Dealing with the Challenge of Revision Total Knee Arthroplasty
J Knee Surg 2021; 34: 1379-1381 DOI: 10.1055/s-0041-1735161 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 - October 31, 2021 Category: Orthopaedics Authors: Scuderi, Giles R. Tags: Special Focus Section Source Type: research
An Analysis of the Femoral Drilling Angle to Avoid Tunnel Collision during Double-Bundle Anterior Cruciate Ligament and Anterolateral Ligament Reconstruction on the Knee
J Knee Surg DOI: 10.1055/s-0041-1736196Concomitant anterior cruciate ligament (ACL) and anterolateral ligament (ALL) reconstruction has been reported as an effective technique for providing rotational control of the knee. However, the intraoperative risk of collision with an ACL tunnel during the drilling for the femoral ALL tunnel has been described. The purpose of this study was to investigate the various femoral drilling procedures to avoid tunnel collisions during combined double-bundle ACL and ALL reconstruction. Nine cadaveric knees were used in this study. ACL drilling was performed through the anteromedial portal t...
Source: Journal of Knee Surgery - October 8, 2021 Category: Orthopaedics Authors: Kawanishi, Yusuke Kobayashi, Makoto Yasuma, Sanshiro Fukushima, Hiroaki Kato, Jiro Murase, Atsunori Takenaga, Tetsuya Yoshida, Masahito Kuroyanagi, Gen Kawaguchi, Yohei Nagaya, Yuko Murakami, Hideki Nozaki, Masahiro Tags: Original Article Source Type: research
Aseptically Processed Allograft Implantation: A Safe Strategy for Knee Ligament Reconstructions
J Knee Surg DOI: 10.1055/s-0041-1736195Postoperative infections after allograft implantation is a major concern in knee ligament reconstructions considering the theoretical risk of disease transmission and its potential severity. Here, we aimed to evaluate the postoperative infection rate after knee ligament reconstructions using aseptically processed allografts, and provide an overview of the allografts use in an academic tertiary hospital. A retrospective study was performed evaluating patients who underwent knee ligament reconstructions using aseptically processed allografts, including primary and revision surgeries, fr...
Source: Journal of Knee Surgery - October 5, 2021 Category: Orthopaedics Authors: Leite, Chilan B.G. Montechi, Jo ão M.N. Camanho, Gilberto L. Gobbi, Riccardo G. Angelini, Fabio J. Tags: Original Article Source Type: research
Does Surgery for Cruciate Ligament and Meniscus Injury Increase the Risk of Comorbidities at 2 Years in the Military System?
This study aims to determine whether surgery for cruciate ligament (anterior or posterior) or meniscus injury increased risks of subsequent comorbidities in beneficiaries of the Military Health System. The study was a retrospective case-control design in which individuals with cruciate or meniscus injuries were divided into two groups (surgery or none). Data were pulled 12 months prior and 24 months following each respective event and presence of comorbidities were compared between the two groups. Bivariate analyses and logistic regression were used to determine if surgery increased the odds of comorbidities. Participants ...
Source: Journal of Knee Surgery - October 5, 2021 Category: Orthopaedics Authors: Cook, Chad E. Sheean, Andrew J. Zhou, Liang Min, Kyong S. Rhon, Daniel I. Tags: Original Article Source Type: research
Risk Factors for Readmission following Anterior Cruciate Ligament Reconstruction
J Knee Surg DOI: 10.1055/s-0041-1736200The purpose of this study is to identify risk factors for readmission after anterior cruciate ligament (ACL) reconstruction and to determine costs associated with readmission. Using a private insurance claims' database, we identified patients who underwent ACL reconstruction from 2010 to 2015 using the International Classification of Diseases, Version 9 (ICD-9) and Current Procedural Terminology (CPT) codes. Univariate analysis was performed on demographic data, surgical characteristics, and comorbidities. Variables with p < 0.10 were added to a multivariate logistic regression...
