6,427 results match your criteria Total Joint Replacement Rehabilitation


Pedaling-Based Protocol Superior to a 10-Exercise, Non-Pedaling Protocol for Postoperative Rehabilitation After Total Knee Replacement: A Randomized Controlled Trial.

J Bone Joint Surg Am 2019 Apr;101(8):688-695

Bond University, Robina, Queensland, Australia.

Background: Despite the routine use of physical therapy in the immediate and early postoperative phase for patients who undergo total knee replacement (TKR), there is a paucity of research into the optimal exercise protocols in both the acute inpatient setting and early period after discharge. Pedaling has often been recommended by clinicians after TKR for rehabilitation, but to our knowledge, there has been no investigation into its utility in the acute postoperative setting. Therefore, we performed a randomized controlled trial evaluating the efficacy of pedaling in the acute postoperative period. Read More

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http://dx.doi.org/10.2106/JBJS.18.00898DOI Listing

Standard and water rehabilitation: An analysis of over 14 years' experience in patients with haemophilia or other clotting factor disorders after orthopaedic surgery.

Haemophilia 2019 Apr 17. Epub 2019 Apr 17.

Dipartimento di Riabilitazione, Fondazione T. Camplani - Casa di Cura "Domus Salutis", Brescia, Italy.

Introduction: In people with haemophilia (PWH) with severe arthropathy, total joint replacement (TJR) can be undertaken if conservative management fails. Post-operative rehabilitation treatment is an important part of the comprehensive management of patients undergoing TJR.

Aim: To compare post-operative standard rehabilitation (SR) and SR plus water rehabilitation (WR) in PWH undergoing TJR. Read More

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http://dx.doi.org/10.1111/hae.13748DOI Listing

Transdermal Scopolamine as an Adjunct to Multimodal Pain Management in Patients Undergoing Total Joint Arthroplasty.

J Arthroplasty 2019 Mar 19. Epub 2019 Mar 19.

Center for Hip and Knee Replacement, Department of Orthopedic Surgery, Columbia University Medical Center, New York, NY.

Background: Postoperative nausea and vomiting (PONV) after surgery degrades patient experience, tolerance of pain medication, rehabilitation progress, and functional outcomes. Given the importance of early rehabilitation following total joint arthroplasty (TJA), we asked whether transdermal scopolamine is effective in reducing rates of PONV and improving functional outcomes following TJA.

Methods: We retrospectively reviewed the charts of 1580 consecutive patients who underwent TJA between 2014 and 2017 and compared patients before the addition of the scopolamine patch (control group) to those after the addition (study group). Read More

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http://dx.doi.org/10.1016/j.arth.2019.03.028DOI Listing

The use of custom-made antibiotic-loaded spacer in periprosthetic knee infection caused by XDR organism: case report and review of literature.

Eur Rev Med Pharmacol Sci 2019 Apr;23(2 Suppl):19-25

Department of Aging, Orthopedics and Rehabilitation; Institute of Orthopedics, Traumatology and Spine Surgery, Fondazione Policlinico Agostino Gemelli - IRCCS, Università Cattolica del Sacro Cuore di Roma, Rome, Italy.

Periprosthetic knee infection (PKI) remains one of the most challenging complications after total knee replacement, especially if caused by multidrug-resistant (MDR) or extensively drug-resistant (XDR) organisms. Multiple treatment options are available, such as long-term antibiotic suppression, surgical debridement with retention of the prosthesis, definitive resection arthroplasty, arthrodesis, one-stage or two-stage revision procedures, amputation. We present a rare case of a PKI caused by a XDR Klebsiella pneumoniae in a young patient who underwent a prosthetic reconstruction due to an osteosarcoma of the tibia. Read More

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http://www.europeanreview.org/article/17470
Publisher Site
http://dx.doi.org/10.26355/eurrev_201904_17470DOI Listing
April 2019
1 Read

Is Achieving High Flexion Necessary for Satisfaction after Total Knee Arthroplasty in Indian Patients?

Indian J Orthop 2019 Mar-Apr;53(2):270-275

Senior Director and Head -Biometrics and Data Management Synchron Research Services Pvt. Ltd. Ahmedabad, Gujarat, India.

