Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
-
Knee Surg Sports Traumatol Arthrosc · Sep 2017
Review Meta AnalysisSimilar outcomes of locking compression plating and retrograde intramedullary nailing for periprosthetic supracondylar femoral fractures following total knee arthroplasty: a meta-analysis.
This meta-analysis was designed to compare clinical outcomes, including knee scale score and nonunion rate, of patients with periprosthetic supracondylar fractures of the distal femur after total knee arthroplasty (TKA) who were treated using locking compression plates and retrograde intramedullary nails. ⋯ II.
-
Knee Surg Sports Traumatol Arthrosc · Sep 2017
Randomized Controlled Trial Comparative StudyNo advantage of adrenaline in the local infiltration analgesia mixture during total knee arthroplasty.
Local infiltration analgesia (LIA) is widely applied in patients undergoing total knee arthroplasty (TKA). In daily practice, adrenaline is added to the LIA mixture to achieve vasoconstriction. However, adrenaline has some possible negative side effects (e.g. tissue necrosis). This trial investigated whether ropivacaine alone is at least as effective for postoperative pain relief after LIA. ⋯ Randomized, double-blind, prospective clinical trial, Level I.
-
Knee Surg Sports Traumatol Arthrosc · Sep 2017
Randomized Controlled Trial Comparative StudyPeriarticular injections with continuous perfusion of local anaesthetics provide better pain relief and better function compared to femoral and sciatic blocks after TKA: a randomized clinical trial.
Combined femoral and sciatic nerve blocks for post-operative pain management following total knee arthroplasty (TKA) improve patient satisfaction, decrease narcotic consumption and improve pain. However, accompanying motoric weakness can cause falls and related complications. We wonder whether peri-capsular injections in combination with intra-articular perfusion of local anaesthetics would result in equal or less pain without the related complications of nerve blocks. The objective of the study was to verify these aspects in a prospective randomized trial comparing both treatments. ⋯ I.
-
Knee Surg Sports Traumatol Arthrosc · Sep 2017
Observational StudyThe presence and influence of mild depressive symptoms on post-operative pain perception following primary total knee arthroplasty.
To evaluate the influence of mild depression on pain perception after total knee arthroplasty (TKA). ⋯ Prospective comparative study, II.
-
Knee Surg Sports Traumatol Arthrosc · Sep 2017
Randomized Controlled TrialHigh-intensity preoperative training improves physical and functional recovery in the early post-operative periods after total knee arthroplasty: a randomized controlled trial.
The benefits of preoperative training programmes compared with alternative treatment are unclear. The purpose of this study was to evaluate the effectiveness of a high-intensity preoperative resistance training programme in patients waiting for total knee arthroplasty (TKA). ⋯ I.