7,192 results match your criteria Total Joint Replacement Rehabilitation


Digital Measurement of Individual Motor and Proprioceptive Skills in Patients with Osteoarthritis of the Knee Prior to Total Knee Replacement.

Z Orthop Unfall 2020 Jun 30. Epub 2020 Jun 30.

Trauma Surgery - Orthopaedic Surgery, Friedrich Alexander University Erlangen Nuremberg, Erlangen.

Purpose: In spite of consistent improvement in operative methods for total knee arthroplasty, individual motor deficits may lead to a lower outcome. The preoperative classification in individual motoric capacity may get more significance for the future. Complementary to established questionnaires and clinical tests, this pilot study should demonstrate that it is possible to generate a preoperative motor score using a force platform measurement (KMP). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/a-1174-0946DOI Listing

colonization of the anterior and lateral thigh.

Bone Joint J 2020 Jul;102-B(7_Supple_B):52-56

Colorado Joint Replacement, Denver, Colorado, USA.

Aims: Of growing concern in arthroplasty is the emergence of atypical infections, particularly (formerly ) sp. infections. Currently, the dermal colonization rate of about the hip is unknown. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1302/0301-620X.102B7.BJJ-2019-1606.R1DOI Listing

Patient, physiotherapist and surgeon endorsement of the core domain set for total hip and total knee replacement in Germany: a study protocol for an OMERACT initiative.

BMJ Open 2020 Jun 28;10(6):e035207. Epub 2020 Jun 28.

Klinik für Orthopädie, Sportmedizin und Rehabilitation, Krankenhaus Markisch-Oderland GmbH, Wriezen, Germany.

Introduction: There is a lack of harmonising measures for clinical trials on total joint replacement (TJR) that would allow for results from TJR studies to be compared or pooled. The Outcome Measures in Rheumatology (OMERACT) TJR core domain set is already endorsed among patients and physicians in the USA and Australia. Physiotherapists use different types of measurements compared to orthopaedic surgeons while both make substantial contributions to research in the field of TJR. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjopen-2019-035207DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7322286PMC

Screening dysphagia risk in 534 older patients undergoing rehabilitation after total joint replacement. A cross-sectional study.

Eur J Phys Rehabil Med 2020 Jun 26. Epub 2020 Jun 26.

Rehabilitation Unit, 'Mons. L. Novarese' Hospital, Moncrivello, Vercelli, Italy.

Background: Older people affected by severe osteoarthritis could need to undergo total joint replacement, with a consequent hospitalization and rehabilitation. In this post-acute phase, they might suffer from other symptoms, including dysphagia, defined as a dysfunction of the digestive system, characterized by an objective difficulty or a sensation of difficulty in swallowing. It is considered as a very challenging problem in older people and early detection is fundamental for a prompt and effective management. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.23736/S1973-9087.20.06321-2DOI Listing

[Physiotherapy in early rehabilitation of patients with bone sarcomas after arthroplasty of large bones and joints].

Vopr Kurortol Fizioter Lech Fiz Kult 2020 ;97(3):53-59

Russian scientific center of radiology, Moscow, Russia.

Actuality: The modern method of treating patients with tumor lesions of the bones is the replacement of large bones and joints with the inclusion of reconstructive plastic component. The main functional postoperative disorders of this method (limitation of mobility in the operated joint, pain, muscle hypotrophy and edema of the operated limb) obstruct the ability of patients to return to a full life, which makes their early rehabilitation extremely urgent. Orthopedics uses a number of physical factors for this. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.17116/kurort20209703153DOI Listing
January 2020

Ten-Year Survivorship, Patient-Reported Outcomes, and Satisfaction of a Fixed-Bearing Unicompartmental Knee Arthroplasty.

Arthroplast Today 2020 Jun 6;6(2):267-273. Epub 2020 Apr 6.

Department of Orthopaedics, University of Utah School of Medicine, Salt Lake City, UT, USA.

Background: We sought to determine the 10-year survivorship and reasons for revision for a fixed-bearing unicompartmental knee arthroplasty (UKA) design. In addition, we report on patient-reported outcomes and satisfaction and compare results of medial vs lateral compartment UKA and cemented vs cementless UKA with the same design.

Methods: We performed a retrospective cohort study on a single-surgeon case series using a single fixed-bearing UKA design in 158 consecutive patients who underwent 177 UKA procedures between July 2000 and December 2010. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.artd.2020.02.016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7303483PMC

Comparison of peripheral nerve block with local infiltration analgesia regarding walking ability after total knee replacement: A retrospective, propensity-score matched-pair cohort study.

J Orthop Surg (Hong Kong) 2020 Jan-Apr;28(2):2309499020931656

Department of Clinical Data Management and Research, National Hospital Organization Headquarters, Tokyo, Japan.

