Knee Surgery

Arthroscopic partial meniscectomy versus exercise therapy for degenerative meniscal tears

Arthroscopic partial meniscectomy versus exercise therapy for degenerative meniscal tears: 10-year follow-up of the OMEX randomised controlled trial Bjørnar Berg Abstract Objective To evaluate radiographic knee osteoarthritis (OA) progression, development of knee OA, patient-reported outcomes and knee muscle strength at 10-year follow-up after arthroscopic partial meniscectomy (APM) or exercise therapy for degenerative meniscal tears. Methods […]

Knee Osteoarthritis Symptoms Common After ACL Reconstruction

April 25, 2024 Young patients experienced persistent knee OA symptoms in the six to 12 months following surgery TUESDAY, April 23, 2024 (HealthDay News) — Nearly one-quarter of patients show persistent early knee osteoarthritis (OA) symptoms six to 12 months after anterior cruciate ligament reconstruction (ACLR), according to a study recently published in the Journal of […]

Physical Therapy vs Arthroscopic Partial Meniscectomy for Patients With Degenerative Meniscal Tears

July 21, 2022 JAMA Network Open TAKE-HOME MESSAGE This 5-year follow-up of the ESCAPE trial examined the long-term (3–5 years) effects of arthroscopic partial meniscectomy versus exercise-based physical therapy (PT) in patients with degenerative meniscal tears. The authors assessed patient-reported knee function and the progression of knee osteoarthritis using radiographs for more than 5 years […]

Diabetes Mellitus Blunts the Symptoms, Physical Function, and Health-Related Quality of Life Benefits of Total Knee Arthroplasty

A Systematic Review With Meta-Analysis of Data From More Than 17,000 Patients Journal of Orthopaedic & Sports Physical Therapy Published Online:April 19, 2021Volume0Issue0Pages1-54 https://www.jospt.org/doi/10.2519/jospt.2021.9515 Abstract Objective To compare physical function, pain, impairments (stiffness, range of motion, and strength), and health-related quality of life (HRQOL) outcomes between patients with and without diabetes mellitus, before and after […]

Bone Marrow Improves Healing With ACL Grafts

— MRI confirms better outcomes than with allograft alone in randomized study by Ed Susman, Contributing Writer, MedPage Today December 4, 2020 Patients undergoing anterior cruciate ligament (ACL) reconstruction with allografts appeared to heal more quickly when injections of bone marrow aspirate were included, according to a randomized trial. Magnetic resonance imaging (MRI) scans at […]

Arthroscopic partial meniscectomy for meniscal tears of the knee: a systematic review and meta-analysis

Simon G F Abram British Journal of Sports Medicine 2020;54:652-663. Abstract Objective To assess the benefit of arthroscopic partial meniscectomy (APM) in adults with a meniscal tear and knee pain in three defined populations (taking account of the comparison intervention): (A) all patients (any type of meniscal tear with or without radiographic osteoarthritis); (B) patients with […]

Cross-over Effect of Balance Training After Knee Surgery: A Pilot Study

Layci J. Harrison, PhD, LAT, ATC; Lindsey K. Lepley, PhD, ATC; Dana K. Fuller, PhD; Jennifer L. Caputo, PhD, CSCS, MX Athletic Training and Sports Health Care. https://doi.org/10.3928/19425864-20181107-01 Abstract PURPOSE:To evaluate cross-over effect balance training after knee surgery. METHODS:Individuals with a history of knee surgery (N = 10) were randomized to balance training or control […]

Two Knees at Once: More Clarity on Pluses and Minuses

Surgeons say it’s feasible in even severely obese patients, but beware of complications by Randy Dotinga, Contributing Writer, MedPage Today March 19, 2019 LAS VEGAS — Simultaneous bilateral total knee arthroplasty (SBTKA) is a feasible option for many patients, including those who are severely obese, according to authors of a pair of new studies that […]

Majority of Knee, Hip Replacements Last 25 Years

Nicola M. Parry, DVM February 15, 2019 The majority of knee and hip replacements can be expected to last 25 years, according to two new studies. Jonathan T. Evans, MRCS, Bristol Medical School, Southmead Hospital, United Kingdom, and colleagues conducted both studies. Their findings were published online February 14 in the Lancet. Overall, approximately 82% of primary total […]

