Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
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Knee Surg Sports Traumatol Arthrosc · Aug 2013
Randomized Controlled TrialThe comparative efficacies of intra-articular and IV tranexamic acid for reducing blood loss during total knee arthroplasty.
Reduction in blood loss during surgery stabilizes hemodynamic status and aids in recovery after total knee arthroplasty (TKA). In this study, the authors examined whether different administration routes of tranexamic acid (TNA) might affect the amount of blood loss after TKA. ⋯ II.
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Knee Surg Sports Traumatol Arthrosc · Aug 2013
ReviewMesenchymal stem cells for the treatment of cartilage lesions: from preclinical findings to clinical application in orthopaedics.
The aim of this systematic review is to examine the available clinical evidence in the literature to support mesenchymal stem cell (MSC) treatment strategies in orthopaedics for cartilage defect regeneration. ⋯ IV.
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Knee Surg Sports Traumatol Arthrosc · Aug 2013
Adolescent patellar osteochondral fracture following patellar dislocation.
Patellar dislocations in adolescents may cause osteochondral fractures of the patella. The aim of this study was to review the outcomes of adolescent patients who underwent surgical intervention for patellar osteochondral fracture following patellar dislocation. ⋯ Retrospective case series, Level IV.
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Knee Surg Sports Traumatol Arthrosc · Aug 2013
Microfracture combined with osteochondral paste implantation was more effective than microfracture alone for full-thickness cartilage repair.
The aim of this study was to evaluate whether the microfracture combined with osteochondral paste implantation could promote the quality of the regenerated tissue in the knee joints of rabbits. ⋯ Microfracture combined with paste implantation can result in improved quality of the reparative tissue and may have a positive effect on the integration to the surrounding cartilage in the rabbit model. The technique offers a promising treatment option for cartilage defects and improves the regeneration of articular cartilage for patients with painful chondral lesions.
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Knee Surg Sports Traumatol Arthrosc · Aug 2013
Anterior cruciate ligament reconstruction: the short-term recovery using the Knee Injury and Osteoarthritis Outcome Score (KOOS).
The use of patient reported outcome measures has gained increasing prominence in reporting surgical outcomes following primary anterior cruciate ligament reconstruction (ACLR). Many peer-reviewed journals now require 'end-result' outcomes in excess of 24 months following surgery for publication. As such, there is less focus on early recovery when the greatest rate of change is experienced and when key rehabilitation decisions are made relating to restricted activity and return to sports. We sought to examine the early recovery profile of patients following primary ACLR, determine the presence of any plateau effect of recovery and establish a source of reference for future study. ⋯ Therapeutic study-case series with no comparison group, Level IV.