Background: Total knee arthroplasty (TKA) is a very successful operation for the treatment of end-stage arthritis of the knee joint. In spite of improvement in surgical technique, implant design, postoperative pain management, and rehabilitation, some patients are not satisfied with the outcome of the surgery. It is believed that high-flexion (H-F) activities such as cross-legged sitting and squatting are necessary for satisfaction after TKA in Indian patients due to cultural and social reasons. Read More

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http://dx.doi.org/10.4103/ortho.IJOrtho_268_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6415565PMC
April 2019
1 Read

Discharge to the skilled nursing facility: patient risk factors and perioperative outcomes after total knee arthroplasty.

Ann Transl Med 2019 Feb;7(4):65

Department of Orthopedic Surgery, Lenox Hill Hospital, New York City, NY, USA.

Background: Patients receiving a total knee arthroplasty (TKA) who fail to meet inpatient criteria for outpatient physical therapy or an acute rehabilitation facility are increasingly being discharged to skilled nursing facilities (SNFs). However, in some facilities, postoperative care and therapy may be suboptimal. In order to recognize the circumstances predisposing patients to a SNF discharge and quantify perioperative risks, we used a nationwide TKA database to compare those who were and were not discharged to SNFs with respect to: (I) patient and hospital characteristics; (II) comorbidities; (III) lengths of stay (LOS); and (IV) inpatient complications. Read More

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http://dx.doi.org/10.21037/atm.2018.12.62DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6409242PMC
February 2019
1 Read

MiR-377 inhibits wear particle-induced osteolysis via targeting RANKL.

Cell Biol Int 2019 Apr 8. Epub 2019 Apr 8.

Department of Joint Surgery, The Third Affiliated Hospital, College of Medicine, Hebei University, Shijiazhuang, China.

Periprosthetic osteolysis caused by wear particles is the main factor that affected the long-term efficacy of artificial joint replacement, and macrophages played a vital role in the pathogenesis of periprosthetic osteolysis, while the potential mechanism underlying it was still unclear. To investigate the underlying role of miR-377 in wear particle-induced osteolysis (PIO), blood samples from patients undergoing arthroplasty were collected for analyzing the correlation between miR-377 expression and the clinicopathological parameters of PIO. Peripheral blood macrophages were obtained to compare miR-377 and receptor activator of NF-kappaB ligand (RANKL) expressions. Read More

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http://dx.doi.org/10.1002/cbin.11143DOI Listing
April 2019
1 Read
1.933 Impact Factor

[Arthroplasty of the TMT1 joint-a critical view].

Authors:
M Jung F Unglaub

Orthopade 2019 Mar 29. Epub 2019 Mar 29.

Handchirurgie, Vulpiusklinik, Bad Rappenau, Deutschland.

Resection suspension arthroplasty of the trapezium still represents the golden standard in treatment of CMC 1 arthritis. First reports about long-term results of a modern-design endoprosthesis of the CMC 1 joint promise a lower complication and revision rate. Thus, endoprosthesis of the CMC1 joint is becoming more attractive, especially because the rehabilitation and back-to-work times are much faster. Read More

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http://dx.doi.org/10.1007/s00132-019-03718-5DOI Listing

Return to work after primary total hip arthroplasty: a nationwide cohort study.

Acta Orthop 2019 Mar 25:1-9. Epub 2019 Mar 25.

g Department of Public Health , University of Turku , Turku , Finland.

Background and purpose - While the number of working-age patients undergoing total hip arthroplasty (THA) is increasing, the effect of the surgery on patients' return to work (RTW) is not thoroughly studied. We aimed to identify risk factors of RTW after THA among factors related to demographic variables, general health, health risk behaviors, and socioeconomic status. Patients and methods - We studied 408 employees from the Finnish Public Sector (FPS) cohort (mean age 54 years, 73% women) who underwent THA. Read More

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http://dx.doi.org/10.1080/17453674.2019.1591081DOI Listing
March 2019
1 Read

Outcomes of Magnetic Resonance Imaging Detected Occult Neck of Femur Fractures: Do They Represent a Less Severe Injury with Improved Outcomes?

Hip Pelvis 2019 Mar 5;31(1):18-22. Epub 2019 Mar 5.

Department of Orthopaedic and Trauma Surgery, Ninewells Hospital and Medical School, University of Dundee, Dundee, Scotland, UK.