Cross-over Effect of Balance Training After Knee Surgery: A Pilot Study

Layci J. Harrison, PhD, LAT, ATC Athletic Training and Sports Health Care.  https://doi.org/10.3928/19425864-20181107-01 Posted February 1, 2019 Abstract PURPOSE: To evaluate cross-over effect balance training after knee surgery. METHODS: Individuals with a history of knee surgery (N = 10) were randomized to balance training or control groups. The non-surgical leg was trained three times a […]

Two Outcome Trajectories Identified After Knee Replacement

Janis C. Kelly January 31, 2019 Two characteristics that can be assessed before knee arthroplasty (KA) — pain catastrophizing and a larger number of painful body regions — are significant predictors of poor pain and function outcomes and might be useful for identifying patients for intervention prior to surgery, a study has found. Low income […]

Questions Growing on Knee-Replacement Surgery Outcomes

By Elaine Goodman Knee replacement is an increasingly common surgery for treatment of osteoarthritis, but recent research is raising questions about the procedure’s effectiveness in relieving pain and improving function. “Most patients have a very good clinical outcome after knee replacement, but multiple studies have reported that 20% or more of patients do not,” Professor […]

Play “D”fence before you Replace That Knee

written by Dr. Carl Freeman The Lower the “D” the Higher the Risks (Vitamin D and Knee Replacement) Knee patients who are vitamin D deficient ninety days before having a total knee replacement have a 69% higher rate of manipulations under anesthesia (MUA), a 76% higher rate of infection, and a three-fold higher risk of prosthesis […]

Risks and Complications of Total Knee Replacement Surgery

Medically reviewed by William Morrison, MD on October 23, 2017 — Written by Samuel Greengard Knee replacements have emerged as a mainstream surgery. According to the Agency of Research and Quality (AHRQ), over 600,000 procedures were performed in 2009. That number is expected to grow into the millions by the year 2030. According to the […]

Effect of Early Surgery vs Physical Therapy on Knee Function Among Patients With Nonobstructive Meniscal Tears – Full Text Article

October 2, 2018 The ESCAPE Randomized Clinical Trial Victor A. van de Graaf, MD Key Points Question  Is physical therapy noninferior to early surgery with arthroscopic partial meniscectomy for improving knee function among patients with nonobstructive meniscal tears? Findings  In this noninferiority randomized clinical trial that included 321 patients, knee function that was measured by a self-administered […]

Preoperative Vitamin D Deficiency Is Associated With Higher Postoperative Complication Rates in Total Knee Arthroplasty

Vishal Hegde, MD; Armin Arshi, MD; Christopher Wang, BS; Zorica Buser, PhD; Jeffrey C. Wang, MD; Andrew R. Jensen, MD; John S. Adams, MD; Erik N. Zeegen, MD; Nicholas M. Bernthal, MD Orthopedics. https://doi.org/10.3928/01477447-20180424-04 Posted April 30, 2018 Abstract The purpose of this study was to determine the relative incidence of postoperative complications in 25-hydroxyvitamin […]

Novel Tx Eases Osteoarthritic Knee Pain

by Nicole Lou, Reporter, MedPage Today/CRTonline.org March 18, 2018  LOS ANGELES — Geniculate artery embolization was found to dampen knee pain arising from osteoarthritis, according to interim study results presented here. One month after the catheter-based procedure, patients reported having less intense knee pain on a visual analog scale (VAS; baseline 75 mm, average decrease of 53 […]

Brain Decline Reported in Older Knee Replacement Patients

~ A study finds that 23 percent of those 60-plus show cognitive deterioration after surgery by Kent Allen, AARP, February 21, 2018 A study has found that almost 1 in 4 of knee replacement patients who are 60 or older show a decline in activity in at least one brain region 48 hours after surgery. […]

Risks and Complications of Total Knee Replacement Surgery

Written by Samuel Greengard Medically Reviewed by William Morrison, MD on October 23, 2017 Knee replacements have emerged as a mainstream surgery. According to the Agency of Research and Quality (AHRQ), over 600,000 procedures were performed in 2009. That number is expected to grow into the millions by the year 2030. According to the American Academy of […]

Perioperative Physiotherapy in Total Knee Arthroplasty – Full Text

Melvin G. Joice, BSE; Subhrojyoti Bhowmick, MD; Derek F. Amanatullah, MD, PhD Orthopedics September/October 2017 – Volume 40 · Issue 5: e765-e773 Posted October 10, 2017 DOI: 10.3928/01477447-20170518-03 Abstract Total knee arthroplasty has a high success rate. In the interest of enhancing patient outcomes, numerous perioperative interventions have been studied, including preoperative education, preoperative rehabilitation, […]