Purpose: It is unclear whether perioperative analgesic techniques affect the functional outcome of total knee replacement (TKR). We investigated the effects of peripheral nerve block (PNB) and local infiltration (LI) on walking ability after TKR.

Methods: The medical records of 7143 patients who underwent TKR using general anesthesia with PNB or LI techniques were reviewed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/2309499020931656DOI Listing

Predictors of discharge settings following total knee arthroplasty in Medicare patients.

Arch Phys Med Rehabil 2020 Jun 15. Epub 2020 Jun 15.

Department of Physical Therapy, University of Texas Medical Branch, Galveston, Tx; Department of Physical Therapy, University of Texas Medical Branch, Galveston, Tx; Department of Physical Medicine and Rehabilitation, School of Medicine, Virginia Commonwealth University; School of Health and Rehabilitation Sciences, Department of Occupational Therapy, University of Pittsburgh; Department of Preventative Medicine & Population Health, University of Texas Medical Branch, Galveston, Tx; Division of Rehabilitation Sciences, University of Texas Medical Branch, Galveston, Tx; College of Health and Human Sciences, Department of Occupational Therapy, Colorado State University.

Objectives: To determine the factors associated with acute hospital discharge to the three most common post-acute settings following TKA (Total Knee Arthroplasty): inpatient rehabilitation facilities (IRFs), skilled nursing facilities (SNFs), and directly back to the community.

Design: Retrospective cohort study.

Setting: Acute care hospitals submitting claims to Medicare. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.apmr.2020.05.019DOI Listing

Tibial forces are more useful than varus-valgus laxities for identifying and correcting overstuffing in kinematically aligned total knee arthroplasty.

J Orthop Res 2020 Jun 16. Epub 2020 Jun 16.

Department of Biomedical Engineering, University of California, Davis, California.

Identifying and correcting varus-valgus (V-V) malalignment of the tibial component is important when balancing a kinematically aligned total knee arthroplasty (TKA). Accordingly, the primary objective was to determine whether the tibial forces or V-V laxities are more sensitive to, and thus more useful for identifying and correcting, V-V malalignments of the tibial component that overstuff a compartment. Calipered kinematically aligned TKA was performed on nine human cadaveric knees. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/jor.24779DOI Listing

[Evaluation of the systematic functional rehabilitation on rheumatoid arthritis patients following total knee arthroplasty].

Zhonghua Yi Xue Za Zhi 2020 Jun;100(23):1795-1799

Department of Joint Surgery, Peking University People's Hospital, Beijing 100044, China.

To evaluate the effects of functional rehabilitation on rheumatoid arthritis patients after the total knee arthroplasty (TKA). Two hundred rheumatoid arthritis patients (259 knees) were enrolled in this study at Arthritis Clinic and Research Center, Peking University People's Hospital from January 2012 to December 2017. All patients received the primary total knee arthroplasty, followed by a systematic functional rehabilitation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3760/cma.j.cn112137-20191212-02716DOI Listing

The American Society of Shoulder and Elbow Therapists' Consensus Statement on Rehabilitation For Anatomic Total Shoulder Arthroplasty.

J Shoulder Elbow Surg 2020 Jun 10. Epub 2020 Jun 10.

Excel Physical Therapy, Blue Bell, PA, and Arcadia University, Glenside, PA, USA.

Anatomic total shoulder arthroplasty is the gold standard shoulder replacement procedure for patients with an intact rotator cuff and sufficient glenoid bone to accommodate prosthetic glenoid implant and offers reliable patient satisfaction, excellent implant longevity, and a low incidence of complications. Disparity exists in the literature regarding rehabilitation strategies following anatomic total shoulder arthroplasty. This paper presents a consensus statement from experts in the field on rehabilitation following anatomic total shoulder arthroplasty. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jse.2020.05.019DOI Listing

The Effect of TBB, as an Initiator, on the Biological Compatibility of PMMA/MMA Bone Cement.

Int J Mol Sci 2020 Jun 4;21(11). Epub 2020 Jun 4.

Weintraub Center for Reconstructive Biotechnology, Division of Advanced Prosthodontics, UCLA School of Dentistry, Los Angeles, CA 90095-1668, USA.

Acrylic bone cement is widely used in orthopedic surgery for treating various conditions of the bone and joints. Bone cement consists of methyl methacrylate (MMA), polymethyl methacrylate (PMMA), and benzoyl peroxide (BPO), functioning as a liquid monomer, solid phase, and polymerization initiator, respectively. However, cell and tissue toxicity caused by bone cement has been a concern. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3390/ijms21114016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7312717PMC

The Inaccuracy of ICD-10 Coding in Revision Total Hip Arthroplasty and Its Implication on Revision Data.

