How Common is Subsequent Posterior Tibial Tendon Dysfunction or Tarsal Tunnel Syndrome After Ankle Sprain Injury?
The objective of this study was to investigate the incidence of PTTD and TTS in the 2 years following an ankle sprain and which variables are associated with its onset. In total, 22,966 individuals in the Military Health System diagnosed with ankle sprain between 2010 and 2011 were followed for 2 years. The incidence of PTTD and TTS after ankle sprain was identified. Binary logistic regression was used to identify potential demographic or medical history factors associated with PTTD or TTS. In total, 617 (2.7%) received a PTTD diagnosis and 127 (0.6%) received a TTS diagnosis. Active-duty status (odds ratio [OR] 2.18, 95% ...
Source: Journal of Knee Surgery - August 9, 2022 Category: Orthopaedics Authors: Foster, Kaitlyn S. Greenlee, Tina A. Young, Jodi L. Janney, Cory F. Rhon, Daniel I. Tags: Special Focus Section Source Type: research
Size Comparison of the Cadaveric Anterior Cruciate Ligament Midsubstance Cross-Sectional Area and the Cross-Sectional Area of Semitendinosus Double-Bundle Anterior Cruciate Ligament Reconstruction Autografts in Surgery
J Knee Surg DOI: 10.1055/s-0042-1755377The purpose of this study was to compare the cadaveric midsubstance cross-sectional anterior cruciate ligament (ACL) area and the cross-sectional semitendinosus (ST) double-bundle ACL autograft area in surgery. Thirty-nine nonpaired formalin-fixed cadaveric knees and 39 subjects undergoing ST double-bundle ACL reconstruction were included in this study. After soft tissue resection, cadaveric knees were flexed at 90 degrees, and the tangential line of the femoral posterior condyles was marked and sliced on the ACL midsubstance. The cross-sectional ACL area was measured using Image J ...
Source: Journal of Knee Surgery - August 9, 2022 Category: Orthopaedics Authors: Yahagi, Yoshiyuki Iriuchishima, Takanori Iwama, Genki Suruga, Makoto Horaguchi, Takashi Aizawa, Shin Nakanishi, Kazuyoshi Tags: Original Article Source Type: research
Comparison of Different Concentrations of Ropivacaine Used for Ultrasound-Guided Adductor Canal Block + IPACK Block in Total Knee Arthroplasty
Conclusion Compared with ropivacaine 0.2%, ropivacaine 0.25 and 0.3% can provide early pain relief in the first 6 hours after surgery. Ropivacaine 0.25 and 0.3% may provide more clinical benefits for patients undergoing outpatient TKA. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents | Abstract | Full text (Source: Journal of Knee Surgery)
Source: Journal of Knee Surgery - August 9, 2022 Category: Orthopaedics Authors: Wang, Qiuru Hu, Jian Ma, Ting Zhao, Dongmei Yang, Jing Kang, Pengde Tags: Original Article Source Type: research
Preoperative Statin Exposure Reduces Periprosthetic Fractures and Revisions following Total Knee Arthroplasty
J Knee Surg DOI: 10.1055/s-0042-1755359The purpose of this study is to examine patients undergoing primary total knee arthroplasty (TKA) with and without prior history of statin use. We specifically evaluated (1) 90-day to 2-year periprosthetic fractures, (2) revisions, and (3) respective risk factors. We queried a national, all-payer database for patients undergoing primary TKA between 2010 and 2020. Chronic statin exposure was then identified and defined as more than three prescriptions filled within 1 year prior to TKA (statin users). A control cohort of patients undergoing TKA without the prior history of statin use wa...
Source: Journal of Knee Surgery - August 9, 2022 Category: Orthopaedics Authors: Sax, Oliver C. Bains, Sandeep S. Chen, Zhongming Douglas, Scott J. Nace, James Delanois, Ronald E. Tags: Original Article Source Type: research
Stemmed Versus Nonstemmed Tibia in Primary Total Knee Arthroplasty: A Similar Pattern of Aseptic Tibial Loosening in Obese Patients with Moderate Varus. 5-Year Outcomes of a Randomized Controlled Trial
This study compared standard and stemmed tibiae TKAs in patients with class I and II obesity with varus deformity. Between April 2013 and June 2020, a prospective study was conducted including patients with end-stage OA, body mass index between 30 and 40 kg/m2, and varus <15 degrees. Patients were randomly assigned to TKAs with either standard or long-stemmed tibiae and evaluated 5 years after surgery using the Knee Society Scoring (KSS). The knee society and modified radiographic evaluation systems were used for radiological evaluation. In total, 264 TKAs were performed in 264 patients (134 in the standard group an...
