Article
Orthopedics
William R. Bigham, Gabriel S. Lensing, Murphy M. Walters, Eldrin Bhanat, James A. Keeney, Benjamin M. Stronach
Summary: This study investigated the role of body mass index (BMI) in the cause for revision total knee arthroplasty (TKA) and whether BMI classification is predictive of outcomes. The study found significant differences in primary and repeat revision etiologies among weight classes, with obese and morbidly obese patients having a greater risk of requiring repeat revision surgery.
JOURNAL OF ARTHROPLASTY
(2023)
Article
Orthopedics
Hanlong Zheng, Hongyi Shao, Qiheng Tang, Shengjie Guo, Dejin Yang, Yixin Zhou
Summary: This study investigated the prevalence and factors associated with patient-perceived enlargement of knee (PPEK) after total knee arthroplasty (TKA). The results showed that PPEK was common in TKA patients, especially among individuals with smaller height and weight. It was also found that PPEK was associated with lower functional scores and satisfaction.
INTERNATIONAL ORTHOPAEDICS
(2022)
Article
Orthopedics
Fatemeh Baghbani-Naghadehi, Susan Armijo-Olivo, Carla M. Prado, Leah Gramlich, Linda J. Woodhouse
Summary: The study found that all patients, regardless of obesity levels, reported improvements in pain, function, and stiffness following total knee arthroplasty. Patients classified as obese reported similar benefits to those classified as normal weight.
BMC MUSCULOSKELETAL DISORDERS
(2022)
Article
Orthopedics
Yvette Pronk, Maud C. W. M. Peters, Justus-Martijn Brinkman
Summary: This study investigated the predictors of patient satisfaction after total knee arthroplasty (TKA), finding that patient characteristics and preoperative patient-reported outcomes (PROs) may predict satisfaction to some extent. However, the reliability of these predictions may not be clinically useful.
JOURNAL OF ARTHROPLASTY
(2021)
Article
Orthopedics
Renee Ren, Tiffany Y. Lim, Brocha Z. Stern, Hsin-Hui Huang, Jashvant Poeran, Brett L. Hayden, Darwin D. Chen, Calin S. Moucha
Summary: This study assessed the relationship between preoperative mental health and postoperative improvements in mental and joint health after THA and TKA. The findings showed that patients with poor preoperative mental health experienced greater improvement in mental health after surgery, while the improvement in joint health did not differ significantly among different mental health groups.
JOURNAL OF ARTHROPLASTY
(2023)
Article
Orthopedics
Alexander Roth, Hiba K. Anis, Ahmed K. Emara, Alison K. Klika, Wael K. Barsoum, Michael R. Bloomfield, Peter J. Brooks, Carlos A. Higuera, Atul F. Kamath, Viktor E. Krebs, Nathan W. Mesko, Trevor G. Murray, George F. Muschler, Robert J. Nickodem, Preetesh D. Patel, Jonathan L. Schaffer, Kim L. Stearns, Gregory Strnad, Jared A. Warren, Alexander Zajichek, Michael A. Mont, Robert M. Molloy, Nicolas S. Piuzzi
Summary: The study evaluated the use of BMI cutoffs for determining eligibility for total knee arthroplasty (TKA) and found that relying solely on BMI as a criterion for surgery may deny patients the opportunity for important clinical improvements. Therefore, shared decision-making and predictive tools should be considered to balance the potential benefits of TKA for obese patients with the increased risks and costs associated with complications.
JOURNAL OF ARTHROPLASTY
(2021)
Article
Surgery
Jinlong Ma, Liang Zhang, Cui Wang, Kuishuai Xu, Zhongkai Ren, Tianrui Wang, Yingze Zhang, Xia Zhao, Tengbo Yu
Summary: This study compared the mid-term outcomes of unilateral unicompartmental knee arthroplasty (UKA) and total knee arthroplasty (TKA) performed in the same stage. The results showed that UKA had advantages in terms of less surgical trauma, better range of motion and higher Joint Forgotten Score, while TKA was superior in terms of HSS, KOOS, and VAS. There were no significant differences in postoperative complications between the two groups, but UKA had a higher rate of prosthesis revision.