J Arthroplasty 2020 May 12. Epub 2020 May 12.

Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, IA.

Background: The International Statistical Classification of Diseases, 10th Revision (ICD-10), was adopted by the United States on October 1, 2015 and expanded coding from 3800 codes with the International Statistical Classification of Diseases, Ninth Revision, procedure code system (ICD-9-PCS) to 73,000. The increase in number of codes was designed to create more accurate representations of procedures like revision total hip arthroplasties (rTHAs). However, many worry that the increased complexity leads to more inaccurate coding. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.arth.2020.05.013DOI Listing

Falling risk in patients with end-stage knee osteoarthritis.

Clin Rheumatol 2020 Jun 4. Epub 2020 Jun 4.

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

Although 25% of patients with end-stage knee osteoarthritis (OA) have reported a fall, there is limited information about risk factors for falling in patients awaiting total knee arthroplasty (TKA). The purpose of this study was to identify clinical and functional measures related to fall risk. A total of 259 participants awaiting TKA for OA participated in this secondary cross-sectional study. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10067-020-05165-6DOI Listing

Total Shoulder Arthroplasty Utilizing the Subscapularis-Sparing Approach.

Orthop Clin North Am 2020 Jul 5;51(3):383-389. Epub 2020 May 5.

Department of Orthopaedic Surgery, New York University School of Medicine, New York University Langone Orthopedic Hospital, 301 East 17th Street, New York, NY 10003, USA. Electronic address:

Traditionally, total shoulder arthroplasty is performed through the deltopectoral approach with violation of the subscapularis tendon. In order to reduce the incidence of postoperative subscapularis dysfunction, the subscapularis-sparing approach, performed entirely through the rotator interval, was developed. This technique allows earlier rehabilitation and may potentially prevent subsequent subscapularis insufficiency and clinical failures. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ocl.2020.02.003DOI Listing

[Prevention and treatment of bearing dislocation of mobile-bearing unicompartmental knee arthroplasty].

Authors:
Z P Guan Z Li

Zhonghua Wai Ke Za Zhi 2020 Jun;58(6):416-419

Department of Orthopedics, Peking University Shougang Hospital, Beijing 100041, China.

Bearing dislocation is a special complication of mobile-bearing unicompartmental arthroplasty, caused by many factors, such as imbalance of the flexion and extension gap, malposition of components, impingement by the remaining osteophytes and cement, damage or delayed chronic laxity of medial collateral ligament, traumatic accident and habitual high knee flexion. It can be reduced by strictly controlling the operation indications before operation, osteotomy and implanting the prosthesis accurately while protecting the medial collateral ligament during operation, actively guiding the appropriate rehabilitation actions and activity intensity of patients after operation. Treatment should be individualized according to the causes and individual conditions of patients. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3760/cma.j.cn112139-20200318-00234DOI Listing

The Medial Eminence Line for Predicting Tibial Fracture Risk after Unicompartmental Knee Arthroplasty.

Clin Orthop Surg 2020 Jun 27;12(2):166-170. Epub 2020 Apr 27.

Division of Rehabilitation Medicine, Kobe University Graduate School of Medicine, Kobe, Japan.

Backgroud: Tibial fracture after cementless Oxford unicompartmental knee arthroplasty (OUKA) is a rare but serious complication. It is reported more frequently in Asian countries. The aim of this retrospective study was to assess the morphological characteristics of the tibia by using a simple novel measurement method in patients with tibial fractures after OUKA. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4055/cios19011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7237250PMC

Saline lavage after a "dry tap".

Bone Joint J 2020 Jun;102-B(6_Supple_A):138-144

Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, USA.

Aims: In patients with a "dry" aspiration during the investigation of prosthetic joint infection (PJI), saline lavage is commonly used to obtain a sample for analysis. The aim of this study was to investigate prospectively the impact of saline lavage on synovial fluid analysis in revision arthroplasty.

Methods: Patients undergoing revision hip (THA) or knee arthroplasty (TKA) for any septic or aseptic indication were enrolled. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1302/0301-620X.102B6.BJJ-2019-1679.R1DOI Listing

Local delivery of tobramycin and vancomycin in primary total knee arthroplasty achieves minimum inhibitory concentrations for common bacteria causing acute prosthetic joint infection.

Bone Joint J 2020 Jun;102-B(6_Supple_A):163-169

Department of Orthopedic Surgery, Washington University School of Medicine, St. Louis, Missouri, USA.

Aims: The aim of this study was to determine if the local delivery of vancomycin and tobramycin in primary total knee arthroplasty (TKA) can achieve intra-articular concentrations exceeding the minimum inhibitory concentration thresholds for bacteria causing acute prosthetic joint infection (PJI).

