The incidence of anterior knee pain following
total knee replacement (TKR) is reported to be as high as 49%. The source
of the pain is poorly understood but the soft tissues around the
patella have been implicated. In theory circumferential electrocautery denervates the patella
thereby reducing efferent pain signals. However, there is mixed
evidence that this practice translates into improved outcomes. We aimed to investigate the clinical effect of intra-operative
circumpatellar electrocautery in patients undergoing
Aims. Adductor canal block (ACB) has emerged as an alternative to femoral nerve block (FNB) for analgesia after
The results of 41 consecutive
The purpose is to determine the non-inferiority of a smartphone-based exercise educational care management system after primary knee arthroplasty compared with a traditional in-person physiotherapy rehabilitation model. A multicentre prospective randomized controlled trial was conducted evaluating the use of a smartphone-based care management system for primary total knee arthroplasty (TKA) and partial knee arthroplasty (PKA). Patients in the control group (n = 244) received the respective institution’s standard of care with formal physiotherapy. The treatment group (n = 208) were provided a smartwatch and smartphone application. Early outcomes assessed included 90-day knee range of movement, EuroQoL five-dimension five-level score, Knee Injury and Osteoarthritis Outcome Score for Joint Replacement (KOOS JR) score, 30-day single leg stance (SLS) time, Time up and Go (TUG) time, and need for manipulation under anaesthesia (MUA).Aims
Methods
We assessed the reproducibility and accuracy of four ratios used to measure patellar height, namely the Blackburne-Peel, Caton-Deschamps, Insall-Salvati and modified Insall-Salvati, before and after
Objectives. Lower limb muscle power is thought to influence outcome following
total knee replacement (TKR). Post-operative deficits in muscle
strength are commonly reported, although not explained. We hypothesised
that post-operative recovery of lower limb muscle power would be
influenced by the number of satellite cells in the quadriceps muscle at
time of surgery. . Methods. Biopsies were obtained from 29 patients undergoing
We evaluated the safety and efficacy of total
knee replacement in patients receiving continuous warfarin therapy. . We identified 24 consecutive patients receiving long-term warfarin
therapy who underwent
Bone mineral density (BMD) around the femoral component has been reported to decrease after
Restoration of neutral alignment of the leg is an important factor affecting the long-term results of
Aims. The Advance Medial-Pivot
Objective. Mortality rates reported by the National Joint Registry for England
and Wales (NJR) were higher following cemented total knee replacement
(TKR) compared with uncemented procedures. The aim of this study
is to examine and compare the effects of cemented and uncemented
TKR on the activation of selected markers of inflammation, endothelium,
and coagulation, and on the activation of selected cytokines involved
in the various aspects of the systemic response following surgery. Methods. This was a single centre, prospective, case-control study. Following
enrolment, blood samples were taken pre-operatively, and further
samples were collected at day one and day seven post-operatively.
One patient in the cemented group developed a deep-vein thrombosis
confirmed on ultrasonography and was excluded, leaving 19 patients
in this cohort (mean age 67.4, (. sd. 10.62)), and one patient
in the uncemented group developed a post-operative wound infection
and was excluded, leaving 19 patients (mean age 66.5, (. sd. 7.82)). Results. Both groups had a similar response with regards to the levels
of C-reactive protein (CRP), interleukin 6 (IL-6) and tumour necrosis
factor-alpha (TNFα). CD40 levels rose significantly on the cemented
group over day one to day seven compared with that of the uncemented
group, which occurred over the first 24 hours. The CD14/42a levels demonstrated
a statistically significant increase in the cemented group (p <
0.001 first 24 hours and p = 0.02 between days one and seven). . Conclusions. The uncemented and cemented groups demonstrated significant changes
in the various parameters measured at various time points but apart
from CD14/42a levels, there was no significant difference in the
serum markers of inflammation, coagulation and endothelial dysfunction
following cemented
We have examined the relationship between the size of the flexion gap and the anterior translation of the tibia in flexion during implantation of a posterior cruciate ligament (PCL)-retaining BalanSys
A postal questionnaire was sent to 10 000 patients more than one year after their
We have examined the outcome of 400 consecutive patients who underwent
We carried out weight-bearing video radiological studies on 40 patients with a
We randomised 102 knees suitable for a unicompartmental replacement to receive either a unicompartmental (UKR) or
We aimed to determine the reliability, accuracy and the clinical role of digital templating in the pre-operative work-up for