Source: Journal of Knee Surgery - August 9, 2022 Category: Orthopaedics Authors: Mohammad, Molham M. Elesh, Mohammed M. El-Desouky, Ihab I. Tags: Original Article Source Type: research
Human Immunodeficiency Virus Status Does Not Independently Predict 2-Year Complications Following Total Knee Arthroplasty
This study aims to understand how HIV impacts surgical and medical complications following TKA for osteoarthritis (OA). Patients identified in a national insurance database who underwent TKA for OA from 2010 to 2019 were divided into three cohorts: no HIV, asymptomatic HIV, and acquired immunodeficiency syndrome (AIDS). Univariate and multivariable regression analyses were performed to determine 90-day postoperative complications as well as 2-year surgical complications (revision surgery, prosthetic joint infection, aseptic loosening, and manipulation under anesthesia). A total of 855,373 patients were included, of whom 1,...
Source: Journal of Knee Surgery - August 9, 2022 Category: Orthopaedics Authors: Elzomor, Amir Malyavko, Alisa Agarwal, Amil R. Cohen, Jordan S. Campbell, Joshua Golladay, Gregory J. Thakkar, Savyasachi C. Tags: Original Article Source Type: research
Integrating IPACK (Interspace between the Popliteal Artery and Capsule of the Posterior Knee) Block in an Enhanced Recovery after Surgery Pathway for Total Knee Arthroplasty —A Prospective Triple-Blinded Randomized Controlled Trial
J Knee Surg DOI: 10.1055/s-0042-1755355We explored the efficacy of an interspace between the popliteal artery and capsule of the posterior knee (IPACK) block when added to an established enhanced recovery after surgery (ERAS) pathway to assist with posterior knee analgesia and functional mobility after total knee arthroplasty (TKA). We recruited participants undergoing TKA in our prospective, randomized, triple-blinded controlled trial. All study patients participated in our ERAS pathway consisting of a primary spinal anesthetic, adductor canal nerve catheter, and periarticular joint infiltration. Patients were randomized ...
Source: Journal of Knee Surgery - August 9, 2022 Category: Orthopaedics Authors: BH, Poonam Pai Jinadu, Samiat Okunlola, Olubunmi Darkzali, Haider Lin, Hung Mo Lai, Yan H. Tags: Original Article Source Type: research
Clinical and Radiologic Outcomes after Meniscal Root Repair: A Case Series
This study aimed to describe the demographics, clinical outcomes, and radiologic outcomes of patients who underwent meniscal root repair at a single, large academic institution. Patients who underwent meniscal root repair between January 2011 and April 2015 were identified. Patient demographics, injury characteristics, and intraoperative findings of medial femoral condyle chondromalacia and other concomitant pathology were retrospectively recorded. Enrolled patients returned to clinic for prospectively collected International Knee Documentation Committee (IKDC) subjective and objective forms, knee radiographs, and magnetic...
Source: Journal of Knee Surgery - July 28, 2022 Category: Orthopaedics Authors: Young, Bradley L. Ruder, John A. Scarola, Gregory T. Hong, Ian S. Meade, Joshua D. Piasecki, Dana P. Saltzman, Bryan M. Fleischli, James E. Tags: Original Article Source Type: research
Surgical Outcomes and Analysis of Quality of Life Following Knee Arthroplasty in Very Elderly Patients
The objective of this study was to investigate complication rate, mortality, clinical outcome, and quality-adjusted life years (QALYs) of primary knee replacement in very elderly patients, defined as 83 years or older. Medical records of 85 cases, receiving a primary total (total knee arthroplasty [TKA]) or unicompartmental (unicompartmental knee arthroplasty [UKA]) knee replacement, aged 83 years or older at the time of surgery, were retrospectively reviewed for surgical and medical complications as well as survivorship. Functional outcome was obtained by Oxford Knee Score (OKS) and QALY. At a mean follow-up of 21 months ...