Purpose: Occult hip fractures in the elderly can be missed on standard radiographs and are a known cause of morbidity. These are generally diagnosed on either magnetic resonance imaging (MRI) or computed tomography scan, depending upon local hospital policy. While there is an abundance of literature on hip fractures in general, little is known about the clinical outcome of patients with occult hip fractures. Read More

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http://dx.doi.org/10.5371/hp.2019.31.1.18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6414407PMC
March 2019
2 Reads

Is quality of life related to risk of falling, fear of falling, and functional status in patients with hip arthroplasty?

Physiother Res Int 2019 Mar 20:e1772. Epub 2019 Mar 20.

Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey.

Objective: The aim of the study was to investigate the relation between health-related quality of life and risk of falling, fear of falling, and functional status in patients with hip arthroplasty.

Methods: In this cross-sectional study, 48 hips of 45 patients who aged between 33 and 79 (53.56 ± 12. Read More

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http://dx.doi.org/10.1002/pri.1772DOI Listing
March 2019
1 Read

The contralateral knee may not be a valid control for biomechanical outcomes after unilateral total knee arthroplasty.

Gait Posture 2019 Mar 8;70:179-184. Epub 2019 Mar 8.

Rutgers, The State University of New Jersey, School of Health Professions, Department of Rehabilitation and Movement Sciences, Physical Therapy Program North, 65 Bergen Street - Office 714A, Newark, NJ, 07107, USA.

Background: Although unilateral symptoms and unilateral total knee arthroplasty (TKA) are common, many patients have bilateral radiographic osteoarthritis (OA). Because the contralateral (non-operated) limb is often used as a comparison for clinical and biomechanical outcomes, it is important to know if the presence of OA influences movement patterns in either limb.

Research Question: The purpose of this study was to compare bilateral sagittal plane biomechanics between subjects with and without contralateral knee OA after unilateral TKA. Read More

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http://dx.doi.org/10.1016/j.gaitpost.2019.01.030DOI Listing
March 2019
4 Reads

Efficacy of exercise for improving functional outcomes for patients undergoing total hip arthroplasty: A meta-analysis.

Medicine (Baltimore) 2019 Mar;98(10):e14591

Institute Office, Jingjiang People's Hospital, Jingjiang, Taizhou, Jiangsu Province, China.

Background: The objective of this meta-analysis was aimed to illustrate the functional outcomes of exercise for total hip arthroplasty (THA) patients.

Methods: In July, 2018, a systematic computer-based search was conducted in PubMed, EMBASE, Web of Science, Cochrane Database of Systematic Reviews, and Google database. Data on exercise for functional outcomes for THA patients were retrieved. Read More

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http://dx.doi.org/10.1097/MD.0000000000014591DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6417520PMC
March 2019
3 Reads

Learning curve of direct anterior total hip arthroplasty : a single surgeon experience.

Acta Orthop Belg 2018 Sep;84(3):321-330

There is strong evidence that the minimal invasive direct anterior approach for primary total hip arthroplasty (DAA-THA) is responsible for a faster return to function and daily activity and an enhanced short-term recovery and rehabilitation in comparison with other total hip approaches. The effect of the learning curve on patient safety and surgical outcome after commencing with the direct anterior surgical approach remains unclear. This single surgeon study presents the postoperative results of the initial 200 cases after implementing the direct anterior approach (DAA) compared with the initial 200 cases after implementing a 24 hours time- based fast-track program using identical technique by the same surgeon. Read More

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September 2018
2 Reads

A prospective randomized open-label study of single injection versus continuous adductor canal block for postoperative analgesia after total knee arthroplasty.

Bone Joint J 2019 Mar;101-B(3):340-347

Department of Orthopedic Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Aims: Adductor canal block (ACB) has emerged as an alternative to femoral nerve block (FNB) for analgesia after total knee arthroplasty (TKA). The optimal duration of maintenance of the ACB is still questionable. The purpose of this study was to compare the analgesic benefits and physiotherapy (PT) outcomes of single-shot ACB to two different regimens of infusion of the continuous ACB, 24-hour and 48-hour infusion. Read More

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http://dx.doi.org/10.1302/0301-620X.101B3.BJJ-2018-0852.R2DOI Listing
March 2019
2 Reads

Post-Acute Care After Joint Replacement in Medicare's Bundled Payments for Care Improvement Initiative.