Source: Journal of Knee Surgery - October 5, 2021 Category: Orthopaedics Authors: Best, Matthew J. Harris, Andrew B. Marrache, Majd Martin, Scott D. Rue, John-Paul H. Wilckens, John H. Tags: Original Article Source Type: research
Lengths of Stay and Discharge Dispositions after Total Knee Arthroplasty: A Comparison of Robotic-Assisted and Manual Techniques
J Knee Surg DOI: 10.1055/s-0041-1735280As evidence signifies that short-stay total knee arthroplasties (TKA) can be safe options, it is important to identify factors that contribute to early discharge. There is evidence that robotic-assisted TKAs may lead to shorter lengths of postoperative stays. However, this has not been evaluated as the primary outcome of interest in a large-scale population. The purpose of this study was to compare manual and robotic-assisted TKAs with regard to: (1) length of stay (LOS) and (2) discharge dispositions. TKAs performed between January 1, 2018, to March 31, 2019, were identified. After a...
Source: Journal of Knee Surgery - October 5, 2021 Category: Orthopaedics Authors: Archer, Allison Salem, Hytham S. Coppolecchia, Andrea Mont, Michael A. Tags: Original Article Source Type: research
Alternatives to Knee Braces
J Knee Surg DOI: 10.1055/s-0041-1736198Knee braces continue to be a widely utilized piece of medical equipment, ranging from simple over the counter sleeves to more complex functional braces, with the ability to provide electrical stimulation to muscle groups. Despite their popularity, alternatives to knee braces exist for patients who find braces to be ineffective, uncomfortable, cumbersome, or overly expensive. While high-quality studies are lacking for modalities such as neoprene sleeves, compression stockings, and kinesiotaping, there is promising evidence that these interventions can confer an element of stability and...
Source: Journal of Knee Surgery - October 2, 2021 Category: Orthopaedics Authors: Milner, John Hartnettt, Davis DeFroda, Steven F. Tags: Special Focus Section Source Type: research
Current Insights in the Evaluation and Treatment of Infected Total Knee Arthroplasty
J Knee Surg DOI: 10.1055/s-0041-1737030Total knee arthroplasty is a widely successful procedure, but a small percentage of patients have a postoperative course complicated by periprosthetic joint infection (PJI). PJI is a difficult problem to diagnose and to treat, and the management of PJI differs, depending on the acuity of the infection. This paper discusses the established and newer technologies developed for the diagnosis of PJI as well as different treatment considerations and surgical solutions currently available. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle i...
Source: Journal of Knee Surgery - October 2, 2021 Category: Orthopaedics Authors: Ashley, Blair S. Parvizi, Javad Tags: Special Focus Section Source Type: research
Does the Addition of iPACK Block to Adductor Canal Block Provide Improved Analgesic Effect in Total Knee Arthroplasty? A Systematic Review and Meta-Analysis
In conclusion, the addition of iPACK block to ACB in a multimodal pain management protocol can effectively reduce opioids consumption in the early postoperative period. This is a level III, meta-analysis study. [...] 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 - October 2, 2021 Category: Orthopaedics Authors: Wang, Jou-Hua Ma, Hsuan-Hsiao Chou, Te-Feng Arthur Tsai, Shang-Wen Chen, Cheng-Fong Wu, Po-Kuei Chen, Wei-Ming Tags: Original Article Source Type: research
Variability in the Processing of Fresh Osteochondral Allografts
J Knee Surg DOI: 10.1055/s-0041-1736148The indications for fresh osteochondral allograft continue to increase. As a result, variations in graft processing and preservation methods have emerged. An understanding of these techniques is important when evaluating the optimal protocol for processing fresh osteochondral allografts prior to surgical implantation. The aim of this study is to review the literature and understand various tissue processing protocols of four leading tissue banks in the United States. Donor procurement, serological and microbiological testing, and storage procedures were compared among companies of int...
