6,302 results match your criteria Total Joint Replacement Rehabilitation


In Vitro Testing of a First-In-Class Tri-alkylnorspermidine-biaryl Antibiotic in an Anti-biofilm Silicone Coating.

Acta Biomater 2019 Feb 12. Epub 2019 Feb 12.

George E. Wahlen Department of Veterans Affairs, Salt Lake City, Utah, United States; Department of Orthopaedics, University of Utah, Salt Lake City, Utah, United States; Curza Global, LLC, Salt Lake City, Utah, United States; Department of Pathology, University of Utah, Salt Lake City, Utah, United States; Department of Bioengineering, University of Utah, Salt Lake City, Utah, United States; Department of Physical Medicine and Rehabilitation, Uniformed Services University of the Health Sciences, Bethesda, MD, United States. Electronic address:

Biofilm-related infection is among the worst complication to prosthetic joint replacement procedures; once established on the implant surface, biofilms show strong recalcitrance to clinical antibiotic therapy, frequently requiring costly revision procedures and prolonged systemic antibiotics for their removal. A well-designed active release coating might assist host immunity in clearing bacterial contaminants within the narrow perioperative window and ultimately prevent microbial colonization of the joint prosthesis. A first-in-class compound (CZ-01127) was tested as the active release agent in a silicone (Si) coating using an in vitro dynamic flow model of surgical site contamination and compared with analogous coatings containing clinical gold-standard antibiotics vancomycin and gentamicin; the CZ-01127 coating outperformed both vancomycin and gentamicin coatings and was the only to decrease the methicillin-resistant Staphylococcus aureus (MRSA) inocula below detectable limits for the first 3 days. Read More

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http://dx.doi.org/10.1016/j.actbio.2019.02.010DOI Listing
February 2019

Anaesthetist-controlled versus patient-maintained effect-site targeted propofol sedation during elective primary lower-limb arthroplasty performed under spinal anaesthesia (ACCEPTS): study protocol for a parallel-group randomised comparison trial.

Trials 2019 Feb 13;20(1):129. Epub 2019 Feb 13.

Department of Anaesthesia and Critical Care, Nottingham University Hospitals NHS Trust, Nottingham, UK.

Background: The clinical efficacy of effect-site targeted patient-maintained propofol sedation (PMPS) compared to anaesthetist-controlled propofol sedation (ACPS) for patients undergoing awake joint replacement surgery is currently unknown. There is no commercially available medical device capable of delivering PMPS so we have designed and built such a device. We plan a clinical trial to compare PMPS to ACPS and to collect data relating to the safety of our prototype device in delivering sedation. Read More

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http://dx.doi.org/10.1186/s13063-019-3228-4DOI Listing
February 2019

[Fast track strategies in hip arthroplasty].

Orthopade 2019 Feb 13. Epub 2019 Feb 13.

Klinik für Orthopädie und Unfallchirurgie, Evangelisches Waldkrankenhaus Spandau, Stadtrandstraße 555, 13589, Berlin, Deutschland.

Background: Fast track arthroplasty is becoming increasingly accepted in German-speaking countries. By optimizing treatment processes fast track programs promise faster recovery, increased patient satisfaction, quality improvement and reduction in the length of hospital stay.

Objectives: The philosophy and treatment principles of fast track hip arthroplasty during the pre, intra and postoperative phase are described in the light of the current body of evidence. Read More

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http://dx.doi.org/10.1007/s00132-019-03697-7DOI Listing
February 2019

Outcome of surgical treatment of inter prosthetic fractures: A case series.

Orthop Traumatol Surg Res 2019 Feb 7. Epub 2019 Feb 7.

Plymouth Hospitals NHS Trust, Derriford Road, Crownhill, Plymouth, Devon PL6 8DH, United Kingdom.

Introduction: Interprosthetic fractures occur between a total knee replacement and a femoral stem of either a hemiarthroplasty or total hip replacement. The number of interprosthetic fractures will increase as the number of joint replacements rises. There is currently a paucity of literature looking at the outcomes of interprosthetic fractures. Read More

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http://dx.doi.org/10.1016/j.otsr.2018.08.022DOI Listing
February 2019
1 Read

Do tourniquet and drainage influence fast track in total knee arthroplasty? Our results on 151 cases.

Acta Biomed 2019 Jan 10;90(1-S):123-129. Epub 2019 Jan 10.

St. Polo's Hospital - Monfalcone (GO).

Background: Fast track in total knee replacement (TKR) is a widely used protocol. Tranexamic acid proved to be effective in reducing perioperative bleeding without increasing thromboembolic risk. The aim of this study was to assess if tourniquet and suction drainage might affect perioperative blood loss and postoperative functional recovery after TKR. Read More

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http://dx.doi.org/10.23750/abm.v90i1-S.8080DOI Listing
January 2019

General principles for treatment of femoral head fractures.

J Clin Orthop Trauma 2019 Jan-Feb;10(1):155-160. Epub 2017 Jul 29.

Departamento de Radiologia, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.