Methods: Using a retrospective single-institution database of all primary TKAs performed between January 1 2014 and May 7 2019, we identified patients with acute PJI that were managed surgically within 90 days of the initial procedure. The organisms from positive cultures obtained at the time of revision were tested for susceptibility to gentamicin, tobramycin, and vancomycin. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1302/0301-620X.102B6.BJJ-2019-1639.R1DOI Listing

Risk factors for manipulation under anaesthesia after total knee arthroplasty.

Bone Joint J 2020 Jun;102-B(6_Supple_A):66-72

Ascension Providence Hospital Orthopaedic Residency, Novi, Michigan, USA.

Aims: Postoperative range of movement (ROM) is an important measure of successful and satisfying total knee arthroplasty (TKA). Reduced postoperative ROM may be evident in up to 20% of all TKAs and negatively affects satisfaction. To improve ROM, manipulation under anaesthesia (MUA) may be performed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1302/0301-620X.102B6.BJJ-2019-1580.R1DOI Listing

2020 John N. Insall Award: Removal of total knee arthroplasty from the inpatient-only list adversely affects bundled payment programmes.

Bone Joint J 2020 Jun;102-B(6_Supple_A):19-23

Rothman Orthopaedic Institute, RothmanOrtho, Philadelphia, Pennsylvania, USA.

Aims: The purpose of this study was to determine the impact of the removal of total knee arthroplasty (TKA) from the Medicare Inpatient Only (IPO) list on our Bundled Payments for Care Improvement (BPCI) Initiative in 2018.

Methods: We examined our institutional database to identify all Medicare patients who underwent primary TKA from 2017 to 2018. Hospital inpatient or outpatient status was cross-referenced with Centers for Medicare & Medicaid Services (CMS) claims data. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1302/0301-620X.102B6.BJJ-2019-1369DOI Listing

Modern full-component aseptic revision total knee arthroplasties have similar recoveries compared with primary total knee arthroplasty patients when applying an enhanced recovery anaesthetic and analgesic protocol.

Bone Joint J 2020 Jun;102-B(6_Supple_A):96-100

University of Maryland, Maryland, USA.

Aims: Enhanced perioperative protocols have significantly improved patient recovery following primary total knee arthroplasty (TKA). Little has been investigated the effectiveness of these protocols for revision TKA (RTKA). We report on a matched group of aseptic revision and primary TKA patients treated with an identical pain and rehabilitation programmes. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1302/0301-620X.102B6.BJJ-2019-1674.R1DOI Listing

A prospective randomized controlled clinical investigation comparing two post-operative wound dressings used after elective hip and knee replacement; Mepilex® Border Post-Op versus Aquacel® surgical.

Int J Orthop Trauma Nurs 2020 Mar 12:100772. Epub 2020 Mar 12.

Ghent University Hospital, Ghent, Belgium. Electronic address:

Background: Post-operative wound complications, including blistering and surgical site infections, can increase recovery times, costs associated with hospital stay and morbidity.

Aim: To compare two post-operative wound dressings (Mepilex Border Post-Op and Aquacel Surgical), in patients undergoing elective hip or knee arthroplasty.

Methods: International, open-label, prospective, superiority, multicentre, randomised, parallel-group, controlled trial. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ijotn.2020.100772DOI Listing

The Effect of Irrigation Fluid on Periprosthetic Joint Infection in Total Hip and Knee Arthroplasty: A Systematic Review and Meta-Analysis.

Cureus 2020 Apr 24;12(4):e7813. Epub 2020 Apr 24.

Orthopaedic Surgery, McMaster University, Hamilton, CAN.

Introduction Rates of osteoarthritis and total joint arthroplasty (TJA) are on the rise globally. Periprosthetic joint infection (PJI) is the most devastating complication of TJA. A number of different intraoperative interventions have been proposed in an effort to reduce infection rates, including antibiotic cements, local antibiotic powder, and various irrigation solutions. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7759/cureus.7813DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7249750PMC

Return to Sport after Anatomic and Reverse Total Shoulder Arthroplasty in Elderly Patients: A Systematic Review and Meta-Analysis.

J Clin Med 2020 May 22;9(5). Epub 2020 May 22.

Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, 00128 Rome, Italy.

The aim of this systematic review and meta-analysis was to evaluate the rate of return to sport in elderly patients who underwent anatomic (ATSA) and reverse (RTSA) total shoulder arthroplasty, to assess postoperative pain and functional outcomes and to give an overview of postoperative rehabilitation protocols. A systematic search in Pubmed-Medline, Cochrane Library, and Google Scholar was carried out to identify eligible randomized clinical trials, observational studies, or case series that evaluated the rate of return to sport after RTSA or ATSA. Six retrospective studies, five case series, and one prospective cohort study were included in this review. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3390/jcm9051576DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7291255PMC

Musculoskeletal Multibody Simulation Analysis on the Impact of Patellar Component Design and Positioning on Joint Dynamics after Unconstrained Total Knee Arthroplasty.

