Clinical orthopaedics and related research
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Clin. Orthop. Relat. Res. · Aug 2015
ReviewDo Psychological Factors Predict Poor Outcome in Patients Undergoing TKA? A Systematic Review.
A subgroup of patients undergoing TKA is unhappy with the outcome of surgery and preoperative psychological factors may play a role in their dissatisfaction. ⋯ The preoperative psychological state of a patient may affect the outcome after a TKA. A comprehensive psychological assessment of patients is required to examine the long-term effect of such psychological factors on the eventual outcomes of TKA once the recovery phase is complete and to assess the effect that treatment for these psychological conditions may have on decreasing the dissatisfaction rate with TKA in this population.
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Clin. Orthop. Relat. Res. · Aug 2015
Multicenter StudyHigher Preoperative Patient Activation Associated With Better Patient-reported Outcomes After Total Joint Arthroplasty.
Despite widely reported success associated with hip and knee replacements, some patients remain dissatisfied with their outcomes. Patient activation, an individual's propensity to engage in adaptive health behaviors, has been measured as a potentially important factor contributing to health outcomes, cost, and patient experience of care. However, to our knowledge, it has not been studied in patients undergoing total joint arthroplasties (TJAs). ⋯ Level II, prognostic study.
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Clin. Orthop. Relat. Res. · Aug 2015
Comparative StudyDo Sex Differences Exist in Rates of Falls and Fractures in Hutterite, Rural, and Nonrural Populations, Aged 20 to 66 Years?
Falls and fractures are a major public health concern with an economic impact of more than USD 19 billion per year. Extensive research into the risk of falls and fractures in elderly populations has been performed; however, little is known about fall or fracture risk in younger populations. Additionally, sex- and population-specific (rural versus nonrural) fall and fracture risk may be important in identifying groups most at risk in an effort to develop preventive measures. ⋯ Level III, prospective study.
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Clin. Orthop. Relat. Res. · Aug 2015
Comparative StudyDisability After Deployment Injury: Are Women and Men Service Members Different?
Civilian trauma literature suggests sexual dimorphism in outcomes after trauma. Because women represent an increasing demographic among veterans, the question remains if war trauma outcomes, like civilian trauma outcomes, differ between genders. ⋯ Level III, prognostic study.
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Clin. Orthop. Relat. Res. · Aug 2015
Morbid Obesity: Increased Risk of Failure After Aseptic Revision TKA.
Patients with obesity are known to have a higher risk of complications after primary TKA; however, there is a paucity of data regarding the effects of obesity with revision TKAs. ⋯ Level III, therapeutic study.