Femoral head fractures occur almost exclusively as a result of a traumatic hip dislocation. Treatment is typically an emergency and includes the reduction of the dislocated hip under anesthesia. As a rule, the earlier the reduction, the better the outcome. Read More

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http://dx.doi.org/10.1016/j.jcot.2017.07.013DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6349681PMC
July 2017
3 Reads

Concealed cosmetic closure in total knee replacement surgery - A prospective audit assessing appearance and patient satisfaction.

J Clin Orthop Trauma 2019 Jan-Feb;10(1):111-116. Epub 2017 Nov 13.

Department of Orthopedics, P.D Hinduja Hospital and Medical Research Centre, Mumbai, India.

Objective: With the trend towards accelerated rehabilitation, the method of skin closure has become increasingly important in orthopedic surgery. It is imperative to evaluate a technique that provides superior clinical and cosmetic results specifically for TKA, due to relatively thin skin anterior to the knee making poor wound healing an issue of concern. We conducted a prospective, single-arm audit evaluating the patient assessments of incision cosmesis for a novel technique in TKA wound closure called Concealed Cosmetic Closure (CCC). Read More

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http://dx.doi.org/10.1016/j.jcot.2017.11.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6349645PMC
November 2017

Introduction of an innovative day surgery pathway for unicompartmental knee replacement: no need for early knee flexion.

Physiotherapy 2019 03 26;105(1):46-52. Epub 2018 Nov 26.

Nuffield Orthopaedic Centre, Oxford University Hospitals NHS Foundation Trust, Oxford, OX3 7HE, UK.

Objectives: To evaluate the introduction of an innovative rehabilitation protocol, delaying knee flexion, for patients receiving unicompartmental knee replacement.

Design: Longitudinal cohort.

Setting: Specialist Orthopaedic Unit within an NHS Foundation Trust. Read More

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http://dx.doi.org/10.1016/j.physio.2018.11.305DOI Listing

Transfemoral amputation following total knee arthroplasty.

Bone Joint J 2019 Feb;101-B(2):221-226

Duke University Hospital, Durham, North Carolina, USA.

Aims: The aim of this study was to characterize the factors leading to transfemoral amputation after total knee arthroplasty (TKA), as well as the rates of mortality and functional independence after this procedure in these patients.

Patients And Methods: This was a multicentre retrospective review with a prospective telephone survey for the assessment of function. All patients with a TKA who subsequently required transfemoral amputation between January 2001 and December 2015 were included. Read More

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http://dx.doi.org/10.1302/0301-620X.101B2.BJJ-2018-0784.R1DOI Listing
February 2019
1 Read

What is the evidence to support early supervised exercise therapy after primary total knee replacement? A systematic review and meta-analysis.

BMC Musculoskelet Disord 2019 Jan 29;20(1):42. Epub 2019 Jan 29.

Bond University, 14 University Drive, Robina, QLD, 4226, Australia.

Background: Total knee replacement (TKR) patients participate in early supervised exercise therapy programs, despite a lack of evidence for such programs or the optimal type, duration or frequency to provide the best clinical outcomes. As hospital stay rates decrease worldwide, the first days after joint replacement surgery are of increasing clinical importance. The purpose of this study was to investigate any reported effects of published early exercise therapy following TKR surgery. Read More

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http://dx.doi.org/10.1186/s12891-019-2415-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6352456PMC
January 2019
1 Read

Curcumin nanoparticles are a promising anti-bacterial and anti-inflammatory agent for treating periprosthetic joint infections.

Int J Nanomedicine 2019 11;14:469-481. Epub 2019 Jan 11.

Department of Nursing, Chang Gung University of Science and Technology, Puzi City, Chiayi County 61363, Taiwan,

Background: Periprosthetic joint infections (PJIs) have a high incidence of recurrence after total joint replacement and are difficult to treat by debridement or antibiotic treatment. Curcumin is a natural product with anti-inflammatory and anti-bacterial properties. The low bioactivity of curcumin in water restricts its clinical application. Read More

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https://www.dovepress.com/curcumin-nanoparticles-are-a-promi
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http://dx.doi.org/10.2147/IJN.S191504DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6333393PMC
January 2019
5 Reads

Impact of enhanced recovery after surgery on postoperative recovery after joint arthroplasty: results from a systematic review and meta-analysis.

Postgrad Med J 2018 Dec 21;94(1118):678-693. Epub 2019 Jan 21.

Department of Orthopedics, Taihe Hospital, Hubei University of Medicine, Shiyan, China

Study Design: Systematic review with meta-analysis.

Objectives: To evaluate the effects of enhanced recovery after surgery (ERAS) on the postoperative recovery of patients who underwent total hip arthroplasty (THA) or total knee arthroplasty (TKA).

Methods: The PubMed, Embase, Cochrane and ISI Web of Science databases were searched to identify literature including randomised controlled trials (RCTs), cohort studies and case-control studies through 2 May 2018. Read More

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http://pmj.bmj.com/lookup/doi/10.1136/postgradmedj-2018-1361
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http://dx.doi.org/10.1136/postgradmedj-2018-136166DOI Listing
December 2018
5 Reads

Selecting and optimising patients for total knee arthroplasty.

