Article
Health Care Sciences & Services
Ricardo Ramon, Esteban Holguin, Jose Daniel Chiriboga, Newton Rubio, Carlos Ballesteros, Marco Ezechieli
Summary: Administering vitamin C after total knee replacement surgery can alleviate inflammation and reduce inflammatory markers, leading to faster recovery for patients.
JOURNAL OF PERSONALIZED MEDICINE
(2023)
Article
Biotechnology & Applied Microbiology
Yingpeng Wang, Shuyan Qie, Yingqi Li, Songhua Yan, Jizhou Zeng, Kuan Zhang
Summary: This study aimed to identify lower limb intersegmental coordination patterns in patients with knee osteoarthritis before and after total knee arthroplasty (TKA), and to examine the changes in intersegmental coordination after TKA. The results showed that 6 months after TKA, the thigh-shank coordination of patients improved compared with before TKA, but still did not recover to the level of healthy subjects. There was no improvement in the shank-foot coordination pattern after TKA compared with before TKA.
FRONTIERS IN BIOENGINEERING AND BIOTECHNOLOGY
(2022)
Article
Medicine, General & Internal
Decheng Meng, Runzi Zhang, Chenni Ji, Shijun Gao, Juan Wang
Summary: This case report discusses a patient with congenital dysfibrinogenemia (CD) who was about to undergo total knee arthroplasty. Different treatment strategies were used successfully, including low dosing of fibrinogen supplements within an asymptomatic patient in a selective operation.
Article
Orthopedics
Courtney E. Baker, Brian P. Chalmers, Michael J. Taunton, Hilal Maradit Kremers, Adam W. Amundson, Daniel J. Berry, Matthew P. Abdel
Summary: This study examined outcomes of patients with pulmonary hypertension undergoing total knee arthroplasty, finding a higher rate of medical complications and mortality risk within 90 days of surgery.
JOURNAL OF ARTHROPLASTY
(2021)
Article
Orthopedics
Mingcheng Yuan, Tingting Tang, Zichuan Ding, Hao Li, Zongke Zhou
Summary: Duloxetine used in the perioperative period of total knee arthroplasty can significantly reduce postoperative pain, decrease opioid consumption, accelerate postoperative recovery, and does not increase the risk of adverse medication effects.
BMC MUSCULOSKELETAL DISORDERS
(2022)
Article
Medicine, General & Internal
Khaleifah Alhefeiti, Ana-Maria Patrascu, Sebastien Lustig, Frederic Aubrun, Mikhail Dziadzko
Summary: This study describes the perioperative outcomes of total hip and knee replacement surgeries performed under fixed dose chloroprocaine spinal anesthesia. The anesthesia duration was sufficient for successful surgery and approximately 45% of patients experienced postoperative pain in the post-anesthesia care unit. Despite this, the incidence of complications such as nausea and urinary retention was low and all patients were able to start physical therapy on the same day of surgery.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Orthopedics
Anthony C. Gemayel, Thomas Bieganowski, Thomas H. Christensen, Claudette M. Lajam, Ran Schwarzkopf, Joshua C. Rozell
Summary: The study compared perioperative outcomes in patients undergoing total knee arthroplasty who prefer English as their first language versus those who prefer a different language. The results showed that patients whose primary language was not English had lower rates of readmission, overall revision, and manipulation under anesthesia within 90 days postoperatively. Sub analyses showed that among non-English speakers, those who requested interpreter services also had lower rates of revision and overall manipulation under anesthesia within 1 year.
JOURNAL OF ARTHROPLASTY
(2023)
Article
Medicine, General & Internal
Tom Schmidt-Braekling, Enrique Goytizolo, Wenzel Waldstein, Nigel Sharrock, Friedrich Boettner
Summary: This study investigated the impact of hypotensive epidural anesthesia (HEA) on perioperative hemoglobin levels, showing an average hemoglobin drop of 2.1 g/dL within the first hour postoperatively. This finding is crucial when assessing the need for blood transfusions following total joint replacement surgery under HEA.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Orthopedics
Jonathan Bourget-Murray, Asif Parkar, Pam Railton, Nathan Evaniew, James Powell
Summary: SSRI use is associated with lower functional outcomes and health-related quality of life scores in patients undergoing total joint arthroplasty. Despite improvements following surgery, patients on SSRIs continue to have inferior functional scores at 12 months.
JOURNAL OF ARTHROPLASTY
(2022)
Article
Hospitality, Leisure, Sport & Tourism
Chen Wen, Harold E. Cates, Joshua T. Weinhandl, Scott E. Crouter, Songning Zhang
Summary: This study compared the knee biomechanics of TKR patients and healthy controls during walking on different slopes. The results showed that the replaced limb of TKR patients had lower peak loading-response and push-off knee extension moment. In downhill walking, the knee flexion range of motion, peak loading-response vertical ground reaction force, and peak knee extension moment increased for TKR patients.
JOURNAL OF SPORT AND HEALTH SCIENCE
(2022)
Article
Hematology
Myung-Seo Kim, Jun-Ho Kim, Kang-Il Kim
Summary: This study aimed to identify risk factors for increased perioperative blood loss in total knee arthroplasty for patients with hemophilic arthropathy by analyzing coagulation factor levels. Lower hematocrit and coagulation factor levels on the operation day were found to be independent risk factors for increased blood loss during surgery.
Review
Orthopedics
Cameron. K. K. Ledford, Kelly. S. S. Barry, Mary. B. B. Prendergast, Courtney. E. E. Sherman
Summary: With the success of solid organ transplantation, SOT patients are increasingly seeking total hip or total knee arthroplasty for degenerative joint disease. Surgeons need to be aware of the medical complexities and risks associated with these immunocompromised patients and ensure proper evaluation and preparation.
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS
(2022)
Article
Orthopedics
Irfan A. Khan, Amer Haffar, Justin A. Magnuson, Christian Ong, Matthew S. Austin, Chad A. Krueger, Jess H. Lonner
Summary: The study found that surgeons experience significantly higher physiological strain and stress while performing THA compared to TKA, showing higher heart rate, energy expenditure, and minute ventilation during THA. Surgeons should take into consideration the higher physical demand associated with THAs and ensure adequate personal preparation and sequence of cases when scheduling THAs and TKAs.
JOURNAL OF ARTHROPLASTY
(2022)
Article
Orthopedics
Ran Zhao, Yanqing Liu, Hua Tian
Summary: The purpose of this study was to evaluate the change in posterior cruciate ligament (PCL) tension by measuring the pressure changes in the knee joint during total knee arthroplasty. A total of 54 patients who underwent primary total knee arthroplasty were analyzed. The results showed that PCL retention had higher knee joint pressure compared to PCL recession or resection. PCL recession or resection affected knee joint extension and led to decreased pressure in the medial compartment.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2023)
Article
Medicine, General & Internal
Zong-Han Wang, Jin-Cheng Wang, Shuang Zheng, Pan Xue, Fu-Jun Han
Summary: The study evaluated the gait characteristics of bilateral limbs after unilateral TKA using 3D dynamic capture technology. The results showed no significant differences in spatial and temporal parameters between bilateral lower extremities after TKA, but the reaction forces of the hip, knee, and ankle joint on the operated side were less than the healthy side. Additionally, compared to the healthy side, the operated side had larger hip joint extension angle, knee valgus angle and activity, smaller tibial internal rotation angle, and reduced surface electromyography signals of the tibialis anterior muscles.