Source: Journal of Knee Surgery - October 2, 2021 Category: Orthopaedics Authors: Paul, Kyle D. Patel, Romil K. Arguello, Alexandra M. Kwapisz, Adam Brabston, Eugene W. Stannard, James P. Ponce, Brent A. Momaya, Amit M. Tags: Original Article Source Type: research
Transitioning a Practice to Robotic Total Knee Arthroplasty Is Correlated with Favorable Short-Term Clinical Outcomes —A Single Surgeon Experience
J Knee Surg DOI: 10.1055/s-0041-1736149 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 - October 2, 2021 Category: Orthopaedics Authors: Pannu, Tejbir S. Limtong, Justin Villa, Jesus M. Patel, Preetesh D. Higuera, Carlos A. Tags: Letter to the Editor Source Type: research
Patient-Reported Outcomes and Risk Factors for Decreased Improvement after Patellofemoral Arthroplasty
J Knee Surg DOI: 10.1055/s-0041-1735159Patellofemoral arthroplasty (PFA) is acknowledged as the method for the treatment of isolated patellofemoral osteoarthritis (PFOA). Few previous studies have assessed the patient-reported outcomes (PROs) and risk factors of less improvement of PROs in patients undergoing PFA. A retrospective analysis was performed, including all patients who had undergone PFA. Pre- and postoperative PROs included the Oxford Knee Score (OKS) and Kujala score. Univariate and multivariate statistical analyses were performed to assess influencing factors of less improvement of PROs including the demograph...
Source: Journal of Knee Surgery - September 28, 2021 Category: Orthopaedics Authors: Dai, Yike Diao, Naicheng Lin, Wei Yang, Guangmin Kang, Huijun Wang, Fei Tags: Original Article Source Type: research
The Use of Navigation or Robotic-Assisted Technology in Total Knee Arthroplasty Does Not Reduce Postoperative Pain
J Knee Surg DOI: 10.1055/s-0041-1735313The use of intraoperative technology (IT), such as computer-assisted navigation (CAN) and robot-assisted surgery (RA), in total knee arthroplasty (TKA) is increasingly popular due to its ability to enhance surgical precision and reduce radiographic outliers. There is disputing evidence as to whether IT leads to better clinical outcomes and reduced postoperative pain. The purpose of this study was to determine if use of CAN or RA in TKA improves pain outcomes. This is a retrospective review of a multicenter randomized control trial of 327 primary TKAs. Demographics, surgical time, IT u...
Source: Journal of Knee Surgery - September 16, 2021 Category: Orthopaedics Authors: Zak, Stephen Gerard Yeroushalmi, David Tang, Alex Meftah, Morteza Schnaser, Erik Schwarzkopf, Ran Tags: Original Article Source Type: research
Chronic Obstructive Pulmonary Disease Associated with Prolonged Opiate Use, Increased Short-Term Complications, and the Need for Revision Surgery following Total Knee Arthroplasty
J Knee Surg DOI: 10.1055/s-0041-1733883Chronic obstructive pulmonary disease (COPD) is a condition which causes a substantial burden to patients, physicians, and the health care system at large. Medical comorbidities are commonly associated with adverse health outcomes in the postoperative period. Here, we present a large database review of patients undergoing total knee arthroplasty (TKA) to determine the effect of COPD on patient outcomes. The PearlDiver database was queried for all patients who underwent TKA between 2007 and the first quarter of 2017. Medical complications, surgical complications, 30-day readmission rat...
Source: Journal of Knee Surgery - September 16, 2021 Category: Orthopaedics Authors: Lemme, Nicholas J. Glasser, Jillian Lynn Yang, Daniel S. Testa, Edward J. Daniels, Alan H. Antoci, Valentin Tags: Original Article Source Type: research
Prospective, Randomized Clinical Trial Comparing a Novel Motion-Assistive Device to Standard Physical Therapy for Initial Management of Knee Range of Motion after Primary Total Knee Arthroplasty
J Knee Surg DOI: 10.1055/s-0041-1735160This prospective randomized clinical trial assessed a novel device for initial management of knee range of motion (ROM), pain, and function after total knee arthroplasty (TKA). Primary TKA patients with preoperative ROM of at least 5° to 115° were randomized to initial knee motion management: Mizzou BioJoint Flex—novel motion-assistive device with prescribed physical therapy or standard physical therapy—prescribed physical therapy. ROM, pain score, and knee injury and osteoarthritis score for joint replacement (KOOSjr) were obtained preoperatively and 2 weeks, 6 weeks, and 3 mon...
Source: Journal of Knee Surgery - September 16, 2021 Category: Orthopaedics Authors: Cook, James L. Rucinski, Kylee Crecelius, Cory R. Cunningham, Suzin Guess, Trent M. Tags: Original Article Source Type: research
