Clinical orthopaedics and related research
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Clin. Orthop. Relat. Res. · Jan 2015
Comparative Study Observational StudyAbnormal quantitative sensory testing is associated with persistent pain one year after TKA.
Up to 15% of patients report at least moderate persistent pain after TKA. Such pain may be associated with the presence of widespread hyperalgesia and neuropathic-type pain. ⋯ Level III, prognostic study.
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Clin. Orthop. Relat. Res. · Jan 2015
Patient factors are associated with poor short-term outcomes after posterior fusion for adolescent idiopathic scoliosis.
Posterior spinal fusion (PSF) is commonly performed for patients with adolescent idiopathic scoliosis (AIS). Identifying factors associated with perioperative morbidity and PSF may lead to strategies for reducing the frequency of adverse events (AEs) in patients and total hospital costs. ⋯ Level III, prognostic study. See Instructions for Authors for a complete description of levels of evidence.
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Clin. Orthop. Relat. Res. · Jan 2015
Comparative StudyAre revisions of patellofemoral arthroplasties more like primary or revision TKAs.
Patellofemoral arthroplasty (PFA) can be considered in patients with patellofemoral disease. However, the use of partial arthroplasty often causes concern among clinicians and patients that revision to total knee arthroplasty (TKA) will be needed and, if so, whether this revision will be straightforward or more complicated. ⋯ Level III, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.
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Clin. Orthop. Relat. Res. · Jan 2015
Is potential malnutrition associated with septic failure and acute infection after revision total joint arthroplasty?
Although malnutrition has been hypothesized to increase the risk of periprosthetic joint infection (PJI), strong evidence linking the two is lacking. ⋯ 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 risk of revision after TKA is affected by previous HTO or UKA.
High tibial osteotomy (HTO) and unicompartmental arthroplasty (UKA) are reconstructive surgeries advocated for younger patients. In case of failure or progression of osteoarthritis, they can both be converted to a total knee arthroplasty (TKA). ⋯ Level III, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.