Prospective Randomized Controlled Clinical Trial Comparing Hyperosmolar Saline to Standard Isotonic Irrigation Fluid for Arthroscopic Knee Surgery: Initial Clinical Outcomes
This study is a prospective trial and reflects level of evidence I. [...] 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 - June 10, 2022 Category: Orthopaedics Authors: Oladeji, Lasun O. Stannard, James P. Smith, Matthew J. Ma, Richard Skelley, Nathan W. Sherman, Seth L. Cook, James L. Tags: Original Article Source Type: research
Are 6-Month Functional and Isokinetic Testing Measures Risk factors for Second Anterior Cruciate Ligament Injuries at Long term Follow-Up?
Conclusions Patients with certain elevated isokinetic scores in the injured limb at 6 months after ACLR experienced a higher rate of subsequent ACL injuries than those who had lower peak torque. Although a quantitative only analysis may not be sufficient to determine RTS criteria, clinicians should caution high-performing patients about the risk of subsequent ACL injury.
Level of Evidence Cohort study; 3. [...] 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 - June 10, 2022 Category: Orthopaedics Authors: Marigi, Erick M. Hale, Rena F. Bernard, Christopher D. Bates, Nathaniel Stuart, Michael J. Hewett, Timothy E. Krych, Aaron J. Tags: Original Article Source Type: research
Proposed- HTX-011 in Combination with Multimodal Analgesic Regimen Minimized Severe Pain and Opioid Use after Total Knee Arthroplasty in an Open-Label Study
J Knee Surg DOI: 10.1055/s-0042-1747945Total knee arthroplasty (TKA) can be associated with significant postoperative pain despite multimodal analgesic (MMA) protocols, and most patients require the use of opioids postoperatively. HTX-011 is a dual-acting local anesthetic containing bupivacaine and low-dose meloxicam in an extended-release polymer. In a prior randomized controlled trial (RCT), HTX-011 reduced pain and opioid use through 72 hours after TKA compared with bupivacaine hydrochloride. This open-label study (NCT03974932) evaluated the efficacy and safety of HTX-011 combined with an MMA regimen in patients under...
Source: Journal of Knee Surgery - June 10, 2022 Category: Orthopaedics Authors: Lee, Gwo-Chin Berkowitz, Richard Hacker, Scott Hu, Jia Rechter, Alan Tags: Original Article Source Type: research
Supine Knee Positioning Does Not Interfere with Mobile-Bearing Unicompartmental Knee Arthroplasty Performance
J Knee Surg DOI: 10.1055/s-0042-1748822The Food and Drug Administration has only approved mobile-bearing unicompartmental knee arthroplasty (MB-UKA) to be performed with a hanging leg holder. The purpose of this study is to evaluate the impact of a supine knee position on MB-UKA performance.In total, 16 cadavers were randomized so that either the right or left knee was placed in the flexed or supine positions. One board-certified orthopaedic surgeon and three adult reconstruction fellows that attended the required Oxford partial knee instructional course performed four operations in each position. The primary outcome was f...
Source: Journal of Knee Surgery - June 10, 2022 Category: Orthopaedics Authors: Bonano, John C. Barrett, Andrew A. Aggarwal, Vinay K. Chen, Foster Schirmers, Joseph Finlay, Andrea K. Arora, Prerna Amanatullah, Derek F. Tags: Original Article Source Type: research
Should an Age Cutoff Be Considered for Elective Total Knee Arthroplasty Patients? An Analysis of Operative Success Based on Patient-Reported Outcomes
This study aimed to (1) evaluate the relationship between age and change in patient-reported outcome measures (PROMs); (2) model how many patients would be denied improvements in PROMs if hypothetical age cutoffs were implemented; and (3) assess length of stay (LOS), readmission, reoperation, and mortality per age group. A prospective cohort of 4,396 primary TKAs (August 2015–August 2018) was analyzed. One-year PROMs were evaluated via Knee injury and Osteoarthritis Outcome Score (KOOS)-pain, -physical function short form (-PS), and -quality of life (-QOL), as well as Veterans Rand-12 (VR-12) physical (-PCS) and mental c...
