Influence of Physical Activity Level on Total Knee Arthroplasty Expectations, Satisfaction, and Outcomes
Background: Patients undergoing total knee arthroplasty expect pain relief, functional improvement, and a return to physical activity. The objective of this study was to determine the impact of patients’ baseline physical activity level on preoperative expectations, postoperative satisfaction, and clinical outcomes in patients undergoing total knee arthroplasty.
Botulinum Toxin Type A Versus Placebo for Idiopathic Clubfoot
Background: Congenital idiopathic clubfoot is a condition that affects, on average, approximately 1 in 1,000 infants. One broadly adopted method of management, described by Ponseti, is the performance of a percutaneous complete tenotomy when hindfoot stall occurs. The use of onabotulinum toxin A (BTX-A) along with the manipulation and cast protocol described by Ponseti has been previously reported. Our goal was to compare the clinical outcomes between BTX-A and placebo injections into the gastrocnemius-soleus muscle at the time of hindfoot stall in infants with idiopathic clubfoot treated with the Ponseti method of manipulation and cast changes.
Cross-Linked Polyethylene for Total Hip Arthroplasty Markedly Reduces Revision Surgery at 16 Years
Total hip arthroplasty (THA) is an effective operation for the management of end-stage hip osteoarthritis, but long-term success can be limited by wear of the polyethylene bearing surface.
Full article: https://bit.ly/2nlQxoL
Risk Factors for Failure of Arthroscopic Revision Anterior Shoulder Stabilization
Recurrent anterior instability following a failed Bankart repair in the shoulder represents a challenging clinical scenario.
Full article: https://bit.ly/2M4Xxp0
Gait Mechanics After ACL Reconstruction Differ According to Medial Meniscal Treatment
Knee osteoarthritis risk is high after anterior cruciate ligament reconstruction (ACLR) and arthroscopic meniscal surgery, and higher among individuals who undergo both.
Full article: https://bit.ly/2LPna91
Preop Opioid Use Associated with Higher Readmission and Revision Rates after TJA
Prescription opioid use is epidemic in the U.S. Recently, an association was demonstrated between preoperative opioid use and increased health-care utilization following abdominal surgeries. #JBJSInfographics #visualabstract #JBJS
Full article: https://bit.ly/2uVhwfl
Adductor Canal Block Compared with Periarticular Bupivacaine Injection for Total Knee Arthroplasty
In the last decade, the widespread use of regional anesthesia in total knee arthroplasty has led to improvements in pain control, more rapid functional recovery, and reductions in the length of the hospital stay. #JBJS #JBJSInfoGraphics #visualabsrtact
Full article: https://bit.ly/2zrZvJW
Percutaneous Needle Fasciotomy Versus Collagenase Treatment for Dupuytren Contracture
Local disruption of the cord that causes contracture of the finger in Dupuytren disease can be achieved either through mechanical division by percutaneous needle fasciotomy (PNF) or through enzymatic digestion by injectable collagenase Clostridium histolyticum (CCH). #JBJS #VisualAbstract
Casting Is Effective for Recurrence Following Ponseti Treatment of Clubfoot
Up to 40% of patients with idiopathic clubfoot who are treated with the Ponseti method experience recurrence of deformity. https://bit.ly/2IuVOm1
Related video from JBJS Essential Surgical Techniques.
Intravenous Versus Topical Tranexamic Acid in Total Knee Arthroplasty
Tranexamic acid (TXA) reduces bleeding and the need for transfusion after total knee arthroplasty. Most literature has focused on intravenous (IV) administration of TXA, with less data available on the efficacy of topically administered TXA. https://bit.ly/2tysir0
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