8,644 results match your criteria Total Joint Replacement Rehabilitation

Same-day discharge after early mobilisation and increased frequency of physiotherapy following hip and knee arthroplasty.

S Afr J Physiother 2022 31;78(1):1755. Epub 2022 May 31.

Department of Physiotherapy, Faculty of Health Science, University of the Witwatersrand, Parktown, South Africa.

Background: Advanced rehabilitation pathway (ARP) after hip and knee arthroplasties is popular globally and is gaining ground in South Africa (SA). A multidisciplinary team in Rustenburg, SA, has implemented an ARP with the first same-day discharge (SDD) from hospital. The lack of evidence of physiotherapy protocols within an ARP determined our study. Read More

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Effect of Prehabilitation in Form of Exercise and/or Education in Patients Undergoing Total Hip Arthroplasty on Postoperative Outcomes-A Systematic Review.

Medicina (Kaunas) 2022 May 30;58(6). Epub 2022 May 30.

Klinik Für Muskuloskelettale und Internistische Rehabilitation, Rehabilitationszentrum Walenstadtberg, Kliniken Valens, 8881 Walenstadtberg, Switzerland.

: The aim of this systematic review was to determine whether prehabilitation before total hip arthroplasty, in the form of exercise therapy, education alone, or both together, improves postoperative outcomes, such as physical functioning, compared with no intervention. : A systematic literature search was performed in the online databases PubMed, PEDro and Cochrane Library using the following search keywords: "prehabilitation", "preoperative care", and "total hip replacement". : A total of 400 potentially relevant studies were identified. Read More

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Does Application of Lymphatic Drainage with Kinesiology Taping Have Any Effect on the Extent of Edema and Range of Motion in Early Postoperative Recovery following Primary Endoprosthetics of the Knee Joint?

J Clin Med 2022 Jun 16;11(12). Epub 2022 Jun 16.

Department of Sports Medicine, Faculty of Health Sciences, Medical University of Lublin, 20-093 Lublin, Poland.

Background: The surgery of knee replacement due to degenerative changes is the last step of the treatment. After surgery, a major problem in patients is pain, swelling, intraarticular hematoma, and the restriction of the mobility of the joint. The aim of this work was to determine the effect of Kinesio Taping (KT) on reducing edema of the subcutaneous tissue and improving the range of motion in the joint. Read More

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Same-Day Outpatient Lower-Extremity Joint Replacement: A Critical Analysis Review.

JBJS Rev 2022 Jun 21;10(6). Epub 2022 Jun 21.

Department of Orthopaedics and Rehabilitation, University of Rochester Medical Center, Rochester, New York.

➢ The economics of transitioning total joint arthroplasty (TJA) to standalone ambulatory surgery centers (ASCs) should not be capitalized on at the expense of patient safety in the absence of established superior patient outcomes. ➢ Proper patient selection is essential to maximizing safety and avoiding complications resulting in readmission. ➢ Ambulatory TJA programs should focus on reducing complications frequently associated with delays in discharge. Read More

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Interventions for treating proximal humeral fractures in adults.

Cochrane Database Syst Rev 2022 06 21;6:CD000434. Epub 2022 Jun 21.

Centre for Evidence-Based Orthopaedics, Zealand University Hospital and Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.

Background: Fractures of the proximal humerus, often termed shoulder fractures, are common injuries, especially in older people. The management of these fractures varies widely, including in the use of surgery. This is an update of a Cochrane Review first published in 2001 and last updated in 2015. Read More

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Revision Risk for Total Knee Arthroplasty Polyethylene Designs in Patients 65 Years of Age or Older: An Analysis from the American Joint Replacement Registry.

J Bone Joint Surg Am 2022 Jun 20. Epub 2022 Jun 20.

Department of Orthopaedics and Rehabilitation, Oregon Health & Science University, Portland, Oregon.

Background: Polyethylene bearing design may influence the risk of revision after total knee arthroplasty (TKA). Previous investigations from outside of the United States have suggested the potential for an increased risk of all-cause revision and revision for infection with the use of posterior-stabilized bearings. We examine the risk of revision based on the polyethylene bearing design selection for primary TKA. Read More

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An Enhanced Understanding of Culture-Negative Periprosthetic Joint Infection with Next-Generation Sequencing: A Multicenter Study.