Med J Aust 2019 Jan 18. Epub 2019 Jan 18.

South Western Sydney Clinical School, UNSW, Sydney, NSW.

The minimum requirements for total knee arthroplasty (TKA) are significant, prolonged symptoms with supporting clinical and radiological signs. Despite interest in screening tools, there is limited evidence for a specific symptom threshold that justifies surgery. Non-operative treatments including medications, exercise and weight loss are unlikely to reverse radiographic changes, but they may improve symptoms and delay the need for surgery. Read More

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http://dx.doi.org/10.5694/mja2.12109DOI Listing
January 2019
1 Read

The efficacy of local liposomal bupivacaine infiltration on pain and recovery after Total Joint Arthroplasty: A systematic review and meta-analysis of randomized controlled trials.

Medicine (Baltimore) 2019 Jan;98(3):e14092

Trauma knee department 1, Tianjin Hospital, Tianjin.

Background: Total Joint Arthroplasty (TJA) is gradually emerging as the treatment of choice for end-stage osteoarthritis. In the past, Perioperative liposomal bupivacaine treatment is still a controversial subject in TJA. Therefore, we write this systematic review and meta-analysis to evaluate the efficacy of liposomal bupivacaine on pain and recovery after TJA. Read More

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http://dx.doi.org/10.1097/MD.0000000000014092DOI Listing
January 2019
4 Reads

A Retrospective Analysis of the Modified Intervastus Approach.

Am J Orthop (Belle Mead NJ) 2018 Dec;47(12)

Department of Biomechanics, 6160 University Drive South, USA. Email:

The subvastus (SV) approach is a well-known muscle- and tendon-sparing approach for total knee arthroplasty (TKA), which has been shown in some studies to provide better outcomes in the visual analog pain score (VAS), knee range of motion (ROM), straight-leg raise, as well as faster rehabilitation, compared with the standard medial parapatellar (MP) approach. We previously described a new knee replacement technique known as the modified intervastus (MIV) approach. The MIV approach is a muscle- and tendon-sparing approach that is extensile and simple to perform. Read More

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http://dx.doi.org/10.12788/ajo.2018.0106DOI Listing
December 2018

Medial ball and socket total knee arthroplasty.

Bone Joint J 2019 Jan;101-B(1_Supple_A):59-65

Monash University, Melbourne, Melbourne Orthopaedic Group, Melbourne, Australia.

Aims: Between 15% and 20% of patients remain dissatisfied following total knee arthroplasty (TKA). The SAIPH knee system (MatOrtho, Surrey, United Kingdom) is a medial ball and socket TKA that has been designed to replicate native knee kinematics in order to maximize the range of movement, stability, and function. This system is being progressively introduced in a stepwise fashion, with this study reporting the mid-term clinical and radiological outcomes. Read More

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https://online.boneandjoint.org.uk/doi/10.1302/0301-620X.101
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http://dx.doi.org/10.1302/0301-620X.101B1.BJJ-2018-0434.R1DOI Listing
January 2019
8 Reads

Early Regain of Function and Proprioceptive Improvement Following Knee Arthroplasty.

Arch Bone Jt Surg 2018 Nov;6(6):523-531

Research performed at New England Baptist Hospital, Boston, MA, USA Brigham and Women's Hospital, Boston, MA, USA.

Background: Techniques that allow early muscle activation, such as closed kinetic chain (CKC) and open kinetic chain (OKC) exercises, may play a beneficial role in the early rehabilitation of the reconstructed knee. However, current rehabilitation regimens have not been shown to reverse post-operative quadriceps activation failure and weakness. To investigate whether patients who use a continuous active motion (CAM) device that follows closed kinetic chain principles have better early post-operative functional improvements than patients who use a continuous passive motion (CPM) device that follows the principles of open kinetic chain principles. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6310182PMC
November 2018
1 Read

Stance and swing phase knee flexion recover at different rates following total knee arthroplasty: An inertial measurement unit study.

J Biomech 2019 Feb 31;84:129-137. Epub 2018 Dec 31.

Dartmouth College, Thayer School of Engineering, 14 Engineering Drive, Hanover, NH 03755, United States.

Total knee arthroplasty (TKA) is the most common joint replacement in the United States. Range of motion (ROM) monitoring includes idealized clinic measures (e.g. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00219290183092
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http://dx.doi.org/10.1016/j.jbiomech.2018.12.027DOI Listing
February 2019
10 Reads

Early postoperative complications and discharge time in diabetic patients undergoing total shoulder arthroplasty.

J Orthop Surg Res 2019 Jan 8;14(1). Epub 2019 Jan 8.

Department of Orthopaedics, Stony Brook University Medical Center, HSC T-18, Room 080, Stony Brook, NY, 11794-8181, USA.

Purpose: With the increasing elderly population and obesity epidemic, diabetes is an important factor in arthroplasty planning. Although research suggests diabetes is associated with increased postoperative morbidity after hip and knee replacement, the effect of diabetes and varying management with insulin versus non-insulin agents on total shoulder arthroplasty (TSA) is not established.