Materials (Basel) 2020 May 21;13(10). Epub 2020 May 21.

Biomechanics and Implant Technology Research Laboratory, Department of Orthopaedics, Rostock University Medical Center, 18057 Rostock, Germany.

Patellofemoral (PF) disorders are considered a major clinical complication after total knee replacement (TKR). Malpositioning and design of the patellar component impacts knee joint dynamics, implant fixation and wear propagation. However, only a limited number of studies have addressed the biomechanical impact of the patellar component on PF dynamics and their results have been discussed controversially. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3390/ma13102365DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7287668PMC

Adductor canal block with periarticular infiltration versus periarticular infiltration alone after total knee arthroplasty: A randomized controlled trial protocol.

Medicine (Baltimore) 2020 May;99(20):e20213

Department of Ophthalmology and Otorhinolaryngology, Qianjiang District Chinese medicine hospital of Chongqing, Chongqing, China.

Background: Effective postoperative analgesia may enhance early rehabilitation after total knee arthroplasty (TKA). The purpose of this study is to perform a randomized controlled trial to compare the efficiency of adductor canal block (ACB) with periarticular infiltration (PAI) versus PAI alone for early postoperative pain treatment after TKA.

Methods: After institutional review board approval, written informed consent was obtained from patients undergoing elective TKA. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MD.0000000000020213DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7254572PMC

Two-year recovery courses of physical and mental impairments, activity limitations, and participation restrictions after total knee arthroplasty among working-age patients.

Disabil Rehabil 2020 May 22:1-10. Epub 2020 May 22.

Department of Orthopedics, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.

Total knee arthroplasty is increasingly performed on working-age individuals, but little is known about their recovery process. Therefore this study examined recovery courses of physical and mental impairments, activity limitations and participation restrictions among working-age total knee arthroplasty recipients. Associated sociodemographic and health-related factors were also evaluated. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/09638288.2020.1766583DOI Listing

Mental simulation practice has beneficial effects on patients' physical function following lower limb arthroplasty: a systematic review and meta-analysis.

Arch Phys Med Rehabil 2020 May 10. Epub 2020 May 10.

Science and Research Centre, Institute for Kinesiology Research, Koper, Slovenia; Faculty of Sport and Physical Education, University of Niš, Niš, Serbia.

Objective: To determine the effectiveness of mental simulation practice (MSP) on measures of physical function recovery in patients who have undergone a joint replacement surgery of lower limbs.

Data Sources: A systematic review was conducted using CINAHL, PubMed/MEDLINE, Embase, SPORT Discus, PEDro, Cochrane Register of Controlled Trials and Google Scholar from earliest record to 16 August 2019.

Study Selections: The following inclusion criteria were used to determine eligibility for studies: 1) randomised and matched controlled trials recruiting male and female adults who underwent primary unilateral joint arthroplasty; 2) the study examined effects of MSP intervention on measures of physical function recovery (both performance-based and patient self-reported); 3) measures of interest were compared between MSP and control groups. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.apmr.2020.04.004DOI Listing

New materials for hip and knee joint replacement: What's hip and what's in kneed?

J Orthop Res 2020 Jul 28;38(7):1436-1444. Epub 2020 May 28.

Department of Orthopaedic Surgery, Clinical and Translational Science Institute, University of Pittsburgh, Pittsburgh, Pennsylvania.

Over the last three decades there have been significant advancements in the knee and hip replacement technology that has been driven by an issue in the past concerning adverse local tissue reactions, aseptic and septic loosening. The implants and the materials we utilize have improved over the last two decades and in knee and hip replacement there has been a decrease in the failures attributed to wear and osteolysis. Despite these advancements there are still issues with patient satisfaction and early revisions due to septic and aseptic loosening in knee replacement patients. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/jor.24750DOI Listing

GaiTRec, a large-scale ground reaction force dataset of healthy and impaired gait.

Sci Data 2020 May 12;7(1):143. Epub 2020 May 12.

St. Pölten University of Applied Sciences, Institute of Creative Media Technologies, St. Pölten, Austria.

The quantification of ground reaction forces (GRF) is a standard tool for clinicians to quantify and analyze human locomotion. Such recordings produce a vast amount of complex data and variables which are difficult to comprehend. This makes data interpretation challenging. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1038/s41597-020-0481-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7217853PMC

The Role of Physical Activity and Rehabilitation Following Hip and Knee Arthroplasty in the Elderly.

J Clin Med 2020 May 9;9(5). Epub 2020 May 9.

Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, 00128 Rome, Italy.