FRONTIERS IN SURGERY
(2023)
Article
Orthopedics
Amy J. Garner, Oliver W. Dandridge, Richard J. van Arkel, Justin P. Cobb
Summary: This study found that using a compartmental approach to address natural degradation after partial knee arthroplasty can result in gait closer to normal and higher patient satisfaction.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2021)
Article
Orthopedics
Vivek Singh, Benjamin Fiedler, Trevor Simcox, Vinay K. Aggarwal, Ran Schwarzkopf, Morteza Meftah
Summary: This study found shorter operative time in cases with no utilization of technology, but clinically similar PROMs associated with TKAs performed between all modalities.
JOURNAL OF ARTHROPLASTY
(2021)
Article
Orthopedics
Mehdi S. Salimy, Amy Z. Blackburn, Kyle Alpaugh, Santiago A. Lozano-Calderon, Hany S. Bedair, Christopher M. Melnic
Summary: This study investigated the influence of preoperative factors on implant survivorship following total hip arthroplasty (THA) and total knee arthroplasty (TKA) in multiple myeloma patients. The results showed that multiple myeloma patients had a relatively high risk of revision, especially after THA. Radiotherapy was identified as a predictor for revision in THA patients.
JOURNAL OF ARTHROPLASTY
(2023)
Article
Orthopedics
Kaleb J. Robin, Mark A. Maier, Lauren J. Leslie, Vinod Dasa, Peter C. Krause, Deryk G. Jones, Andrew G. Chapple
Summary: This study found that chronic venous insufficiency (CVI) does not affect postoperative complications in patients undergoing total knee arthroplasty (TKA). However, among CVI patients, those with complex CVI are more likely to experience complications compared to those with simple CVI.
JOURNAL OF ARTHROPLASTY
(2023)
Article
Orthopedics
Ashton C. Bosler, Evan R. Deckard, Leonard T. Buller, R. Michael Meneghini
Summary: This study examined the influence of BMI on patient-reported outcome measures (PROMs) following primary TKA with specialized perioperative optimization. Results showed that patients with a BMI >= 35 experienced greater improvements in pain, function, and satisfaction. Therefore, with appropriate perioperative optimization, obese patients should not be prohibited from having a TKA when indicated.
JOURNAL OF ARTHROPLASTY
(2023)
Article
Orthopedics
Blanca Gonzalez-Navarro, Santiago Gonzalez-Parreno, Adolfo Perez-Aznar, Francisco A. Miralles-Munoz, Alejandro Lizaur-Utrilla, M. Flores Vizcaya-Moreno
Summary: This study analyzed the potential impact of subclinical hypothyroidism (SCH) on patient-reported outcomes after primary total knee arthroplasty. The results showed that SCH patients had slower functional recovery and lower improvements in patient-reported scores compared to euthyroid patients.
JOURNAL OF ARTHROPLASTY
(2022)
Article
Orthopedics
Austin F. Smith, Rashad H. Usmani, Khaleel D. Wilson, Langan S. Smith, Arthur L. Malkani
Summary: The study found no significant difference in pain, opioid consumption, and patient outcomes between short tourniquet and long tourniquet time in total knee arthroplasty.
JOURNAL OF ARTHROPLASTY
(2021)
Article
Orthopedics
Man Soo Kim, In Jun Koh, Yong Gyu Sung, Dong Chul Park, Eun Ji Yoon, Yong In
Summary: Increased pain sensitivity is associated with higher postoperative pain levels and inferior PROMs in patients undergoing primary TKA. Patients with higher pain sensitivity had higher pain VAS scores and worse preoperative WOMAC scores, while those with lower pain sensitivity reported higher satisfaction with surgery.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2022)