Methods: All TSAs from 2015 to 2016 were queried from the American College of Surgeons National Surgical Quality Improvement Program database. Read More

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https://josr-online.biomedcentral.com/articles/10.1186/s1301
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http://dx.doi.org/10.1186/s13018-018-1051-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6325881PMC
January 2019
7 Reads

Infographic: Robotics are guiding arthroplasties to less pain and faster recovery.

Bone Joint J 2019 Jan;101-B(1):22-23

University College London Hospitals; The Princess Grace Hospital; The NIHR Biomedical Research Centre at UCLH, London, UK.

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http://dx.doi.org/10.1302/0301-620X.101B1.BJJ-2018-1530DOI Listing
January 2019

An assessment of early functional rehabilitation and hospital discharge in conventional versus robotic-arm assisted unicompartmental knee arthroplasty.

Bone Joint J 2019 Jan;101-B(1):24-33

University College London Hospitals; The Princess Grace Hospital; The NIHR Biomedical Research Centre at UCLH, London, UK.

Aims: The objectives of this study were to compare postoperative pain, analgesia requirements, inpatient functional rehabilitation, time to hospital discharge, and complications in patients undergoing conventional jig-based unicompartmental knee arthroplasty (UKA) versus robotic-arm assisted UKA.

Patients And Methods: This prospective cohort study included 146 patients with symptomatic medial compartment knee osteoarthritis undergoing primary UKA performed by a single surgeon. This included 73 consecutive patients undergoing conventional jig-based mobile bearing UKA, followed by 73 consecutive patients receiving robotic-arm assisted fixed bearing UKA. Read More

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http://dx.doi.org/10.1302/0301-620X.101B1.BJJ-2018-0564.R2DOI Listing
January 2019
8 Reads

[Clinical outcome of enhanced recovery after surgery for hemiarthroplasty for the treatment of femoral neck fractures in elderly patients].

Zhongguo Gu Shang 2018 Dec;31(12):1100-1103

Department of Joint Surgery, Ningbo No.6 Hospital, Ningbo 351000, Zhejiang, China.

Objective: To analyze and evaluate the clinical outcomes of enhanced recovery after surgery(ERAS) for hemiarthroplasty for the treatment of femoral neck fractures in elderly patients.

Methods: From January 2015 to December 2016, 466 patients with femoral neck fractures were admitted in our department. Among them, 154 patients were more than 80 years old, with an average age of (83. Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2018.12.005DOI Listing
December 2018
6 Reads

Goal Setting and Achievement in Individualized Rehabilitation of Younger Total and Unicondylar Knee Arthroplasty Patients: A Cohort Study.

Arch Phys Med Rehabil 2018 Dec 22. Epub 2018 Dec 22.

Department of Orthopaedic Surgery, Foundation for Orthopedic Research, Care and Education, Amphia Hospital, Breda, The Netherlands.

Objective: To investigate activity goals, intensity and achievement of these activity goals in younger knee arthroplasty (KA) patients, and to identify the differences between total knee arthroplasty (TKA) and unicondylar knee arthroplasty (UKA) patients.

Design: Prospective cohort study.

Setting: Department of orthopedic surgery and physical therapy practices. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00039993183155
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http://dx.doi.org/10.1016/j.apmr.2018.11.019DOI Listing
December 2018
6 Reads

Evaluation of a Simplified Risk Stratification Twice-Daily Aspirin Protocol for Venous Thromboembolism Prophylaxis After Total Joint Replacement.

J Pharm Pract 2018 Dec 20:897190018815050. Epub 2018 Dec 20.

2 Department of Orthopaedic Surgery and Rehabilitation, Loyola University Health System, Maywood, IL, USA.

Objective:: To determine using a simplified risk-stratified protocol to select candidates for aspirin therapy have similar death and postoperative complications as universal warfarin therapy in patients undergoing total joint replacement (TJR).

Methods:: Retrospective cohort study comparing 30-day postoperative outcomes 6 months before and after the implementation of the aspirin protocol (January 1, 2015) in patients undergoing TJR. The control group was comprised of patients using warfarin for VTE prophylaxis. Read More

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http://dx.doi.org/10.1177/0897190018815050DOI Listing
December 2018
1 Read

Three Out of Ten Working Patients Expect No Clinical Improvement of Their Ability to Perform Work-Related Knee-Demanding Activities After Total Knee Arthroplasty: A Multicenter Study.

J Occup Rehabil 2018 Dec 11. Epub 2018 Dec 11.

Department Coronel Institute of Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.

Purpose Three out of ten patients do not return to work after total knee arthroplasty (TKA). Patient expectations are suggested to play a key role. What are patients' expectations regarding the ability to perform work-related knee-demanding activities 6 months after TKA compared to their preoperative status? Methods A multi-center cross-sectional study was performed among 292 working patients listed for TKA. Read More

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http://dx.doi.org/10.1007/s10926-018-9823-5DOI Listing
December 2018
1 Read

New comprehensive procedure for custom-made total ankle replacements: Medical imaging, joint modeling, prosthesis design, and 3D printing.

J Orthop Res 2018 Dec 11. Epub 2018 Dec 11.

Movement Analysis Laboratory, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.