Hip and knee replacement is an effective treatment for symptomatic, end-stage hip and knee osteoarthritis, aiming to relieve pain and restore joint function. Several postoperative rehabilitation protocols and physical activities are proposed in routine clinical practice. However, their effect on clinical outcome and implant revision in patients undergoing joint replacement is still unclear. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3390/jcm9051401DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7291199PMC

[Management of Glenoid Defect by a Bone Graft in Reverse Total Shoulder Arthroplasty - Surgical Technique and Two-Year Clinical Outcomes].

Acta Chir Orthop Traumatol Cech 2020 ;87(2):82-89

Ortopedicko-traumatologické oddělení, Nemocnice Jihlava.

PURPOSE OF THE STUDY The purpose of the study is to share the first experience of authors with the management of glenoid defects by a bone graft in reverse total shoulder arthroplasty. MATERIAL AND METHODS Evaluation of 7 patients was conducted, who underwent reverse total shoulder arthroplasty at the authors' department. Due to the presence of glenoid bone defect, augmentation was performed by bone graft, obtained either as an autograft harvested from the humeral head of the patient intraoperatively or as an allograft from the femoral head from the bone tissue bank. Read More

View Article

Download full-text PDF

Source

Are physical therapy pain levels affected by surgical approach in total hip arthroplasty? A randomized controlled trial.

Orthop Rev (Pavia) 2020 Apr 28;12(1):8399. Epub 2020 Apr 28.

Department of Orthopedics, Traumatology and Pediatric Orthopedics, Iuliu Haţieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.

The main objective of this study was to evaluate the difference in pain levels during postoperative physical therapy pathways in patients who underwent a cement less total hip replacement either through a muscle sparing direct anterior approach (DAA), or the classic trans-gluteal lateral approach (LA). One hundred and twelve (112) patients were randomized into two equal groups. Baseline values of myoglobin levels were acquired prior to surgery and repeated at 6 hours postoperatively as a biomarker for muscle damage. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4081/or.2020.8399DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7206361PMC

Risk factors and outcome of patients with periprosthetic joint infection admitted to intensive care unit.

Arch Orthop Trauma Surg 2020 May 9. Epub 2020 May 9.

Department of General and Trauma Surgery, BG University Hospital Bergmannsheil, Buerkle de la Camp-Platz 1, 44789, Bochum, Germany.

Introduction: Prosthetic joint infection (PJI) is a severe complication after total joint replacement surgery. The current study analyzes the outcome and mortality of patients admitted to an intensive care unit following PJI.

Methods: Retrospective analysis of all patients treated between 2012 and 2016 due to PJI in the surgical intensive care unit of a university hospital. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00402-020-03471-xDOI Listing

Effect of COVID-19 on Hip and Knee Arthroplasty Surgical Volume in the United States.

J Arthroplasty 2020 Jul 24;35(7S):S45-S48. Epub 2020 Apr 24.

Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, IA.

Background: In an effort to help combat the COVID-19 pandemic and preserve essential health care resources, starting in mid-March 2020, surgeons have been instructed to only perform essential surgical procedures. The vast majority of hip and knee arthroplasty surgery does not meet the definition of essential surgery. This study estimated the number of arthroplasty procedures that would be canceled because of these important restrictions. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.arth.2020.04.060DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7194697PMC

Multimodal Conservative Treatment of Complicated Open Wound After Total Knee Replacement Arthroplasty in Patients With Comorbidities.

Int J Low Extrem Wounds 2020 May 7:1534734620919315. Epub 2020 May 7.

Department of Plastic and Reconstructive Surgery, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Total knee replacement arthroplasty is a common procedure and postoperative wound complications are sometimes inevitable. Although invasive reconstructive surgery may be an option for nonhealed wounds, such procedures can limit early rehabilitation, adversely affecting the range of joint motion. Patients can achieve a wider range of motion if they undergo early rehabilitation with a conservative approach. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/1534734620919315DOI Listing

Brain gray matter abnormalities in osteoarthritis pain: a cross-sectional evaluation.

Pain 2020 May 2. Epub 2020 May 2.

Departments of Physical Medicine and Rehabilitation and.

The interaction between osteoarthritis (OA) pain and brain properties remains minimally understood, although anatomical and functional neuroimaging studies suggest that OA, similar to other chronic pain conditions, may impact as well as partly be determined by brain properties. Here, we studied brain gray matter (GM) properties in OA patients scheduled to undergo total joint replacement surgery. We tested the hypothesis that brain regional GM volume is distinct between hip OA (HOA) and knee OA (KOA) patients, relative to healthy controls and moreover, that these properties are related to OA pain. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/j.pain.0000000000001904DOI Listing

The Effect of the COVID-19 Pandemic on Electively Scheduled Hip and Knee Arthroplasty Patients in the United States.