J Am Geriatr Soc 2019 Feb 25. Epub 2019 Feb 25.

Brigham and Women's Hospital, Boston, Massachusetts.

Importance: Bundled payments, in which services provided around a care episode are linked together, are being tested under Medicare's Bundled Payments for Care Improvement (BPCI) program. Reducing post-acute care (PAC) is critical under bundled payment, but little is known about whether this is done through provider selection or consolidation, and whether particular patterns of changes in PAC are associated with success under the program.

Objective: To characterize patterns of change in PAC under lower-extremity joint replacement episodes in BPCI. Read More

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http://dx.doi.org/10.1111/jgs.15803DOI Listing
February 2019
2 Reads

Humeral head histopathological changes in cuff tear arthropathy.

J Orthop Surg (Hong Kong) 2019 Jan-Apr;27(1):2309499018816428

1 Department of Orthopedic Surgery, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan.

Purpose:: The aim of this study was to investigate the histopathological changes in the humeral head in cuff tear arthropathy (CTA) compared with those in glenohumeral osteoarthritis (OA) and humeral neck fracture, which served as non-cuff tear controls.

Methods:: Twenty-three humeral heads extracted at the time of shoulder prosthesis arthroplasty between June 2014 and July 2015 were evaluated in the present study. The diagnoses included four-part humeral neck fracture ( n = 4; average age, 85. Read More

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http://dx.doi.org/10.1177/2309499018816428DOI Listing
February 2019
1 Read

Effectiveness of Later-Stage Exercise Programs vs Usual Medical Care on Physical Function and Activity After Total Knee Replacement: A Randomized Clinical Trial.

JAMA Netw Open 2019 Feb 1;2(2):e190018. Epub 2019 Feb 1.

Department of Physical Therapy, University of Pittsburgh, Pittsburgh, Pennsylvania.

Importance: Several functional limitations persist after total knee replacement (TKR). Intensive exercise programs could resolve these limitations but are not well tolerated by many patients until a later stage (>2 months) after surgery. Evidence for exercise at a later stage after TKR is limited. Read More

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http://dx.doi.org/10.1001/jamanetworkopen.2019.0018DOI Listing
February 2019
1 Read

A minimally invasive technique to remove broken cemented stems and its reconstruction with cement-in-cement.

Hip Int 2019 Jan;29(1):NP1-NP5

1 Department of Orthopaedic Surgery, Adult Reconstruction, Austral University Hospital, Buenos Aires, Argentina.

Introduction:: Historically the removal of fractured stems was associated with complex revision and loss of bone stock. This study describes a minimally invasive procedure for extraction of the distal part of a broken cemented stem that does not compromise the bone stock and results with the cement-in-cement reconstruction technique.

Materials And Method:: 7 patients with an average age of 74 years who underwent total hip replacement (THR) revision for fracture of femoral stems were included. Read More

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http://dx.doi.org/10.1177/1120700018811621DOI Listing
January 2019

Sports Therapy Interventions Following Total Hip Replacement.

Dtsch Arztebl Int 2019 Jan;116(1-2):1-8

University Center of Orthopedic and Trauma Surgery, TU Dresden, Section Sports Medicine and Rehabilitation, Dresden; University Center of Orthopedic and Trauma Surgery, TU Dresden, Dresden.

Background: Sport rehabilitation is a reimbursable intervention assisting reintegration and self-help. In this study, we measured the effects of sport rehabilitation on muscle strength around the hip joint at 1 year after surgery, as well as cardiopulmonary endurance performance and stability of stance, in patients who had undergone a first implantation of a total hip endoprosthesis (total hip replacement, THR) as a treatment for osteoarthritis of the hip.

Methods: 160 patients were randomly allotted either to an intervention group with intensive sport rehabilitation for the first year or to a control group. Read More

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http://dx.doi.org/10.3238/arztebl.2019.0001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6384522PMC
January 2019
1 Read

Reconstruction of the temporomandibular joint: a comparison between prefabricated and customized alloplastic prosthetic total joint systems.

Int J Oral Maxillofac Surg 2019 Feb 15. Epub 2019 Feb 15.