Many failures in total joint replacement are associated to prosthesis-to-bone mismatch. With recent additive-manufacturing, that is, 3D-printing, custom-made prosthesis can be created by laser-melting metal powders layer-by-layer. Ankle replacement is particularly suitable for this progress because of the limited number of sizes and the poor bone stock. Read More

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http://dx.doi.org/10.1002/jor.24198DOI Listing
December 2018
2 Reads

Prevalence and treatment of hip and knee osteoarthritis in people aged 60 years or older in Germany: an analysis based on health insurance claims data.

Clin Interv Aging 2018 14;13:2339-2349. Epub 2018 Nov 14.

Department of Health Services Research, Carl von Ossietzky University, Oldenburg, Germany.

Objective: Osteoarthritis (OA) is highly prevalent throughout the world, especially in the elderly population, and is strongly associated with patients' frailty. However, little is known about the prevalence and treatment of OA in elderly patients in routine clinical care in Germany.

Materials And Methods: As a part of Linking Patient-Reported Outcomes with CLAIms Data for Health Services Research in Rheumatology (PROCLAIR), a cross-sectional study using claims data from a large Germany statutory health insurance (BARMER) was conducted. Read More

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https://www.dovepress.com/prevalence-and-treatment-of-hip-an
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http://dx.doi.org/10.2147/CIA.S174741DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6241868PMC
January 2019
14 Reads

A comparison of adductor canal block and femoral nerve block after total-knee arthroplasty regarding analgesic effect, effectiveness of early rehabilitation, and lateral knee pain relief in the early stage.

Medicine (Baltimore) 2018 Nov;97(48):e13391

Department of Anesthesiology, West China School of Medicine/West China Hospital, Sichuan University, Chengdu, Sichuan Province, China.

Background: The aim of this study was to compare the analgesic effect on the lateral and overall knee and early rehabilitation between adductor canal block (ACB) and femoral nerve block (FNB) after total-knee arthroplasty.

Method: Two hundred patients randomly participated in the study and were divided into the ACB group and FNB group in a randomized manner. All patients received standardized anesthesia and analgesia upon hospitalization. Read More

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http://dx.doi.org/10.1097/MD.0000000000013391DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6283224PMC
November 2018
2 Reads

Role of Parecoxib Sodium in the Multimodal Analgesia after Total Knee Arthroplasty: A Randomized Double-blinded Controlled Trial.

Orthop Surg 2018 Nov;10(4):321-327

Department of Orthopaedics, Peking Union Medical College Hospital, Beijing, China.

Objective: Total knee arthroplasty (TKA) is an established surgical technique and is the standard treatment for degenerative knee joint diseases. However, severe pain after TKA makes it difficult for many patients to perform early postoperative rehabilitation and functional exercise, which might result in subsequent unsatisfactory recovery of knee joint function and great reduction in patients' satisfaction and quality of life. Orthopaedic surgeons have tried a large variety of analgesics and analgesic modes to relieve patients' pain after TKA. Read More

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http://dx.doi.org/10.1111/os.12410DOI Listing
November 2018
1 Read

A Randomized Study of Exercise and Fitness Trackers in Obese Patients After Total Knee Arthroplasty.

Orthop Clin North Am 2019 Jan;50(1):35-45

Division of Epidemiology, Biostatistics and Environmental Health, School of Public Health, University of Memphis, 228 Robison Hall, Memphis, TN 38152, USA.

Functional limitations persist in obese patients after total knee arthroplasty (TKA). This study assessed the effect of an exercise program (EP) and fitness trackers (FT) in obese patients with TKA. Sixty patients 1 year after orthopedic surgery were recruited and received a 16-week tailored EP; half were randomized to receive an FT. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00305898183009
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http://dx.doi.org/10.1016/j.ocl.2018.08.002DOI Listing
January 2019
10 Reads

Postoperative radiographic findings of an uncemented convertible short stem for anatomic and reverse shoulder arthroplasty.

J Shoulder Elbow Surg 2018 Nov 22. Epub 2018 Nov 22.

Centre Orthopedique Santy, Lyon, France.

Background: Several short-stemmed press-fit humeral components have been developed in recent years for anatomic total shoulder arthroplasty (TSA) as well as reverse shoulder arthroplasty (RSA). Varying radiographic outcomes have been reported, with some studies reporting concerning rates of aseptic loosening. This study analyzed the radiographic findings of a press-fit convertible short-stemmed humeral component in both TSA and RSA. Read More

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http://dx.doi.org/10.1016/j.jse.2018.08.037DOI Listing
November 2018
1 Read

COmmunity-based Rehabilitation after Knee Arthroplasty (CORKA): statistical analysis plan for a randomised controlled trial.

Trials 2018 Nov 19;19(1):638. Epub 2018 Nov 19.

Oxford Clinical Trials Research Unit, Centre for Statistics in Medicine, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, OX3 7LD, UK.

Background: About 15% of patients fail to achieve a satisfactory clinical outcome following knee replacement, which may indicate the existing model of rehabilitation after surgery is possibly not the most efficacious. The COmmunity-based Rehabilitation after Knee Arthroplasty (CORKA) trial evaluates the effects of a new multi-component community-based rehabilitation programme following knee replacement compared with usual care.

