to whether LIA preparation was added with compound betamethasone, with 51 cases in each group...
January 15, 2024: Chinese Journal of Reparative and Reconstructive Surgery
https://read.qxmd.com/read/38224444/cellular-and-molecular-responses-to-mitochondrial-dna-deletions-in-kearns-sayre-syndrome-some-underlying-mechanisms
#33
JOURNAL ARTICLE
Mazyar Yazdani
Kearns-Sayre syndrome (KSS) is a rare multisystem mitochondrial disorder. It is caused by mitochondrial DNA (mtDNA) rearrangements, mostly large-scale deletions of 1.1-10 kb. These deletions primarily affect energy supply through impaired oxidative phosphorylation and reduced ATP production. This impairment gives rise to dysfunction of several tissues, in particular those with high energy demand like brain and muscles. Over the past decades, changes in respiratory chain complexes and energy metabolism have been emphasized, whereas little attention has been paid to other reports on ROS overproduction, protein synthesis inhibition, myelin vacuolation, demyelination, autophagy, apoptosis, and involvement of lipid raft and oligodendrocytes in KSS...
January 15, 2024: Molecular Neurobiology
https://read.qxmd.com/read/38213584/equivalence-of-clinical-and-radiological-outcomes-in-cruciate-retaining-and-cruciate-substituting-total-knee-arthroplasty-with-medial-pivot-knee-a-comparative-study
#34
JOURNAL ARTICLE
Mingwei Hu, Shuai Xiang, Hao Xu, Yingzhen Wang, Chengyu Lv, Haining Zhang
INTRODUCTION: Total knee arthroplasty (TKA) has been recognized as the most efficacious surgical intervention for individuals suffering from advanced arthritis; however, there is ongoing debate on the technical details of the procedure. It remains unknown whether preservation of the posterior cruciate ligament (PCL) significantly affects the mid-to long-term performance of ADVANCE® medial-pivotal (AMP) knee implants to enhance patient satisfaction. The hypothesis of this study was to investigate whether the preservation of the PCL has a substantial impact on the functional outcomes of medial pivot (MP) implants in patients undergoing TKA...
December 2023: Heliyon
https://read.qxmd.com/read/38212863/minimal-clinically-important-difference-mcid-substantial-clinical-benefit-scb-and-patient-acceptable-symptom-state-pass-in-patients-who-have-undergone-total-knee-arthroplasty-a-systematic-review
#35
REVIEW
Filippo Migliorini, Nicola Maffulli, Luise Schäfer, Francesco Simeone, Andreas Bell, Ulf Krister Hofmann
BACKGROUND: The present systematic review investigated the minimal clinically important difference (MCID), substantial clinical benefit (SCB), and patient-acceptable symptom state (PASS) of several frequent and established PROMs used to assess patients who have undergone TKA. This study was conducted according to the 2020 PRISMA statement. METHODS: In September 2023, PubMed, Web of Science, and Embase were accessed with no time constraint All clinical studies investigating tools to assess the clinical relevance of PROMs used to evaluate patients having received TKA were accessed...
January 11, 2024: Knee Surgery & related Research
https://read.qxmd.com/read/38201472/upper-tract-urothelial-carcinoma-a-narrative-review-of-current-surveillance-strategies-for-non-metastatic-disease
#36
REVIEW
Jakob Klemm, Kensuke Bekku, Mohammad Abufaraj, Ekaterina Laukhtina, Akihiro Matsukawa, Mehdi Kardoust Parizi, Pierre I Karakiewicz, Shahrokh F Shariat
Non-metastatic upper urinary tract carcinoma (UTUC) is a comparatively rare condition, typically managed with either kidney-sparing surgery (KSS) or radical nephroureterectomy (RNU). Irrespective of the chosen therapeutic modality, patients with UTUC remain at risk of recurrence in the bladder; in patients treated with KSS, the risk of recurrence is high in the remnant ipsilateral upper tract system but there is a low but existent risk in the contralateral system as well as in the chest and in the abdomen/pelvis...
December 20, 2023: Cancers
https://read.qxmd.com/read/38176995/posterior-cruciate-retaining-versus-posterior-stabilising-prostheses-for-primary-total-knee-arthroplasty-in-treating-osteoarthritis-a-systematic-review-and-meta-analysis-of-randomised-controlled-trials
#37
REVIEW
Siraj Benbarka, Saja Benbarka
BACKGROUND: Total knee replacements (TKRs) are successful operations that utilities several operative techniques including cruciate retaining (CR) and posterior stabilising (PS) prostheses. To date, neither approach has proved superior. Techniques and implants are under constant evolution and new trials are published. The purpose of this meta-analysis is to determine the current risks and benefits of these two approaches so that an up-to-date clinical recommendation can be given as to which approach if any is superior...
January 3, 2024: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://read.qxmd.com/read/38161763/propofol-and-kearns-sayre-syndrome-an-idiographic-approach
#38
Madan M Maddali, Thushara D Munasinghe, Is'haq Al Aamri, Ismail A Al-Abri, Samir Al-Adawi
With the focus on an idiographic approach whereby the observations incorporated the various dimensions of individual functioning 'top-down' to 'bottom-up', this case report describes the successful management of a 14-year-old girl with Kearns-Sayre syndrome and Dyggve-Melchior-Clausen disease requiring a transvenous permanent pacemaker implantation for complete heart block. The patient presented to a tertiary care centre in Muscat, Oman, in 2023 seeking consultation. The current idiographic approach appears to have a heuristic value for 2 interrelated reasons...
December 2023: Sultan Qaboos University Medical Journal
https://read.qxmd.com/read/38148569/effects-of-a-simulated-maritime-shift-schedule-on-vigilance-sleep-and-sleepiness
#39
JOURNAL ARTICLE
Ziying Wang, Haodan Xu, Chen Teng, Chuan Wang
Shift work is associated with circadian misalignment, which causes sleep loss, impairs performance, and increases the risk of accidents. Shorter, more frequently shifting watch schedules, widely used in industries such as maritime operation, defense, and mining, may mitigate these risks by reducing shift length and providing sleep opportunities for all workers across the biological night. However, the effects of frequently shifting work on sleep and performance still need to be clarified. The current study investigated the vigilance, sleepiness, and sleep patterns of fifteen participants who lived in a controlled and confined laboratory that mimicked a maritime environment for 14 d following a simulating frequent shift schedule...
December 26, 2023: Chronobiology International
https://read.qxmd.com/read/38146280/single-sessions-of-transcranial-direct-current-stimulation-and-transcranial-random-noise-stimulation-exert-no-effect-on-sleepiness-in-patients-with-narcolepsy-and-idiopathic-hypersomnia
#40
JOURNAL ARTICLE
Michaela Hohenester, Berthold Langguth, Thomas Christian Wetter, Peter Geisler, Martin Schecklmann, Andreas Reissmann
BACKGROUND: Hypersomnia poses major challenges to treatment providers given the limitations of available treatment options. In this context, the application of non-invasive brain stimulation techniques such as transcranial electrical stimulation (tES) may open up new avenues to effective treatment. Preliminary evidence suggests both acute and longer-lasting positive effects of transcranial direct current stimulation (tDCS) on vigilance and sleepiness in hypersomniac patients. Based on these findings, the present study sought to investigate short-term effects of single sessions of tDCS and transcranial random noise stimulation (tRNS) on sleepiness in persons suffering from hypersomnia...
2023: Frontiers in Psychiatry
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