J Arthroplasty 2020 Jul 22;35(7S):S49-S55. Epub 2020 Apr 22.

Rothman Orthopaedic Institute, Thomas Jefferson University, Philadelphia, PA.

Background: In response to the COVID-19 pandemic, hospitals in the United States were recommended to stop performing elective procedures. This stoppage has led to the cancellation of a large number of hip and knee arthroplasties. The effect of this on patients' physical mental and economic health is unknown. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.arth.2020.04.052DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7195093PMC
July 2020
2.666 Impact Factor

Disruption of Arthroplasty Practice in an Orthopedic Center in Northern Italy During the Coronavirus Disease 2019 Pandemic.

J Arthroplasty 2020 Jul 24;35(7S):S6-S9. Epub 2020 Apr 24.

IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.

Background: The Coronavirus disease 2019 (COVID-19) outbreak has put strain on many healthcare systems around the world, with important consequences. The aim of this paper is to describe the impact of the COVID-19 pandemic on hip and knee arthroplasties in an Italian high-volume orthopedic center, located in the region of the country first and worst affected by the Coronavirus.

Methods: Data from an institutional database were retrospectively analyzed to obtain the number of hip and knee arthroplasties performed from February 24 to April 10 2020. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.arth.2020.04.057DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7194696PMC

Anterior bone loss after cervical Bryan Disc arthroplasty: insight into the biomechanics following total disc replacement.

Spine J 2020 Apr 30. Epub 2020 Apr 30.

Functional Neurosurgery Division, Neurological Institute, Taichung Veterans General Hospital, 1650 Taiwan Boulevard Sec. 4, Taichung, Taiwan 40705 Republic of China; Department of Rehabilitation, Jen-Teh Junior College of Medicine, Nursing and Management, Miaoli County, Taiwan, Republic of China; College of Health, National Taichung University of Science and Technology, Taichung, Taiwan, Republic of China. Electronic address:

Background Context: Cervical disc arthroplasty (CDA) is an innovative procedure launched in the early 2000s. Compared with anterior cervical discectomy and fusion, many studies show that CDA offers equivalent clinical outcomes while reducing secondary procedures and total cost.

Purpose: We sought to determine the incidence of anterior bone loss after CDA and the related biomechanical effects. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.spinee.2020.04.017DOI Listing

Innovative Devices Did Not Provide Superior Total Knee Arthroplasty Outcomes in Post-Operative Rehabilitation: Results From a Four-Arm Randomized Clinical Trial.

J Arthroplasty 2020 Apr 2. Epub 2020 Apr 2.

MedStar Orthopaedic Institute at MedStar Georgetown University Hospital and MedStar Washington Hospital Center, Washington, DC.

Background: Orthopedic surgeons face an increasing array of post-TKA (total knee arthroplasty) rehabilitation interventions that entail innovative equipment and devices, but their relative effectiveness remains unknown. The study compared patient outcomes among primary unilateral TKA patients participating in one of 4 post-TKA rehabilitation interventions-a standard-of-care intervention and 3 more recently developed physical therapy interventions.

Methods: The Knee Arthroplasty Rehabilitation Outcomes Study is a 4-arm randomized clinical trial conducted across 15 outpatient rehabilitation clinics. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.arth.2020.03.048DOI Listing

Effect of Microfracture on Functional Outcomes and Subchondral Sclerosis Following Distraction Arthroplasty of the Ankle Joint.

Foot Ankle Int 2020 Jun 1;41(6):631-638. Epub 2020 May 1.

Department of Orthopedic Surgery, NYU Langone Health, New York, NY, USA.

Background: Treatment for post-traumatic osteoarthritis (PTOA) of the ankle remains challenging. Distraction arthroplasty (DA) is an alternative for patients who are averse to or poor candidates for arthrodesis or joint replacement. The purpose of this study was to examine the role of microfracture (MFX) and concentrated bone marrow aspirate (CBMA) on the outcome of patients undergoing DA for end-stage PTOA of the ankle joint. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/1071100720917144DOI Listing
June 2020
1.626 Impact Factor

Does walking the day of total hip arthroplasty speed up functional independence? A non-randomized controlled study.

Arch Physiother 2020 24;10. Epub 2020 Apr 24.

1Physiotherapy Unit, Humanitas Clinical and Research Center, Via Manzoni 56 - Rozzano, Milan, Italy.

Background: Few data address modalities for speeding up functional independence in subjects included in a fast-track approach after total hip arthroplasty (THA). The study aim was to assess short-term effects of mobilization and walking the day of THA (WDS) on independence, pain, function and quality of life.