Methods/design: The CORKA trial is a multi-centre, single-blind, two-arm randomised controlled trial. Read More

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http://dx.doi.org/10.1186/s13063-018-3031-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6245938PMC
November 2018
2 Reads

Psychometric Evaluation of the Patient's Knee Implant Performance Questionnaire.

Value Health 2018 11 30;21(11):1305-1312. Epub 2018 Jun 30.

RTI Health Solutions, Research Triangle Park, NC, USA.

Objectives: To evaluate the psychometric properties of Patient's Knee Implant Performance Questionnaire (PKIP), a new patient-reported measure of knee implant functional performance assessing patient experiences before and after primary total knee arthroplasty (TKA).

Methods: The psychometric analysis sample (n = 761) was based on an ongoing, multisite, prospective, noncomparative, longitudinal study of patients undergoing TKA. The PKIP was completed at three study visits: presurgery (visit 1), less than 1 year (visit 3, days 1-303), and minimum 1 year (visit 4, days 304-668). Read More

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http://dx.doi.org/10.1016/j.jval.2018.05.006DOI Listing
November 2018
10 Reads

Impact of variation in physical activity after total joint replacement.

J Pain Res 2018 17;11:2399-2406. Epub 2018 Oct 17.

Department of Rehabilitation, Nagoya University Hospital, Nagoya, Japan,

Purpose: Patients who undergo total knee arthroplasty (TKA) or total hip arthroplasty (THA) often develop postoperative pain. Exercise approaches are recommended postoperatively; however, the impact of excessive variation in physical activity is unclear. The purpose of the present preliminary study was to investigate the impact of excessive variation in physical activity using the accelerometer in the early period after TKA or THA. Read More

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https://www.dovepress.com/impact-of-variation-in-physical-ac
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http://dx.doi.org/10.2147/JPR.S178853DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6200437PMC
October 2018
14 Reads

Irrigation and debridement with chronic antibiotic suppression for the management of infected total knee arthroplasty.

Bone Joint J 2018 Nov;100-B(11):1471-1476

Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.

Aims: The results of irrigation and debridement with component retention (IDCR) in the treatment of acutely infected total knee arthroplasties (TKAs) have been variable. The aim of this study was to assess the outcome after IDCR when combined with chronic antibiotic suppression. We also evaluated survivorship free from subsequent infection, removal of the components, and death, as well as the risk factors for failure. Read More

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http://dx.doi.org/10.1302/0301-620X.100B11.BJJ-2018-0515.R1DOI Listing
November 2018

The impact of older age on patient outcomes following primary total knee arthroplasty.

Bone Joint J 2018 Nov;100-B(11):1463-1470

The University of Melbourne and St. Vincent's Hospital Melbourne, Melbourne, Australia.

Aims: As the population ages, there is projected to be an increase in the level of demand for total knee arthroplasty (TKA) in octogenarians. We aimed to explore whether those aged ≥ 80 years achieved similar improvements in physical function to younger patients while also comparing the rates of length of stay (LOS), discharge to rehabilitation, postoperative complications, and mortality following TKA in older and younger patients.

Patients And Methods: Patients from one institution who underwent primary elective TKA between 1 January 2006 and 31 December 2014 were dichotomized into those ≥ 80 years old (n = 359) and those < 80 years old (n = 2479) for comparison. Read More

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http://dx.doi.org/10.1302/0301-620X.100B11.BJJ-2017-0753.R6DOI Listing
November 2018

[The differential algorithm for the prescription of the stabilizing training to the patients following replacement arthroplasty of the lower extremities].

Vopr Kurortol Fizioter Lech Fiz Kult 2018 ;95(5):12-19

Moscow Research and Practical Centre for Medical Rehabilitation, Restorative and Sports Medicine, Moscow Health Department, Moscow, Russia.

Background: The biological feedback-based stability (balance) training is used for the rehabilitation of the patients following replacement arthroplasty of the lower extremities with the purpose of restoration of their postural balance.

Aim: The objective of the present study was to develop a differential algorithm for the prescription of the stability training to the patients after they had undergone the endoprosthetic replacement of the joints of the lower extremities.

Material And Methods: The study included 48 patients presenting with the following nosological forms: hip arthrosis with total replacement arthroplasty and gonarthrosis with total replacement arthroplasty. Read More

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http://dx.doi.org/10.17116/kurort20189505112DOI Listing
January 2018
6 Reads

Cross-cultural adaptation and validation of the Simplified Chinese version of Copenhagen Hip and Groin Outcome Score (HAGOS) for total hip arthroplasty.

J Orthop Surg Res 2018 Nov 6;13(1):278. Epub 2018 Nov 6.

Department of Rehabilitation, Minimally Invasive Spine Center, Navy General Hospital, No. 6, Fucheng Road, Haidian District, Beijing, 100048, People's Republic of China.

Background: To translate and cross-culturally adapt the Copenhagen Hip and Groin Outcome Score (HAGOS) into a Simplified Chinese version (HAGOS-C) and evaluate the reliability, validity, and responsiveness of the HAGOS-C in total hip arthroplasty (THA) patients.