Department of Maxillofacial and Facial Plastic Surgery, Central Medical Center Bremen, Germany.

The implantation of an alloplastic total temporomandibular joint (TMJ) prosthesis is an innovative approach for the treatment of end-stage TMJ disorders. Two types of system exist: prefabricated (stock) and customized computer-aided design/computer-aided manufacturing (CAD/CAM) devices. A clinical study was performed to evaluate the effectiveness of these two designs. Read More

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http://dx.doi.org/10.1016/j.ijom.2019.02.002DOI Listing
February 2019
1 Read

Hip muscle power recovery after hip replacement using anterior-based muscle-sparing approach in elderly femoral neck fracture: a prospective study in 40 patients.

Orthop Res Rev 2018 11;10:31-39. Epub 2018 Jul 11.

Department of Orthopedics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand,

Introduction: The early rehabilitation and mobilization after hip arthroplasty (HA) in elderly femoral neck fracture (FNF) patients significantly reduces the postoperative morbidity and mortality. The direct anterior approach (DAA) without the muscle detachment has been shown to improve the early postoperative functional outcomes in coxarthrosis patients. However, the application of DAA on elderly FNF and the most suitable surgical technique have rarely been investigated. Read More

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http://dx.doi.org/10.2147/ORR.S153451DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6209362PMC
July 2018
1 Read

A comparative analysis of femoral nerve block with adductor canal block following total knee arthroplasty: A systematic literature review.

J Anaesthesiol Clin Pharmacol 2018 Oct-Dec;34(4):433-438

Department of Musculoskeletal Sciences and Anesthesiology, Max Smart Super Speciality Hospital, New Delhi, India.

Background: Patients undergoing total knee arthroplasty suffer from moderate-to-severe postoperative pain resulting in immobility-related complications and prolonged hospitalization. Femoral nerve block is associated with reduction in the quadriceps strength and increasing incidence of falls. Adductor canal block has been shown to be as effective as femoral nerve block without causing quadriceps weakness. Read More

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http://dx.doi.org/10.4103/joacp.JOACP_198_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360900PMC
February 2019
7 Reads

Subscapularis tenotomy versus lesser tuberosity osteotomy during total shoulder arthroplasty for primary osteoarthritis: a prospective, randomized controlled trial.

J Shoulder Elbow Surg 2019 Mar;28(3):407-414

Center for Shoulder, Elbow, and Sports Medicine, Department of Orthopedic Surgery, Columbia University, New York, NY, USA.

Background: There is no current consensus on subscapularis mobilization during total shoulder arthroplasty. The purpose of this prospective, randomized controlled trial was to compare functional and radiographic outcomes of the more traditional subscapularis tenotomy (ST) versus lesser tuberosity osteotomy (LTO).

Methods: This study enrolled 60 shoulders in 59 patients with primary osteoarthritis. Read More

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http://dx.doi.org/10.1016/j.jse.2018.11.057DOI Listing
March 2019
2 Reads

Live Music Therapy During Rehabilitation After Total Knee Arthroplasty: A Randomized Controlled Trial.

Authors:
Hakeem Leonard

J Music Ther 2019 Feb;56(1):61-89

Shenandoah University, Winchester, VA, USA.

Total knee arthroplasty (TKA) is a common orthopedic surgery known to be very painful. Emphasis has been placed on TKA pain management for postoperative care and during rehabilitation. Music therapy is used as a nonpharmacologic intervention for pain management and to promote rehabilitation exercise adherence. Read More

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http://dx.doi.org/10.1093/jmt/thy022DOI Listing
February 2019
1 Read

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, UT, United States; Department of Orthopaedics, University of Utah, Salt Lake City, UT, United States; Curza Global, LLC, Salt Lake City, UT, United States; Department of Pathology, University of Utah, Salt Lake City, UT, United States; Department of Bioengineering, University of Utah, Salt Lake City, UT, 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
7 Reads

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
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6374891PMC
February 2019
12 Reads

[Fast track strategies in hip arthroplasty].

Orthopade 2019 Apr;48(4):330-336

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
April 2019
2 Reads

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
2 Reads
1.168 Impact Factor

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
1 Read

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
8 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
1 Read

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
March 2019
1 Read

Transfemoral amputation following total knee arthroplasty: mortality and functional outcomes.