J Bone Joint Surg Am 2022 Jun 20. Epub 2022 Jun 20.

Rothman Institute at Thomas Jefferson, Philadelphia, Pennsylvania.

Background: The challenges of culture-negative periprosthetic joint infection (PJI) have led to the emergence of molecular methods of pathogen identification, including next-generation sequencing (NGS). While its increased sensitivity compared with traditional culture techniques is well documented, it is not fully known which organisms could be expected to be detected with use of NGS. The aim of this study was to describe the NGS profile of culture-negative PJI. Read More

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Are there really specific risk factors for heterotopic ossifications? A case report of 'non-risk factor' after total hip replacement.

J Int Med Res 2022 Jun;50(6):3000605221095225

Department of Adult Orthopaedics, District Hospital of Orthopaedics and Trauma Surgery, Piekary Śląskie, Poland.

Femoral neck fractures are one of the most common fractures in the elderly population. Due to frequent complications of the fixation of these fractures, patients are more and more often eligible for hip replacement surgery. One of the most frequently mentioned postoperative complication is the formation of heterotopic ossification. Read More

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Effect of Painless Rehabilitation Nursing for Hip Replacement Patients.

Comput Math Methods Med 2022 11;2022:5164973. Epub 2022 Jun 11.

Nursing College of Shanxi Medical University, Shanxi, China.

Objective: To analyze the effect of painless rehabilitation nursing for hip replacement patients.

Method: 124 elderly patients who underwent total knee arthroplasty in our hospital from June 2019 to June 2020 were selected as study subjects. They were randomly divided into observation group and control group. Read More

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Effect of the knee replacement surgery on activity level based on ActivPAL: a systematic review and meta-analysis study.

BMC Musculoskelet Disord 2022 Jun 15;23(1):576. Epub 2022 Jun 15.

Institute of Physiotherapy and Sport Science, Faculty of Health Sciences, University of Pecs, Pécs, Hungary.

Background: The knee replacement (KR) surgery aims to restore the activity level and reduce the risk of experiencing disabilities. The outcomes of this surgery are evaluated mainly with subjective tools or low validity objective tools. However, the effect of the surgery on activity level using high validity objective accelerometer is still in question. Read More

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Revision arthroplasty via the direct anterior approach.

Oper Orthop Traumatol 2022 Jun 14;34(3):175-176. Epub 2022 Jun 14.

Orthopedic Department König-Ludwig-Haus, University of Würzburg, Brettreichstr. 11, 97074, Würzburg, Germany.

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A physical therapist-led clinical decision-making program reduced risk of adverse events after total knee arthroplasty over 3 years: A retrospective review.

Seth Peterson

Clin Rehabil 2022 Jun 13:2692155221107734. Epub 2022 Jun 13.

42284Arizona School of Health Sciences, A.T. Still University, Mesa, AZ, USA.

Context: Reducing adverse events after total knee arthroplasty has implications for newly developed bundled payment models.

Objective: To examine the impact of a physical therapist-led clinical decision-making program on the risk of adverse events, function, visits used, or reaching knee range of motion (ROM) goals in patients after total knee arthroplasty.

Methods: The decision-making program consisted of quarterly meetings and recommendations for early risk identification and evidence-based intervention. Read More

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Reduction in hospital length of stay and increased utilization of telemedicine during the "return-to-normal" period of the COVID-19 pandemic does not adversely influence early clinical outcomes in patients undergoing total hip replacement: a case-control study.

Acta Orthop 2022 Jun 8;93:528-533. Epub 2022 Jun 8.

Department of Orthopedics, Hospital for Special Surgery, New York, NY, USA.

Background And Purpose: Elective total hip replacement (THR) was halted in our institution during the COVID-19 surge in March 2020. Afterwards, elective THR volume increased with emphasis on fast-track protocols, early discharge, and post-discharge virtual care. We compare early outcomes during this "return-to-normal period" with those of a matched pre-pandemic cohort. Read More

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The Time Course of Quadriceps Strength Recovery After Total Knee Arthroplasty Is Influenced by Body Mass Index, Sex, and Age of Patients: Systematic Review and Meta-Analysis.

Front Med (Lausanne) 2022 25;9:865412. Epub 2022 May 25.

Faculty of Sport, Institute of Kinesiology, University of Ljubljana, Ljubljana, Slovenia.