Source: Journal of Knee Surgery - June 10, 2022 Category: Orthopaedics Authors: Bell, Joshua A. Emara, Ahmed K. Barsoum, Wael K. Bloomfield, Michael Briskin, Isaac Higuera, Carlos Klika, Alison K. Krebs, Viktor E. Mesko, Nathan W. Molloy, Robert M. Mont, Michael A. Murray, Trevor G. Muschler, George F. Nickodem, Robert J. Patel, Pree Tags: Original Article Source Type: research
Comparing Efficacy of Different Methods for Postoperative Analgesia in Patients Undergoing Total Knee Arthroplasty: Several Issues Need Special Attention
J Knee Surg DOI: 10.1055/s-0042-1749602 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 - June 10, 2022 Category: Orthopaedics Authors: Li, Rui-Ping Xue, Fu-Shan Hu, Bin Tags: Letter to the Editor Source Type: research
Cementless Total Knee Arthroplasty Using a Highly Porous Tibial Baseplate in Morbidly Obese Patients: Minimum 5-Year Follow-Up
Conclusion Cementless TKA using a highly porous tibial baseplate in morbidly obese patients demonstrated excellent clinical results with 98% survivorship at 5 years and appears to offer durable long-term biologic fixation as an alternative to mechanical cement fixation in this challenging group of patients. [...] 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 - June 9, 2022 Category: Orthopaedics Authors: King, Bradley A. Miller, Adam J. Nadar, Arun C. Smith, Langan S. Yakkanti, Madhusudhan R. Harwin, Steven F. Malkani, Arthur L. Tags: Original Article Source Type: research
Characterization of Cartilage Injury and Associated Treatment at the Time of Primary Anterior Cruciate Ligament Reconstruction
J Knee Surg DOI: 10.1055/s-0042-1748173Anterior cruciate ligament (ACL) tears with concomitant cartilage injuries resulting in ACL reconstruction (ACLR) with cartilaginous procedures are common in the young, high-demand population. The purpose of this study was to report and characterize cartilage treatments performed at the time of index ACLR reconstruction and to determine if those treatments are associated with revision surgery (of any kind) in the 4-year follow-up. We performed a consecutive series of active duty service members in the Military Health System Data Repository with ACLR with and without concomitant cartil...
Source: Journal of Knee Surgery - June 1, 2022 Category: Orthopaedics Authors: Mescher, Patrick K. Anderson, Ashley B. Dekker, Travis J. Pav, Veronika Dickens, Jonathan F. Tags: Special Focus Section Source Type: research
Complex Repair and Cruciate Ligament Reconstruction in KDs III and IV Multiligamentous Knee Injuries —Results of Mid-Term Follow-up
J Knee Surg DOI: 10.1055/s-0042-1748172The purpose of the present study was to describe the longitudinal outcomes of acute repair of extra-articular structure and anatomical reconstruction of cruciate ligament for knee dislocations (KDs) III and IV multiligamentous knee injuries. Forty-seven patients with an acute KD III or IV were treated with one-stage management within 9.2 days. Forty-five KDs III and IV with a follow-up at a mean of 53.2 months were evaluated. The mean International Knee Documentation Committee (IKDC) score, Lysholm score, and Tegner score were 81.5 ± 0.7, 89.6 ± 1.2, and 6.8 ± 0.5, resp...
Source: Journal of Knee Surgery - June 1, 2022 Category: Orthopaedics Authors: Gan, Yudong Zhuang, Jian Jiang, Wenxiao Zhang, Yijun Tags: Original Article Source Type: research
The Influence of Knee Osteoarthritis on Spinopelvic Alignment and Global Sagittal Balance
J Knee Surg DOI: 10.1055/s-0042-1747947Osteoarthritis (OA) of the knee is thought to lead to a loss of lumbar lordosis (LL) as a compensation for knee flexion contracture. Changes in sagittal alignment are not limited to the lumbar spine and involve a complex interplay of alignment of the hip, pelvis, and spine. While spine–hip interactions have been previously explored, the influence of knee OA sagittal alignment parameters on spinopelvic alignment and global sagittal balance remains unexplored. Standing radiological examination using EOS biplanar radiography was examined in 108 patients with knee OA. Whole-body sagitta...