Bone Joint J 2019 02;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
3 Reads

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

Does unicompartmental knee arthroplasty have worse outcomes in spontaneous osteonecrosis of the knee than in medial compartment osteoarthritis? A systematic review and meta-analysis.

Arch Orthop Trauma Surg 2019 Mar 24;139(3):393-403. Epub 2019 Jan 24.

Department of Orthopaedic Surgery, Seoul National University College of Medicine, SMG-SNU Boramae Medical Center, 20, Boramae-ro 5-gil, Dongjak-gu, Seoul, 07061, South Korea.

Introduction: The role of unicompartmental knee arthroplasty (UKA) in spontaneous osteonecrosis of the knee (SONK) remains controversial, even though SONK involves only one compartment of the knee joint. We aimed to compare the survival rate and clinical outcomes of UKA in SONK and medial compartment osteoarthritis (MOA) via a meta-analysis of previous studies.

Materials And Methods: MEDLINE, Embase, and Cochrane Library were searched up to January 2018 with keywords related to SONK and knee arthroplasty. Read More

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http://link.springer.com/10.1007/s00402-019-03125-7
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http://dx.doi.org/10.1007/s00402-019-03125-7DOI Listing
March 2019
21 Reads

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
February 2019
8 Reads

Transtrochanteric approach can provide better postoperative care and lower complication rate in the treatment of hip fractures.

Clin Interv Aging 2019 14;14:137-143. Epub 2019 Jan 14.

Department of Orthopedics and Traumatology, Ankara Yildirim Beyazit University, Ankara 06800, Turkey,

Purpose: Dislocation is an important complication that increases the mortality, morbidity, and postoperative care following bipolar hemiarthroplasty. It is thought that the transtrochanteric approach that enables access to the femoral neck directly from the fracture line at the coronal plane of the greater trochanter without opening the posterior and anterior capsules could reduce the risk of dislocation. Additionally, it is argued that preservation of the external rotators could also be advantageous for patient rehabilitation and muscle strength. Read More

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https://www.dovepress.com/transtrochanteric-approach-can-pro
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http://dx.doi.org/10.2147/CIA.S194880DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6336027PMC
March 2019
12 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
7 Reads
1.549 Impact Factor

Selecting and optimising patients for total knee arthroplasty.

Med J Aust 2019 Feb 18;210(3):135-141. 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
February 2019
2 Reads

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
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6370122PMC
January 2019
10 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
2 Reads

Treatment of Primary Hip Arthroplasty Complications. Case Study.

Ortop Traumatol Rehabil 2018 Oct;20(5):421-430

Krakowskie Centrum Rehabilitacji i Ortopedii, Kraków, Polska / Cracow Rehabilitation Centre, Cracow, Poland.

Intraoperative periprosthetic femoral fracture during hip arthroplasty is one of the most serious surgical com-plications. Its consequences can be minimized with correct diagnosis and early institution of appropriate treatment. This paper presents the management of a periprosthetic femoral fracture complicated by infection in a 53-year-old female patient. Read More

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https://ortopedia.com.pl/gicid/01.3001.0012.8278
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http://dx.doi.org/10.5604/01.3001.0012.8278DOI Listing
October 2018
8 Reads

Medial ball and socket total knee arthroplasty: five-year clinical results.

Bone Joint J 2019 01;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
22 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
2 Reads

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
16 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
12 Reads

Effects of Elastic Band Exercise on Lower Limb Rehabilitation of Elderly Patients Undergoing Total Knee Arthroplasty.

Rehabil Nurs 2019 Jan/Feb;44(1):60-66

Department of Respiratory Care, Chang Gung University of Science and Technology, Puzi City, Chiayi, Taiwan.

Purpose: The aim of the study was to investigate the effect of elastic band exercise activities on lower extremity rehabilitation in elderly patients subjected to an elastic band exercise intervention 2 and 4 weeks after total knee arthroplasty.

Design: A quasiexperimental study was conducted. Participants were recruited from southern Taiwan who were over 65 years old and had a first unilateral total knee arthroplasty for osteoarthritis. Read More

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http://dx.doi.org/10.1097/rnj.0000000000000109DOI Listing
March 2019
2 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
1 Read

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

Bone Joint J 2019 01;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
16 Reads