Introduction: For patients with osteoarthritis who have undergone total knee arthroplasty (TKA), quadriceps strength is a major determinant of general physical function regardless of the parameters adopted for functional assessment. Understanding the time course of quadriceps strength recovery and effectiveness of different rehabilitation protocols is a must. Therefore, the aim of this study was to: (i) determine the magnitude of maximal voluntary strength (MVS) loss and the time course of recovery of the quadriceps muscle following TKA, (ii) identify potential moderators of strength outcomes, and (iii) investigate whether different rehabilitation practices can moderate the strength outcomes following TKA, respectively. Read More

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Clinical evaluation of usefulness and effectiveness of sitting type continuous passive motion machines in patients with total knee arthroplasty: a study protocol for a single-blinded randomized controlled trial.

BMC Musculoskelet Disord 2022 Jun 10;23(1):565. Epub 2022 Jun 10.

Department of Rehabilitation Medicine, Chungnam National University College of Medicine, 266 Munhwa-ro, Jung-gu, Daejeon, 35015, Korea.

Background: Total knee arthroplasty (TKA) is an important management strategy for patients with knee osteoarthritis (OA) refractory to conservative management. Postoperative range of motion (ROM) exercise is important to recover patients' activities of daily living. Continuous passive motion (CPM) is a machine that provides passive ROM exercises of the knee joint in a pre-defined arc of motion. Read More

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Step-Cut Subtrochanteric Osteotomy Combined with Total Hip Arthroplasty for Neglected Traumatic Hip Dislocations.

Clin Orthop Surg 2022 Jun 13;14(2):205-212. Epub 2022 Apr 13.

Central Institute of Orthopaedics, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.

Background: Total Hip Arthroplasty remains the standard treatment protocol for patients with neglected traumatic dislocations of the hip with arthritis. A total hip arthroplasty needs to be frequently combined with a subtrochanteric shortening femoral osteotomy to aid in the reduction of the hip joint in such cases. Still long-term stable implant fixation, rigid construct, and favorable functional outcome remain a challenge. Read More

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Effects of Electromyographic Biofeedback on Functional Recovery of Patients Two Months after Total Knee Arthroplasty: A Randomized Controlled Trial.

J Clin Med 2022 Jun 2;11(11). Epub 2022 Jun 2.

Faculty of Kinesiology Osijek, Josip Juraj Strossmayer University of Osijek, 31000 Osijek, Croatia.

The incidence of total knee arthroplasty (TKA) is steadily increasing worldwide. Therefore, it is crucial to develop efficient rehabilitation protocols and investigate the innovations in medical technology, which could improve rehabilitation outcomes. The aim of the study was to investigate the effect of adding electromyographic biofeedback (EMG-BF) to the conventional program of rehabilitation after TKA on quality of life, intensity of pain, and functional performance. Read More

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Acetabular defect management and revision arthroplasty via the direct anterior approach.

Oper Orthop Traumatol 2022 Jun 9;34(3):203-217. Epub 2022 Jun 9.

Arthroplasty Center, Helios Klinikum Munich West, Steinerweg 5, 81241, Munich, Germany.

Objective: Acetabular revision arthroplasty and osseous defect management through the direct anterior approach (DAA) with or without proximal extension.

Indications: Aseptic or septic component loosening, periacetabular osseous defects, pelvic discontinuity, intrapelvic cup protrusion, anterior pseudotumors, iliopsoas tendonitis, polyethylene wear or iliopsoas abscess.

Contraindications: Clinically relevant gluteal tendon lesions, active infection, morbid obesity, large abdominal pannus, ASA (American Society of Anesthesiologists) score > III, inguinal skin infection. Read More

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Exploratory insights into novel prehabilitative neuromuscular exercise-conditioning in total knee arthroplasty.

BMC Musculoskelet Disord 2022 Jun 7;23(1):547. Epub 2022 Jun 7.

Centre for Health, Activity and Rehabilitation Research, Queen Margaret University Edinburgh, Edinburgh, EH21 6UU, UK.

Background: Contemporary strategies for prehabilitation and rehabilitation associated with total knee arthroplasty (TKA) surgery have focused on improving joint range-of-motion and function with less emphasis on neuromuscular performance beneficially affecting joint stability. Furthermore, prehabilitation protocols have been found to be too long and generic-in-effect to be considered suitable for routine clinical practice.

