The Journal of bone and joint surgery. American volume
-
J Bone Joint Surg Am · Jun 2015
Multicenter Study Observational StudyIntermediate to Long-Term Outcomes of Total Ankle Replacement with the Scandinavian Total Ankle Replacement (STAR).
The Scandinavian Total Ankle Replacement (STAR) prosthesis has been in clinical use since 1981, with investigational use in the U.S. since 1998. Few studies of the North American version of the STAR are available. This prospective cohort study analyzed intermediate to long-term outcomes of total ankle arthroplasty with use of the STAR prosthesis at two Canadian centers. ⋯ Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
-
J Bone Joint Surg Am · Jun 2015
Weight changes after total hip or knee arthroplasty: prevalence, predictors, and effects on outcomes.
Conflicting evidence exists with regard to weight loss after total hip arthroplasty or total knee arthroplasty. The purposes of this study were to determine whether patients lose weight after total hip arthroplasty or total knee arthroplasty, whether there are predictors of weight change after total hip arthroplasty or total knee arthroplasty, and whether weight changes after total hip arthroplasty or total knee arthroplasty affect patient-reported outcomes. ⋯ Prognostic Level IV. See Instructions for Authors for a complete description of levels of evidence.
-
J Bone Joint Surg Am · May 2015
Detection of a traumatic arthrotomy in the pediatric knee using the saline solution load test.
The objective of this study was to quantify the load volume needed for a positive diagnosis of a traumatic arthrotomy in the pediatric knee with use of the saline solution load test (SLT). ⋯ On the basis of our findings, a saline solution load volume of 47 mL is required to detect 90% of superolateral traumatic arthrotomies of 5 mm in the pediatric knee with use of the SLT.
-
J Bone Joint Surg Am · May 2015
Randomized Controlled TrialPatient-controlled epidural analgesia or multimodal pain regimen with periarticular injection after total hip arthroplasty: a randomized, double-blind, placebo-controlled study.
The optimal postoperative analgesia after primary total hip arthroplasty remains in question. This randomized, double-blind, placebo-controlled study compared the use of patient-controlled epidural analgesia (PCEA) with use of a multimodal pain regimen including periarticular injection (PAI). We hypothesized that PAI would lead to earlier readiness for discharge, decreased opioid consumption, and lower pain scores. ⋯ PAI did not decrease the time to discharge and was associated with higher pain scores and greater opioid consumption but lower ORSDS scores compared with PCEA. The choice for analgesic regimen may depend on a particular patient's threshold for pain and the potential side effects.
-
J Bone Joint Surg Am · May 2015
Randomized Controlled Trial Multicenter Study Comparative StudyVolar locking-plate and Kirschner-wire fixation did not differ in terms of functional outcomes after dorsally displaced distal radial fracture.