A5034732719- Total Knee Arthroplasty Outcomes
- Orthopaedic implants and arthroplasty
- Orthopedic Infections and Treatments
- Hip and Femur Fractures
- Osteoarthritis Treatment and Mechanisms
- Knee injuries and reconstruction techniques
- Bone fractures and treatments
- Venous Thromboembolism Diagnosis and Management
- Acute Myocardial Infarction Research
- Vascular Procedures and Complications
- Stroke Rehabilitation and Recovery
- Cardiac, Anesthesia and Surgical Outcomes
- Shoulder and Clavicle Injuries
- Shoulder Injury and Treatment
- Enhanced Recovery After Surgery
- Cardiovascular Syncope and Autonomic Disorders
- Sports and Physical Education Research
- Musculoskeletal pain and rehabilitation
- Antiplatelet Therapy and Cardiovascular Diseases
- Case Reports on Hematomas
- Research in Social Sciences
- Trauma and Emergency Care Studies
- Polymer Science and PVC
- Lower Extremity Biomechanics and Pathologies
- Medical research and treatments
Coxa Hospital
2021-2024
Technologies pour la Santé
2021-2023
Tampere University
2021-2023
Central Finland Health Care District
2013-2021
The influence of hospital volume on the outcome total knee joint replacement surgery is controversial. We evaluated nationwide data effect length stay, re-admission, revision, manipulation under anesthesia (MUA), and discharge disposition for (TKR) in Finland.59,696 TKRs primary osteoarthritis performed between 1998 2010 were identified from Finnish Hospital Discharge Register Arthroplasty Register. Hospitals classified into 4 groups according to number revision arthroplasties an annual...
Background Rotator cuff disease (RCD) causes prolonged shoulder pain and disability in adults. RCD is a continuum ranging from tendinopathy to full-thickness tendon tear. Recent studies have shown that subacromial decompression non-surgical treatments provide equivalent results without lesion. However, the importance of surgery for tears remains unclear. Methods In pragmatic, randomised, controlled trial, 417 patients with underwent 3-month initial rehabilitation MRI arthrography (MRA)...
Background and purpose — Fast-tracking shortens the length of primary treatment period (length stay, LOS) after total knee replacement (TKR). We evaluated influence fast-track concept on uninterrupted institutional care (LUIC) other outcomes TKR.Patients methods 4,256 TKRs performed in 4 hospitals between 2009–2010 2012–2013 were identified from Finnish Hospital Discharge Register Arthroplasty Register. Hospitals classified as fast track (Hospital A) non-fast (Hospitals B, C D). analyzed...
Objective The primary objective of the trial was to assess clinical effectiveness medial unicompartmental knee arthroplasty versus total in patients with isolated osteoarthritis knee. Design Prospective, randomised, 2 years, assessor-blind, multicentre, superiority trial. Setting were enrolled between December 2015 and May 2018 from outpatient clinics three public high-volume hospitals (Finland). Participants We recruited 143 symptomatic-isolated needing an procedure. All suitable for both...
Objectives To investigate the effects of 4 months customised, home-based exergaming on physical function and pain after total knee replacement (TKR) compared with standard exercise protocol. Methods In this non-blinded randomised controlled trial, 52 individuals aged 60–75 years undergoing TKR were into an (intervention group, IG) or a exercising group (control CG). Primary outcomes measured before (2 months) surgery using Oxford Knee Score (OKS) Timed Up Go (TUG) test. Secondary included...
Abstract Purpose In a new Finnish Coordinated Return to Work (CRTW) model, patients are referred occupational health care after hip or knee arthroplasty. This study evaluated the CRTW model’s effect on return work (RTW), activities used in and workplace, patient- work-related factors affecting early RTW. Methods 209 participants with service underwent primary (THA) total/unicondylar (KJA) arthroplasty completed self-reported questionnaires at time of Factors RTW, roles workplace RTW were...
Periprosthetic joint infection (PJI) is the commonest reason for revision after total knee arthroplasty (TKA). We assessed risk factors due to PJI following TKA based on Finnish Arthroplasty Register (FAR).We analyzed 62,087 primary condylar TKAs registered between June 2014 and February 2020 with as endpoint. Cox proportional hazards regression was used estimate hazard ratios (HR) 95% confidence intervals (CI) first using 25 potential patient- surgical-related covariates.484 knees were...
Background and purpose - Fast-track protocols have been successfully implemented in many hospitals as they shown to result shorter length of stay (LOS) without compromising results. We evaluated the effect fast-track implementation on use institutional care results after total hip replacement (THR). Patients methods 3,193 THRs performed 4 between 2009-2010 2012-2013 were identified from Finnish Hospital Discharge Register Arthroplasty Register. Hospitals classified (Hospital A)...
