Category: Knee

Synovial fluid tests with leukocyte esterase strips improved periprosthetic joint infection detection

Posted on March 14, 2012

SAN FRANCISCO — A prospective cohort study showed that leukocyte esterase reagent strips can play an important role in the rapid diagnosis of periprosthetic joint infection when following patients after total joint arthroplasty. The study built on previous work done by Javad Parvizi, MD, FRCS, director of research at the Rothman Institute and professor of …

Local Infiltration Analgesia in TKA Patients Reduces Length of Stay and Postoperative Pain Scores

Posted on March 14, 2011

by Krishna R. Tripuraneni, MD; Steven T. Woolson, MD; Nicholas J. Giori, MD, PhD DOI: 10.3928/01477447-20110124-11 Abstract Numerous postoperative pain protocols exist for patients undergoing total knee arthroplasty (TKA). We compared the length of stay, early range of motion (ROM), and pain scores of a control group with a femoral …

Comparison of the Mini-Midvastus With the Mini-Medial Parapatellar Approach in Primary TKA

Posted on October 14, 2010

by Xi-gong Li, PhD, MD; Tian-si Tang, MD; Zhong-lai Qian, PhD, MD; Li-xin Huang, PhD, MD; Wen-ming Pan, PhD, MD; Ruo-fu Zhu, PhD, MD This article has been retracted.   Abstract A prospective randomized study was performed to compare the clinical and radiological results of primary total knee arthroplasties (TKAs) …

Method for Quantifying Patient Expectations and Early Recovery After Total Knee Arthroplasty

Posted on December 11, 2009

by Stephen M. Howell, MD; Stephanie L. Rogers, MPT Abstract Many components of a surgeon’s total knee arthroplasty (TKA) treatment regimen affect the rate of recovery, such as patient selection, preoperative education, surgical technique, pain management, and postoperative rehabilitation. Therefore, accurate counseling requires that the surgeon quantifies patient expectations and …

A Prospective Study of the Nonoperative Treatment of Degenerative Meniscus Tears

Posted on November 17, 2009

By Todd Rimington, MD; Krishna Mallik, MD; Douglas Evans, MD; Kenneth Mroczek, MD; Bruce Reider, MD ORTHOPEDICS 2009; 32:558 Abstract This prospective study was designed to evaluate a nonoperative-based treatment protocol for patients with the clinical diagnosis of a degenerative medial meniscus tear and to determine if a significant percent of patients with degenerative medial meniscus …

Range of Flexion After Primary TKA: The Effect of Soft Tissue Release and Implant Design

Posted on November 13, 2009

by Issaq Ahmed, BEng, MBChB, MRCS; Andrew C. Gray, MD, BSc, MBChB, FRCS(T&O); Marietta van der Linden, PhD; Richard Nutton, MD, FRCS Abstract Range of motion following total knee arthroplasty (TKA) is a crucial measure of clinical outcome. The purpose of this randomized, controlled study was to determine which factors …

Similar results seen in TKA patients with resurfaced vs. native patellae at 4 years

Posted on December 11, 2008

Researcher cites short-term follow-up and small comparison groups as limitations of the study. by Gina Brockenbrough While surgeons have debated the need for patellar resurfacing in total knee arthroplasty, research now indicates no significant differences in the clinical and subjective outcomes of patients who underwent patellar resurfacing compared to those …

Results of an Initial Experience with Custom-fit Positioning Total Knee Arthroplasty in a Series of 48 Patients

Posted on November 13, 2008

By Stephen M. Howell, MD; Kyle Kuznik, BS; Maury L. Hull, PhD; Robert A. Siston, PhD ORTHOPEDICS 2008; 31:857 The custom-fit approach to total knee arthroplasty in conjunction with removal of osteophytes and preservation of ligaments rapidly returned function; restored motion, stability, and postoperative mechanical axis alignment; effected high patient satisfaction; and had an acceptable …

Patellar redislocation rate up to 20% with MPFL reinsertion or conservative care

Posted on September 7, 2007

Kujala subscores showed more stability for medial patellofemoral ligament refixation patients. By Susan M. Rapp 1st on the web (September 7, 2007) September 2007 FLORENCE — Danish investigators studying the role the medial patellofemoral ligament plays in patellar stability found that surgically reinserting it after a patellar dislocation did little to prevent …

Reconstruct soft tissue constraint to correct lateral patellar dislocation

Posted on August 10, 2007

Part 1 of a two-part series on patellofemoral instability looks at the soft-tissue approach. By Susan M. Rapp ORTHOPEDICS TODAY 2007; 27:16 August 2007 Orthopedic surgeons traditionally resolve joint instability problems by trying to reconstruct the anatomy of the torn structure. Extending this approach to the patellofemoral joint, reconstruction of the medial …