Methods: The cross-cultural adaptation was performed according to the internationally recognized guidelines of the American Academy of Orthopaedic Surgeons Outcome Committee. A total of 192 participants were recruited in this study. Read More

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https://josr-online.biomedcentral.com/articles/10.1186/s1301
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http://dx.doi.org/10.1186/s13018-018-0971-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6219004PMC
November 2018
4 Reads
1.580 Impact Factor

An Analysis of Centers for Medicare & Medicaid Service Payment in Maryland: Can a Global Budget Revenue Model Save Money in Lower Extremity Arthroplasty?

J Arthroplasty 2019 Feb 10;34(2):201-205. Epub 2018 Oct 10.

Department of Orthopaedic Surgery, Lenox Hill Hospital, New York, NY.

Background: Maryland is the only state utilizing the Global Budget Revenue (GBR) model to reduce costs. The purpose of this study is to evaluate whether the GBR payment model effectively reduced the following: (1) costs of inpatient hospital stays; (2) post-acute care costs; (3) lengths of stay (LOS); (4) readmission rates; and (5) discharge disposition in patients who underwent primary total hip and knee arthroplasty (THA and TKA).

Methods: We evaluated the Maryland Centers for Medicare & Medicaid Service database for THAs and TKAs performed at 6 hospitals 1 year prior to (2012) and after the initiation of GBR (2015). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08835403183087
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http://dx.doi.org/10.1016/j.arth.2018.10.002DOI Listing
February 2019
10 Reads

Letter to the editor regarding 'Is it necessary to perform prehabilitation exercise for patients undergoing total knee arthroplasty: meta-analysis of randomized controlled trials'.

Phys Sportsmed 2019 02 9;47(1). Epub 2018 Nov 9.

e Section for Orthopaedic and Sports Rehabilitation (SOS-R) , Health Centre Nørrebro , City of Copenhagen , Denmark.

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https://www.tandfonline.com/doi/full/10.1080/00913847.2019.1
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http://dx.doi.org/10.1080/00913847.2019.1544027DOI Listing
February 2019
3 Reads

Stiff knee gait may increase risk of second total knee arthroplasty.

J Orthop Res 2018 Nov 2. Epub 2018 Nov 2.

University of Delaware, Department of Physical Therapy, Biomechanics and Movement Science Program, Newark, Delaware 09713.

Osteoarthritis (OA) progression in the contralateral limb after unilateral total knee arthroplasty (TKA) may be related to altered and asymmetrical movement patterns that overload the contralateral joints. The purpose of this study was to determine if biomechanical factors after unilateral TKA were associated with future contralateral TKA. One hundred and fifty-eight individuals who underwent unilateral TKA completed three dimensional motion analysis 6-24 months after unilateral TKA (baseline). Read More

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http://dx.doi.org/10.1002/jor.24175DOI Listing
November 2018
2 Reads

Dual mobility total hip arthroplasty: identification and reduction technique.

Ann R Coll Surg Engl 2019 Jan 1;101(1):71-72. Epub 2018 Nov 1.

Cambridge University Hospitals NHS Foundation Trust , UK.

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http://dx.doi.org/10.1308/rcsann.2018.0194DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6303809PMC
January 2019
2 Reads

Clinical and functional evaluation of patients submitted to reverse arthroplasty with minimum one year of follow-up.

Rev Bras Ortop 2018 Nov-Dec;53(6):714-720. Epub 2018 Oct 9.

Hospital Ortopédico, Belo Horizonte, MG, Brazil.

Objective: To assess the clinical and functional results of patients submitted to reverse arthroplasty with a minimum follow-up of one year.

Methods: Twenty-two patients submitted to shoulder reverse arthroplasty by the Surgery and Shoulder Rehabilitation Group were retrospectively evaluated with pre and postoperative imaging analysis, analog pain scale, range of motion, and ASES functional score.

Results: Out of 19 (86. Read More

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http://dx.doi.org/10.1016/j.rboe.2017.10.012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6205010PMC
October 2018

[Periprosthetic joint infection after artificial joint replacement and preoperative anemia].

Zhongguo Gu Shang 2018 Oct;31(10):971-975

Department of Joint Surgery, Orthopaedics Center of PLA, Lanzhou General Hospital of Lanzhou Military Region, Lanzhou 730050, Gansu, China;

Periprosthetic joint infection is the most serious complication after artificial joint arthroplasty. Epidemiological investigation has indicated that perioperative anemia is an independent risk factor for periprosthetic joint infection, which could play an important role by suppressing cellular mechanisms and autoimmune functions. Many domestic and overseas scholars have studied the relationship between periprosthetic joint infection and postoperative anemia, but the relationship between preoperative anemia and periprosthetic joint infection is relatively rare. Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2018.10.019DOI Listing
October 2018
6 Reads

Immediate effect of myofascial release on range of motion, pain and biceps and rectus femoris muscle activity after total knee replacement.

J Bodyw Mov Ther 2018 Oct 6;22(4):930-936. Epub 2017 Dec 6.

