Clinical orthopaedics and related research
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Clin. Orthop. Relat. Res. · Jan 2015
Randomized Controlled TrialCan therapy dogs improve pain and satisfaction after total joint arthroplasty? A randomized controlled trial.
The use of animals to augment traditional medical therapies was reported as early as the 9th century but to our knowledge has not been studied in an orthopaedic patient population. The purpose of this study was to evaluate the role of animal-assisted therapy using therapy dogs in the postoperative recovery of patients after THA and TKA. ⋯ Level II, randomized controlled study. See Instructions for Authors for a complete description of levels of evidence.
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Clin. Orthop. Relat. Res. · Jan 2015
Comparative StudyPerioperative morbidity and mortality of same-admission staged bilateral TKA.
Controversy continues regarding the optimal timing of surgery for patients with symptomatic bilateral degenerative knee arthritis who are not considered eligible for same-day bilateral TKA (BTKA). ⋯ Level III, therapeutic study. See Instructions for Authors for a complete description of levels of evidence.
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Clin. Orthop. Relat. Res. · Jan 2015
Multicenter StudyDo various factors affect the frequency of manipulation under anesthesia after primary total knee arthroplasty?
One of the most important goals of primary total knee arthroplasty (TKA) is to achieve a functional range of motion (ROM). However, up to 20% of patients fail to do so, which can impair activities of daily living. ⋯ Level III, prognostic study. See Guidelines for Authors for a complete description of levels of evidence.
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Clin. Orthop. Relat. Res. · Jan 2015
The John Insall Award: Morbid obesity independently impacts complications, mortality, and resource use after TKA.
The importance of morbid obesity as a risk factor for complications after total knee arthroplasty (TKA) continues to be debated. Obesity is rarely an isolated diagnosis and tends to cluster with other comorbidities that may independently lead to increased risk and confound outcomes. It is unknown whether morbid obesity independently affects postoperative complications and resource use after TKA. ⋯ Level II, prognostic study. See Guidelines for Authors for a complete description of levels of evidence.