The Infona portal uses cookies, i.e. strings of text saved by a browser on the user's device. The portal can access those files and use them to remember the user's data, such as their chosen settings (screen view, interface language, etc.), or their login data. By using the Infona portal the user accepts automatic saving and using this information for portal operation purposes. More information on the subject can be found in the Privacy Policy and Terms of Service. By closing this window the user confirms that they have read the information on cookie usage, and they accept the privacy policy and the way cookies are used by the portal. You can change the cookie settings in your browser.
We report a prospective blinded randomised trial of local infiltration versus femoral nerve block in patients undergoing primary total knee replacement (TKR), in accordance with the CONSORT statement 2010.Fifty patients in a teaching hospital were consented for the study. The study arms were intraoperative local anaesthesia (150ml 0.2% ropivacaine/1ml 1:1000 adrenaline/30mg ketolorac) and femoral...
To identify factors significant in influencing LOS following primary TKA in a UK specialist arthroplasty centre.We retrospectively reviewed factors affecting LOS of 514 patients who underwent primary TKA in a single specialist arthroplasty centre in the UK over a one-year period. Surgical and patient factors that may influence LOS were recorded.The median LOS was 5days. 85% were discharged within...
The different functions of the two anterior cruciate ligament (ACL) bundles have increased interest in tears of only one of these two bundles. The purpose of this study was to assess the outcome of selective reconstruction of an injured bundle of isolated anteromedial bundle (AMB) or posterolateral bundle (PLB) tears.Consecutive series of 147 ACL reconstructions was prospectively analyzed. Patients...
The prevalence of unrelieved pain following total knee arthroplasty (TKA) is substantial.We asked if cytokine markers of inflammation in preoperative serum or knee synovial fluid (SF) would predict pain 2 years following TKA.Demographic data and functional outcomes were recorded at baseline and 2 years with the WOMAC index. Serum and SF tissue samples were collected at the time of surgery. Linear...
Following anterior cruciate ligament (ACL) rupture, the knee becomes unstable with alterations in joint kinematics including anterior tibial displacement (ATD), and internal tibial rotation. Therapeutic exercises that promote faulty kinematics should be discouraged, especially early post-reconstruction, to avoid graft stretching and possibly longer-term osteoarthritis. Our study aimed to compare ATD...
Local infiltration analgesia (LIA) is a relatively novel technique developed for effective pain control following total knee arthroplasty (TKA), reducing requirements for epidural or parenteral postoperative analgesia. This study investigated the anatomical spread of an LIA used in TKA to identify the nerve structures reached by the injected fluid.Six fresh-frozen cadaveric lower limbs were injected...
The objective is to assess the in vivo knee secondary motions intrinsic to flexion in isolation from actual displacements during a landing activity. For this purpose a “static zero position”, which denotes the normal tibiofemoral position to the static flexion angle, was introduced to describe the intrinsic secondary motion.The three‐dimensional motion data of the healthy knee were collected from...
Partial resection of the lateral meniscus can lead to iatrogenic instability of the remnant, resulting in recurrent locking episodes. Due to the innocuous appearance on MRI, the etiology of the locking episodes can be difficult to determine, leading to delays in diagnosis and treatment of this entity.We describe two cases of unstable lateral meniscus posterior horn remnants after previous partial...
To examine the safety and efficacy of topical use of tranexamic acid (TA) in total knee arthroplasty (TKA).An electronic literature search of PubMed Medline; Ovid Medline; Embase; and the Cochrane Library was performed, identifying studies published in any language from 1966 to February 2013. The studies enrolled adults undergoing a primary TKA, where topical TA was used. Inverse variance statistical...
To compare the patient-reported outcomes and arthroscopic findings between drilling and autologous osteochondral grafting (AOG) for the treatment of articular cartilage defects combined with anterior cruciate ligament (ACL) injuries.The subjects were 40 patients who had articular cartilage defects in the weight-bearing part of the medial and lateral femur condyle combined with ACL injuries that were...
We report the first non-designer study of the Unix uncemented unicompartmental knee prosthesis.Eighty-five consecutive UKRs were carried out with sixty-five available for follow-up. Oxford Knee Scores, WOMAC questionnaire and radiological assessment were completed.The mean Oxford Knee Score was thirty-eight and WOMAC Score was twenty. Overall Kaplan Meier survival estimate is 76% (95% confidence interval...
Set the date range to filter the displayed results. You can set a starting date, ending date or both. You can enter the dates manually or choose them from the calendar.