Background and purpose - Post-traumatic knee osteoarthritis following proximal tibia fracture (PTF) is a common complication that may lead to total replacement as secondary treatment (TKRS). We determined the risk of TKRS PTF, whether treated nonoperatively or operatively, compared results with 38-fold control group without prior PTF. Patients methods identified all patients over 18 years age in Finland PTF during period 2009-2018 from Finnish Hospital Discharge Register (FHDR) Arthroplasty...
Background and purpose - There has been increasing alarm regarding metal-on-metal (MoM) joint replacements leading to elevated levels of metal ions adverse reactions debris (ARMDs). is little information available concerning the prevalence risk factors for these reactions, except with MoM hip replacements. We determined in blood rate revision due ARMDs patients treated hinge total knee arthroplasty (TKA). Patients methods 22 TKAs connecting mechanisms were studied whole-blood chromium cobalt...
The purpose of this study was to assess the effectiveness ultrasonography (US) on detecting osteoarthritis knee, and compare US radiographic findings intraoperative total knee arthroplasty (TKA) findings. Fifty-seven late-stage osteoarthritic knees undergoing TKA were evaluated with radiography. Standard assessing femoral cartilage damage, osteophytes, effusion, synovitis, meniscal extrusion performed. On radiographs, joint space narrowing, Kellgren-Lawrence grade evaluated. Corresponding...
Background and purpose — The use of crosslinked polyethylene in total hip arthroplasty (THA) has decreased wear remarkably. It been suggested that the antioxidative effects vitamin E may enhance properties even further. This study evaluates revision rates between E-infused liners (E1 E-poly, ZimmerBiomet, Warsaw, IN, USA) versus moderately (ModXLPE) from same manufacturer used primary THA.Patients methods We conducted a based on data Finnish Arthroplasty Register. group consisted 2,723 THAs...
Pharmacological thromboprophylaxis effectively prevents venous thromboembolism (VTE) after total knee (TKA) and hip arthroplasty (THA). Less is known about the influence of fast-track on VTE risk. We conducted a register-based study to determine incidence TKA THA in Finland using long thromboprophylaxis.All primary TKAs THAs operated during 2015-2016 3 hospitals were identified from Finnish Arthroplasty Register. Pulmonary embolism (PE) deep vein thrombosis (DVT) diagnosed this patient...
Background and purpose: The prevalence of knee joint replacements (KJR) has been less investigated in situations where the increase incidence is known. This study annual population-based KJR relationship between KJRs revision surgery. Patients methods: All performed 1980 2020 were identified from Finnish Arthroplasty Register (FAR). revisions removals extracted FAR hospital discharge registers patient deaths Digital Population Data Services Agency. We analyzed by dividing number survivors...
Background and purpose: Fast-track total joint replacement (TJR) has become increasingly common. Routine thromboprophylaxis for pulmonary embolism deep venous thrombosis prevention lasts from 2 to 5 weeks. This retrospective registry study focused on clinically relevant bleeding complications 90 days after fast-track primary TJR. Patients methods: All hip (THA) knee arthroplasties (TKA) performed between 2015 2016 were extracted the Finnish Arthroplasty Register Hospital Discharge Register....
Exergames can provide encouraging exercise options. Currently, there is limited evidence regarding home-based exergaming in the postoperative phase of total knee replacement (TKR).This study aimed to investigate effects a 4-month exergame intervention with an 8-month follow-up on physical function and symptoms among older persons undergoing TKR compared home using standard protocol. In addition, concurrent embedded design mixed methods was used by including qualitative component within...
Introduction There is limited understanding of how older adults can reach kinematic goals in rehabilitation while performing exergames and conventional exercises, similar or different the kinematics during exergaming are when compared with therapeutic exercise movement. The aim this study was to describe movement characteristics performed custom-designed exercises among patients who have undergone unilateral total knee replacement (TKR). In addition, secondary assess relation these methods,...
Use of thromboprophylaxis effectively prevents pulmonary embolism (PE) and deaths after total hip knee arthroplasty (THA TKA). The optimum length is not known has traditionally been based on the type operation. Nowadays, a more individualized approach preferred. This study analyzed if risk stratification-based planning an association with all-cause mortality fast-track THA TKA.
Aims Rotator cuff disease (RCD) can considerably decrease quality of life. Here, we investigated whether health-related life (HRQoL) influences the need for surgery in patients with RCD. Methods We performed an analysis 417 symptomatic RCD who were recruited from two hospitals between June 2008 and December 2014 to be randomized receive non-surgical or surgical treatment. After a three-month rehabilitation period, 36-Item Short-Form Health Survey questionnaire (SF-36), shoulder pain (visual...