Source: Journal of Knee Surgery - July 28, 2022 Category: Orthopaedics Authors: Wild, Linda Dimitriou, Dimitris Radzanowski, Stephan Grabherr, Michael F ösel, Andreas Helmy, N äder Tags: Original Article Source Type: research
Radiographic Evidence of Early Posttraumatic Osteoarthritis following Tibial Plateau Fracture Is Associated with Poorer Function
J Knee Surg DOI: 10.1055/s-0042-1755375To determine if radiographic evidence of posttraumatic osteoarthritis (PTOA) following tibial plateau fracture correlates with poorer clinical and functional outcomes, patients with tibial plateau fractures were followed at 3, 6, and 12 months. All patients had baseline radiographs and computed tomography scan. Radiographs obtained at each follow-up were reviewed for healing, articular incongruence, hardware positional changes, and the development of postinjury arthritic change. Cohorts were determined based on the presence (PTOA) or absence (NPTOA) of radiographic evidence of PTOA. D...
Source: Journal of Knee Surgery - July 28, 2022 Category: Orthopaedics Authors: Maseda, Meghan Perskin, Cody R. Konda, Sanjit R. Leucht, Philipp Ganta, Abishek Egol, Kenneth A. Tags: Original Article Source Type: research
Total Knee Arthroplasty for Osteoarthritis Is Uncommon after Intralesional Curettage in Giant Cell Tumor of Bone
This study sought to investigate rates of secondary arthroplasty in long-term follow-up of knee GCTB. Cases of knee GCTB treated at our institution were reviewed. Rates of recurrence and secondary arthroplasty were recorded, and Kaplan-Meier survival analyses were performed. The records of 40 patients were reviewed. Local recurrence occurred in 25% of patients. The 1-, 5-, and 10-year recurrence-free survival (RFS) probability was 87.4% (95% CI, 77.0–97.7), 72.4% (95% CI, 57.6–87.2), and 72.4% (95% CI, 57.6–87.2), respectively. Function improved after surgery with a mean preoperative MSTS score of 14.9 (standard devi...
Source: Journal of Knee Surgery - July 28, 2022 Category: Orthopaedics Authors: Lee, Linus Buac, Neil Colman, Matthew W. Gitelis, Steven Blank, Alan T. Tags: Original Article Source Type: research
Outcomes of Patellar Subchondroplasty Surgery: A Case Series
This study introduces patellar subchondroplasty as a surgical treatment for patients with symptomatic BMLs of the patella without significant arthritis after failure of conservative management. Our results demonstrated good outcomes and patient satisfaction. In addition, no patients converted to patellofemoral or total knee arthroplasty. This study suggests that patellar subchondroplasty may be a reasonable treatment option in the correct patient population. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents | Abstract | Fu...
Source: Journal of Knee Surgery - July 28, 2022 Category: Orthopaedics Authors: Huddleston, Hailey P. Cregar, William M. Alzein, Mohamad M. Vadhera, Amar S. Wong, Stephanie E. Yanke, Adam B. Tags: Original Article Source Type: research
Orthopaedic Injuries of the Knee - Unique considerations in Military Service Members: Part I
J Knee Surg DOI: 10.1055/s-0042-1753538 Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents | Full text (Source: Journal of Knee Surgery)
Source: Journal of Knee Surgery - July 27, 2022 Category: Orthopaedics Authors: Rhon, Daniel Cook, Chad Tags: Special Focus Section Source Type: research
Orthopaedic Injuries of the Knee - Unique considerations in Military Service Members: Part II
J Knee Surg DOI: 10.1055/s-0042-1753539 Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents | Full text (Source: Journal of Knee Surgery)
Source: Journal of Knee Surgery - July 27, 2022 Category: Orthopaedics Authors: Cook, Chad E. Rhon, Daniel Tags: Special Focus Section Source Type: research
A Population-Level Summary of Health Care Utilization for the Management of Patellar Tendinopathy in the Military Health System
J Knee Surg DOI: 10.1055/s-0042-1751266Patellar tendinopathy (PT) is a common nontraumatic orthopaedic disorder of the knee suffered by many service members. Understanding the make-up of usual care for PT at the system level can better frame current clinical gaps and areas that need improvement. Exercise therapy is recommended as a core treatment for PT, but it is unclear how often it is used as a part of usual care for PT within the Military Health System (MHS). The purpose of the study was to identify interventions used in the management of PT and the timing of these interventions. A secondary purpose was to determine if...
Source: Journal of Knee Surgery - July 18, 2022 Category: Orthopaedics Authors: Young, Jodi L. Schroeder, Jeremy D. Westrick, Richard B. Nowak, Matthew Rhon, Daniel I. Tags: Special Focus Section Source Type: research