Methods: Seventy-one patients were allocated in a study (SG:  = 36) or control (CG:  = 35) groups according to time of surgery and recovery from anesthesia. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s40945-020-00079-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7181526PMC

Bilateral Femoral Neck Fracture Secondary to Seizure: Treatment with Total Hip Arthroplasty by the Direct Anterior approach.

Rev Bras Ortop (Sao Paulo) 2020 Apr 3;55(2):254-257. Epub 2020 Feb 3.

Instituto Nacional de Traumatologia e Ortopedia (Into), Rio de Janeiro, RJ, Brasil.

Bilateral fracture of the femoral neck secondary to seizure is a rare event. The occurrence of these lesions is related to vigorous tonic-clonic muscular contractions and to the use of anticonvulsive medications. Femoral neck fractures in young adults treated with total hip arthroplasty are the exception, and the choice of surgical access should consider several factors; the direct anterior approach is a possibility for total hip arthroplasty. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.rbo.2017.12.024DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7186063PMC

Effectiveness of a Home-Based Rehabilitation Program After Total Hip Arthroplasty Driven by a Tablet App and Remote Coaching: Nonrandomized Controlled Trial Combining a Single-Arm Intervention Cohort With Historical Controls.

JMIR Rehabil Assist Technol 2020 Apr 27;7(1):e14139. Epub 2020 Apr 27.

Department of Orthopedics, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.

Background: Recent technological developments such as wearable sensors and tablets with a mobile internet connection hold promise for providing electronic health home-based programs with remote coaching for patients following total hip arthroplasty. It can be hypothesized that such a home-based rehabilitation program can offer an effective alternative to usual care.

Objective: The aim of this study was to determine the effectiveness of a home-based rehabilitation program driven by a tablet app and remote coaching for patients following total hip arthroplasty. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2196/14139DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7215512PMC

Joint replacement for trapeziometacarpal osteoarthritis: implants and outcomes.

J Hand Surg Eur Vol 2020 Apr 26:1753193420917582. Epub 2020 Apr 26.

University Clinic for Hand, Hip and Knee Surgery, Holstebro Hospital, Holstebro, Denmark.

For thumb carpometacarpal osteoarthritis, trapeziectomy provides generally good results with reduction of pain and restoration of thumb mobility, but shortening of the thumb may at least in theory lead to reduction in grip and pinch strength. Furthermore, instability of the base of the first metacarpal and contact with the scaphoid may occur regardless of the several described techniques with ligament reconstruction and tendon interposition. Thus, for years alternatives to trapeziectomy have been explored and reported with disputable success. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/1753193420917582DOI Listing

Prevalence and risk factors of falls in adults one-year after total hip arthroplasty for osteoarthritis: a cross-sectional study.

Am J Phys Med Rehabil 2020 Apr 23. Epub 2020 Apr 23.

Schulich School of Medicine & Dentistry, Department of Surgery, University of Western Ontario, London, ON, Canada.

Total hip arthroplasty (THA) is very successful in alleviating the pain from osteoarthritis. Yet deficits in lower extremity strength, gait and balance after surgery has identified this group at risk of falls. Considering the high number of people annually receiving a THA, further elaboration of factors associated with falls are needed to refine falls prevention guidelines. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/PHM.0000000000001456DOI Listing
April 2020
2.012 Impact Factor

Two-Stage Exchange Using a Short Intramedullary Nail for Treatment of Periprosthetic Knee Infections: A Technique Worth Questioning.

J Knee Surg 2020 Apr 24. Epub 2020 Apr 24.

Center for Joint Preservation and Replacement, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, Maryland.

Periprosthetic joint infections (PJIs) following total knee arthroplasty (TKA) are serious orthopaedic complications that pose marked burdens to both patients and health care systems. At our institution, two-stage exchange with a temporary short antibiotic cement-coated intramedullary nail was utilized for the treatment of repeat PJIs in a series of compromised patients with considerable bone loss. This study reports on (1) success rates, (2) functional and pain outcomes, (3) and complications for patients receiving a temporary short intramedullary nail for the treatment of PJI. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0040-1708856DOI Listing

Rehabilitation following shoulder arthroplasty in the United Kingdom National Health Service: A survey of publicly facing information.

Musculoskeletal Care 2020 Apr 23. Epub 2020 Apr 23.

Shoulder and Elbow Service, Manchester University NHS Foundation Trust, Manchester, UK.

Introduction: The prevalence of shoulder arthroplasty (SA) is rising, but there is limited research evaluating rehabilitation following SA and whether there is an optimal approach remains unknown. The aim of this study was to understand current National Health Service (NHS) practice for rehabilitation following SA as a platform for conducting much needed further research.

Methods: Two reviewers independently undertook electronic searches for publicly available information sheets (PIS) from websites of NHS Trusts that included detail about rehabilitation following SA, for example, duration of immobilisation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/msc.1468DOI Listing