Methods: A pragmatic exploratory controlled trial was designed to investigate the efficacy of a novel, acute prehabilitative neuromuscular exercise-conditioning (APNEC) in patients electing TKA. Read More

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Effect of Remote Control Augmented Reality Multimedia Technology for Postoperative Rehabilitation of Knee Joint Injury.

Lingfeng Li

Comput Math Methods Med 2022 27;2022:9320063. Epub 2022 May 27.

Department of Orthopaedics, Shanghai Fifth People's Hospital, Fudan University, Shanghai 200240, China.

This study was aimed at exploring the application value of augmented reality (AR) in postoperative rehabilitation training for patients with knee joint injury. 40 patients who underwent knee joint injury surgery were selected as the research objects, and the patients were randomly divided into two groups: an experimental group (20 cases) and a control group (20 cases). Patients in the experimental group were treated with AR-based rehabilitation methods, while those in the control group were treated with traditional rehabilitation methods. Read More

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Effectiveness of mental simulation practices after total knee arthroplasty in patients with knee osteoarthritis: A systematic review and meta-analysis of randomized controlled trials.

PLoS One 2022 3;17(6):e0269296. Epub 2022 Jun 3.

Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan.

Mental simulation practices, such as motor imagery, action observation, and guided imagery, have been an intervention of interest in neurological and musculoskeletal rehabilitation. Application of such practices to postoperative patients in orthopedics, particularly after total knee arthroplasty, has resulted in favorable physical function outcomes. In this systematic review and meta-analysis, we wish to determine the effectiveness of mental simulation practices with standard physical therapy compared to standard physical therapy alone in patients who underwent total knee arthroplasty in terms of postoperative pain, physical functions, and patient-reported outcome measures. Read More

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Characteristics of Early Interventions for Pain and Function Following Lower Extremity Joint Replacement: Systematic Review.

Occup Ther Health Care 2022 Jun 2:1-21. Epub 2022 Jun 2.

Department of Nutrition, Metabolism, and Rehabilitation Sciences, School of Health Professions, University of Texas Medical Branch, Galveston, TX, USA.

Occupational therapy is beneficial among adults with chronic pain; however, occupational therapy interventions addressing earlier phases of pain have not been clearly explicated. This systematic review characterized acute and subacute interventions billable by occupational therapy after hip or knee replacement to improve pain and function. Seven articles met inclusion criteria. Read More

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The Interspace Between Popliteal Artery and Posterior Capsule of the Knee (IPACK) Block in Knee Arthroplasty: A Prospective Randomized Trial.

Pain Physician 2022 05;25(3):E427-E433

Department of Anesthesia and Surgical Intensive Care, Faculty of Medicine, Tanta University, Tanta, Egypt.

Background: Optimal analgesia following knee surgery is essential for early mobilization and rehabilitation and minimizing morbidity.

Objectives: We compared the addition of the interspace between the popliteal artery and the posterior capsule of the knee (IPACK) block to the adductor canal block (ACB) versus ACB alone on postoperative analgesia and ambulation ability in patients undergoing total knee arthroplasty (TKA).

Study Design: A prospective randomized study. Read More

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Comparison of Patient-Reported Outcomes and Functional Assessment Using a Marker-Less Image Capture System in End-Stage Knee Arthritis.

J Arthroplasty 2022 May 26. Epub 2022 May 26.

South Bend Orthopaedics, South Bend, Indiana.

Background: Patient self-assessment of knee function in end-stage osteoarthritis (OA) and following total knee arthroplasty (TKA) using patient-reported outcome measures (PROMs) has become standard for defining disability. The relationship of PROMs to functional performance requires a continued investigation. The purpose of this study was to determine correlations between patient demographics, PROMs, and functional performances using a marker-less image capture system (MICS). Read More

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Patient-Reported Outcomes 1 Year After Proximal Interphalangeal Joint Arthroplasty for Osteoarthritis.

J Hand Surg Am 2022 May 25. Epub 2022 May 25.

Department of Surgery, Reconstructive and Hand Surgery, Radboud UMC, Nijmegen, The Netherlands; Department of Plastic Surgery, Jeroen Bosch Ziekenhuis, 's-Hertogenbosch, The Netherlands.