Source: Journal of Knee Surgery - May 23, 2022 Category: Orthopaedics Authors: Katsumi, Ryota Mannen, Erin M. Bajaj, Gitanjali Smith, Jacob R. Mears, Simon C. Stambough, Jeffrey B. Barnes, C. Lowry Tags: Original Article Source Type: research
Radiology Review
J Knee Surg 2022; 35: 469-469 DOI: 10.1055/s-0041-1740631 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 - May 11, 2022 Category: Orthopaedics Authors: Wissman, Robert D. Tags: Special Focus Section Source Type: research
Morphological Analysis of Hip Joint of Patients Suffering From Recurrent Patella Dislocation
J Knee Surg DOI: 10.1055/s-0042-1744221The purpose was to investigate morphological changes of the hip joint in patients with recurrent dislocation of the patella combined with trochlear dysplasia. There was a retrospective analysis of 148 patients and 150 control subjects. The selection of participants was randomized. Hip and knee data for all participants were obtained from X-ray or computed tomography measurements. Nine values, that is, central edge angle (CEA), acetabulum index angle (AIA), femoral neck-shaft angle, sharp angle, the depth of the acetabulum, femoral anteversion angle (FAA), anterior acetabular section a...
Source: Journal of Knee Surgery - May 5, 2022 Category: Orthopaedics Authors: Fan, Chongyi Niu, Yingzhen Li, Ming Feng, Xunkai Wang, Fei Tags: Original Article Source Type: research
Comparison of Arthroscopy versus Open Arthrotomy for Treatment of Septic Arthritis of the Native Knee: Analysis of 90-Day Postoperative Complications
J Knee Surg DOI: 10.1055/s-0042-1747948Septic arthritis is an orthopaedic emergency, often necessitating surgical debridement, and the knee joint is most frequently affected. Arthroscopic and open irrigation and debridement (I&D) are the two commonest surgical treatments for septic arthritis of the native knee. Several studies have compared outcomes of open and arthroscopic management without coming to a clear conclusion which yields superior outcomes. The purpose of this study was to compare the results of these two surgical techniques to treat septic arthritis of the native knee using a large nationwide database. Pat...
Source: Journal of Knee Surgery - May 5, 2022 Category: Orthopaedics Authors: Dobek, Alexander Cohen, Jordan Ramamurti, Pradip Gu, Alex Golladay, Gregory J. Doerre, Teresa Thakkar, Savyasachi Tags: Original Article Source Type: research
Treatment of Cartilage Defects of the Knee in Military Tactical Athletes: An Overview of Management and Clinical Outcomes
J Knee Surg DOI: 10.1055/s-0042-1744190Cartilage defects of the knee are a common problem that can be caused by trauma or chronic repetitive overload and result in debilitating functional limitations. These consequences are of particular significance to military service members, who, by in large, are a group of young, active individuals with professional duties requiring full, unrestricted activity and function. The burden of knee chondral-related disease among military tactical athletes is well established, and systematic approach to the evaluation of a military member with suspected knee chondral pathology facilitates th...
Source: Journal of Knee Surgery - April 29, 2022 Category: Orthopaedics Authors: Swan, Erin R. Lynch, Thomas B. Sheean, Andrew J. Tags: Special Focus Section Source Type: research
Adductor Canal Block Does not Confer Better Immediate Postoperative Pain Relief after Total Knee Arthroplasty
J Knee Surg DOI: 10.1055/s-0042-1743495The adductor canal block (ACB) is a useful adjunct to control postoperative pain in total knee arthroplasty (TKA). The aim of our study was to compare postoperative day 1 (POD1) pain scores, ambulation distance, range of motion, active straight leg raise (SLR), and length of stay (LOS) in TKA patients receiving no ACB (NACB), ACB by surgeon (ACBS), or ACB by anesthetist (ACBA). After obtaining institutional ethics approval, a retrospective review of 135 patients who underwent TKA between September 2020 and March 2021 was performed. All patients underwent TKA by the same surgeon and re...
Source: Journal of Knee Surgery - April 18, 2022 Category: Orthopaedics Authors: Padki, Akshay Vemula, Vishnu Purnomo, Glen Lim, Jason Beng Teck Liow, Lincoln Ming Han Yeo, Seng Jin Chen, Jerry Yongqiang Tags: Original Article Source Type: research