Professor of Rehabilitation Sciences Postgraduate Program - Augusto Motta University Center (UNISUAM), Rio de Janeiro, RJ, Brazil; Department of Physical Therapy - Federal University of Rio de Janeiro (UFRJ), Manual Therapies Research Group Coordinator - GETEM/UFRJ, Brazil. Electronic address:

Objectives: The role of a myofascial release (MFR) on flexion contractures after total knee arthroplasty (TKA) has not yet been elucidated. Therefore, the purpose of this study was to determine its immediate effect on such patients.

Methods: In this A-B single subject experimental study, 33 TKA's patients with knee flexion contracture had their gluteal, posterior fascia lata, posterior crural and plantar fasciae released. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S13608592173033
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http://dx.doi.org/10.1016/j.jbmt.2017.12.003DOI Listing
October 2018
24 Reads

Comparison of Nonabsorbable and Absorbable Suture in Total Knee Arthroplasty.

Med Sci Monit 2018 Oct 23;24:7563-7569. Epub 2018 Oct 23.

Department of Orthopedics, Second Affiliated Hospital, Xi'an Jiaotong University Health Science Center, Xi'an, Shaan'xi, China (mainland).

BACKGROUND Wound closure of KA is important for postoperative rehabilitation. At present there is still no consensus on the best wound closure technique for KA. We performed the present study to determine whether absorbable suture is better than nonabsorbable suture in total knee arthroplasty (TKA). Read More

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https://www.medscimonit.com/abstract/index/idArt/910785
Publisher Site
http://dx.doi.org/10.12659/MSM.910785DOI Listing
October 2018
13 Reads

Does radial head implant fixation affect functional outcomes? A systematic review and meta-analysis.

J Shoulder Elbow Surg 2019 Jan 17;28(1):126-130. Epub 2018 Oct 17.

Department of Orthopaedic Surgery and Rehabilitation, University of Miami Hospital, Miami, FL, USA; Department of Orthopaedic Surgery and Rehabilitation, Jackson Memorial Hospital, Miami, FL, USA.

Background: Radial head arthroplasty is used in the treatment of nonreconstructible radial head fractures. Although traditional implants have been loosely fixed, smooth stemmed implants functioning more as spacers, modern designs have introduced press-fit, tapered implants that articulate at the capitellum with more rigidly maintained congruity. Cemented implants also use rigid initial fixation. Read More

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http://dx.doi.org/10.1016/j.jse.2018.07.032DOI Listing
January 2019
1 Read
2.289 Impact Factor

Home-Health-Care Physical Therapy Improves Early Functional Recovery of Medicare Beneficiaries After Total Knee Arthroplasty.

J Bone Joint Surg Am 2018 Oct;100(20):1728-1734

Physical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado, Anschutz Medical Campus, Aurora, Colorado.

Background: Home-health-care utilization after total knee arthroplasty (TKA) is increasing. Recent publications have suggested that supervised rehabilitation is not needed to optimize functional recovery after TKA; however, few studies have evaluated patients in home-health-care settings. The objectives of this study were to (1) determine whether physical therapy (PT) utilization is associated with functional improvements for patients in home-health-care settings after TKA and (2) determine which factors are related to utilization of PT. Read More

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http://Insights.ovid.com/crossref?an=00004623-201810170-0000
Publisher Site
http://dx.doi.org/10.2106/JBJS.17.01667DOI Listing
October 2018
30 Reads

[Hemiarthroplasty for the treatment of complicated femoral intertrochanteric fracture in elderly patients].

Zhongguo Gu Shang 2018 Sep;31(9):818-823

Department of Orthopaedics, Affiliated Hospital of Jiangsu University, Zhenjiang 212000, Jiangsu, China;

Objective: To discuss the hemiarthroplasty for the threatment of femoral intertrochanteric fracture in elderly patients.

Methods: From August 2013 to January 2017, 66 elderly patients with complicated femoral intertrochanteric fracture were treated including 20 males and 46 females with an average age of 85 years old ranging from 80 to 95. According to improve Evans classification, 33 cases were type III, 24 cases were type IV, 9 cases were type V. Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2018.09.008DOI Listing
September 2018
14 Reads

High pain intensity after total shoulder arthroplasty.

J Shoulder Elbow Surg 2018 Dec 12;27(12):2113-2119. Epub 2018 Oct 12.

Department of Orthopaedic Surgery, New England Baptist Hospital, Tufts University School of Medicine, Boston, MA, USA; Boston Sports and Shoulder Center, Waltham, MA, USA. Electronic address:

Background: As reimbursement becomes increasingly tied to quality and patient experience, there is growing interest in alleviation of postoperative pain combined with optimal opioid stewardship. We characterized predictors of severe inpatient pain after elective total shoulder arthroplasty and evaluated its association with opioid use, operative time, hospital length of stay, discharge disposition, and cost.

Methods: We identified 415 patients undergoing elective primary total shoulder arthroplasty between 2016 and 2017 from our registry. Read More

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http://dx.doi.org/10.1016/j.jse.2018.08.001DOI Listing
December 2018
1 Read