Arthroplasty, Replacement, Knee

Publication Title: 
BMJ clinical evidence

INTRODUCTION: Osteoarthritis of the knee affects about 10% of adults aged over 60 years, with risk increased in those with obesity, and joint damage or abnormalities. Progression of disease on x rays is commonplace, but x ray changes don't correlate well with clinical symptoms. METHODS AND OUTCOMES: We conducted a systematic review and aimed to answer the following clinical questions: What are the effects of non-surgical treatments for osteoarthritis of the knee? What are the effects of surgical treatments for osteoarthritis of the knee?

Author(s): 
Scott, David
Kowalczyk, Anna
Publication Title: 
Physical Therapy

BACKGROUND: Clinical course and outcome connected to rehabilitation after hip or knee arthroplasty have been studied extensively, but few studies have assessed the content of team rehabilitation care for these patients. OBJECTIVE: The purpose of this study was to provide a thorough description of the structure, process, and outcome of team rehabilitation care for patients with hip or knee arthroplasty for osteoarthritis. DESIGN: This was a multicenter, longitudinal observational study.

Author(s): 
Grotle, Margreth
Garratt, Andrew M.
Klokkerud, Mari
Løchting, Ida
Uhlig, Till
Hagen, Kåre B.
Publication Title: 
Physical Therapy

BACKGROUND: Clinical course and outcome connected to rehabilitation after hip or knee arthroplasty have been studied extensively, but few studies have assessed the content of team rehabilitation care for these patients. OBJECTIVE: The purpose of this study was to provide a thorough description of the structure, process, and outcome of team rehabilitation care for patients with hip or knee arthroplasty for osteoarthritis. DESIGN: This was a multicenter, longitudinal observational study.

Author(s): 
Grotle, Margreth
Garratt, Andrew M.
Klokkerud, Mari
Løchting, Ida
Uhlig, Till
Hagen, Kåre B.
Publication Title: 
Physiotherapy Theory and Practice

BACKGROUND: Knee osteoarthritis (OA) is a leading cause of disability in older adults (?60) in the UK. If nonsurgical management fails and if OA severity becomes too great, knee arthroplasty is a preferred treatment choice. Preoperative physiotherapy is often offered as part of rehabilitation to improve postoperative patient-based outcomes. OBJECTIVES: Systematically review whether preoperative physiotherapy improves postoperative, patient-based outcomes in older adults who have undergone total knee arthroplasty (TKA) and compare study interventions to best-practice guidelines.

Author(s): 
Chesham, Ross Alexander
Shanmugam, Sivaramkumar
Publication Title: 
BMJ open

INTRODUCTION: Total knee arthroplasty (TKA) is a common surgical method in orthopaedics; however, pain management after TKA remains a significant challenge. This review provides a comprehensive evaluation of the effects of acupuncture for postoperative pain after TKA.

Author(s): 
Jung, Jae-Young
Cho, Jae-Heung
Chung, Seok-hee
Publication Title: 
Clinical Orthopaedics and Related Research

BACKGROUND: Orthopaedic oncologists often must address leg-length discrepancy after resection of tumors in growing patients with osteosarcoma. There are various alternatives to address this problem. We describe a three-stage procedure: (1) temporary arthrodesis, (2) lengthening by Ilizarov apparatus, and (3) tumor prosthesis.

Author(s): 
Kong, Chang-Bae
Lee, Soo-Yong
Jeon, Dae-Geun
Publication Title: 
International Orthopaedics

Total knee replacement (TKR) achieves an immediate and exceptional restoration in the quality of life that is comparable only to a few other procedures. It has been suggested that the most common cause of revision TKR is error in surgical technique, from malpositioning of the components which results in a poorer post-operative outcome. Based on the theoretical assumption that the use of computer-assisted systems (CAS) in TKRs may improve implant alignment and thus implant longevity, the use of this technology is becoming increasingly popular.

Author(s): 
Dattani, Rupen
Patnaik, Surendra
Kantak, Avadhoot
Tselentakis, Georgis
Publication Title: 
PloS One

OBJECTIVES: The constructs optimism, pessimism, hope, treatment credibility and treatment expectancy are associated with outcomes of medical treatment. While these constructs are grounded in different theoretical models, they nonetheless show some conceptual overlap. The purpose of this study was to examine whether currently available measurement instruments for these constructs capture the conceptual differences between these constructs within a treatment setting.

Author(s): 
Haanstra, Tsjitske M.
Tilbury, Claire
Kamper, Steven J.
Tordoir, Rutger L.
Vliet Vlieland, Thea P. M.
Nelissen, Rob G. H. H.
Cuijpers, Pim
de Vet, Henrica C. W.
Dekker, Joost
Knol, Dirk L.
Ostelo, Raymond W.
Publication Title: 
The Journal of the American Academy of Orthopaedic Surgeons

Nearly 20% of patients are dissatisfied following well-performed total knee arthroplasty with good functional outcomes. Surgeons must understand the drivers of dissatisfaction to minimize the number of unhappy patients following surgery. Several studies have shown that unfulfilled expectations are a principal source of patient dissatisfaction. Patients contemplating total knee arthroplasty expect pain relief, improved walking ability, return to sports, and improvement in psychological well-being and social interactions.

Author(s): 
Husain, Adeel
Lee, Gwo-Chin
Publication Title: 
Acta Anaesthesiologica Taiwanica: Official Journal of the Taiwan Society of Anesthesiologists

BACKGROUND: The use of spectral entropy for monitoring the depth of anesthesia or level of hypnosis in surgery or painful procedures can reduce the consumption of drugs and shorten the recovery time of total intravenous anesthesia such as by propofol. The aim of this study was to investigate: (1) the consumption of sevoflurane as the sole anesthetic; and (2) hemodynamic stability in orthopedic surgery with tourniquet inflation under the guidance of spectral entropy, in contrast with the conventional method.

Author(s): 
Wu, Shao-Chun
Wang, Peng-Chih
Liao, Wen-Tzu
Shih, Tsung-Hsiao
Chang, Kow-Aung
Lin, Kun-Chen
Chou, An-Kuo

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