Purpose: Implant survival, range of motion, and complications of proximal interphalangeal joint arthroplasty have been reported often, but patient-reported outcomes are less frequently described. This study evaluated patients' experiences during the first year after proximal interphalangeal joint arthroplasty, measured with the Michigan Hand Outcomes Questionnaire (MHQ). The primary focus was the reduction of patient-reported pain after proximal interphalangeal joint implant placement and the percentage of patients who considered this reduction clinically relevant, indicated by the minimal clinically important difference (MCID). Read More

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Internal Validation of a Risk Scoring System for Venous Thromboembolism After Total hip or Knee Arthroplasty.

Clin Appl Thromb Hemost 2022 Jan-Dec;28:10760296221103868

Department of Pharmacy, 73444Kitasato University Hospital, Sagamihara, Kanagawa, Japan.

We developed a computerized clinical decision support system (CCDSS) for venous thromboembolism (VTE) risk assessment. We aimed to demonstrate its relevance and evaluate associations between risk level and VTE incidence in patients undergoing total hip/knee arthroplasty. In this case-control study, VTE was confirmed using ultrasonography/computed tomography angiography in 1098 adults at a tertiary care hospital over five years (2013-2018). Read More

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Femoral revision with the direct anterior approach.

Oper Orthop Traumatol 2022 Jun 31;34(3):189-202. Epub 2022 May 31.

Department of Orthopedic Surgery, Virginia Tech Carilion School of Medicine, Institute for Orthopedics and Neurosciences, 24014, Roanoke, VA, USA.

Objective: The advantages of the direct anterior approach (DAA) in primary total hip arthroplasty as a minimally invasive, muscle-sparing, internervous approach are reported by many authors. Therefore, the DAA has become increasingly popular for primary total hip arthroplasty (THA) in recent years, and the number of surgeons using the DAA is steadily increasing. Thus, the question arises whether femoral revisions are possible through the same interval. Read More

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Proximal femoral replacement using the direct anterior approach to the hip.

Oper Orthop Traumatol 2022 Jun 31;34(3):218-230. Epub 2022 May 31.

Department of Orthopedic Surgery, Virginia Tech Carilion School of Medicine, Institute for Orthopedics and Neurosciences, 24014, Roanoke, VA, USA.

Objective: Proximal femoral replacement (PFR) is a salvage procedure originally developed for reconstruction after resection of sarcomas and metastatic cancer. These techniques can also be adapted for the treatment of non-oncologic reconstruction for cases involving massive proximal bone loss. The direct anterior approach (DAA) is readily utilized for revision total hip arthroplasty (THA), but there have been few reports of its use for proximal femoral replacement. Read More

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Randomised controlled trial of a behaviour change physiotherapy intervention to increase physical activity following hip and knee replacement: the PEP-TALK trial.

BMJ Open 2022 May 31;12(5):e061373. Epub 2022 May 31.

College of Medicine and Health, University of Exeter, Exeter, UK.

Objective: To test the effectiveness of a behaviour change physiotherapy intervention to increase physical activity compared with usual rehabilitation after total hip replacement (THR) or total knee replacement (TKR).

Design: Multicentre, pragmatic, two-arm, open, randomised controlled, superiority trial.

Setting: National Health Service providers in nine English hospitals. Read More

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ISB clinical biomechanics award winner 2021: Tibio-femoral kinematics of natural versus replaced knees - A comparison using dynamic videofluoroscopy.

Clin Biomech (Bristol, Avon) 2022 Jun 20;96:105667. Epub 2022 May 20.

Laboratory for Movement Biomechanics, Institute for Biomechanics, ETH Zürich, Leopold-Ruzicka-Weg 4, 8093 Zürich, Switzerland.

Background: A comparison of natural versus replaced tibio-femoral kinematics in vivo during challenging activities of daily living can help provide a detailed understanding of the mechanisms leading to unsatisfactory results and lay the foundations for personalised implant selection and surgical implantation, but also enhance further development of implant designs towards restoring physiological knee function. The aim of this study was to directly compare in vivo tibio-femoral kinematics in natural versus replaced knees throughout complete cycles of different gait activities using dynamic videofluoroscopy.

Methods: Twenty-seven healthy and 30 total knee replacement subjects (GMK Sphere, GMK PS, GMK UC) were assessed during multiple complete gait cycles of level walking, downhill walking, and stair descent using dynamic videofluoroscopy. Read More

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