A5050207577- Total Knee Arthroplasty Outcomes
- Orthopaedic implants and arthroplasty
- Orthopedic Infections and Treatments
- Knee injuries and reconstruction techniques
- Anesthesia and Pain Management
- Shoulder Injury and Treatment
- Lower Extremity Biomechanics and Pathologies
- Venous Thromboembolism Diagnosis and Management
- Musculoskeletal synovial abnormalities and treatments
- Musculoskeletal pain and rehabilitation
- Osteoarthritis Treatment and Mechanisms
- Pain Management and Opioid Use
- Blood transfusion and management
- Cardiac, Anesthesia and Surgical Outcomes
- Musculoskeletal Disorders and Rehabilitation
- Spine and Intervertebral Disc Pathology
- Case Reports on Hematomas
- Medical Education and Admissions
- Heparin-Induced Thrombocytopenia and Thrombosis
- Dupuytren's Contracture and Treatments
- Congenital gastrointestinal and neural anomalies
- Spinal Dysraphism and Malformations
- Heterotopic Ossification and Related Conditions
- Neuropeptides and Animal Physiology
- Opioid Use Disorder Treatment
St. Joseph Medical Center
2013-2025
Towson University
2011-2024
University of Maryland, College Park
2020
University of Maryland, Baltimore
2015-2020
Dartmouth College
2018
Brigham and Women's Hospital
2016
Harvard University
2016
Johns Hopkins University
1995-2015
Implant Sciences (United States)
2015
University of Cincinnati
2013
Despite the importance of complications in evaluating patient outcomes after TKA, definitions TKA are not standardized. Different investigators report different with when reporting TKA.We developed a standardized list and adverse events associated TKA.In 2009, The Knee Society appointed Complications Workgroup that surveyed orthopaedic literature proposed definitions. An expert opinion survey members was used to test applicability reasonableness complications. For each complication, were...
Interest in minimal-incision total knee arthroplasty has increased recent years. We compared a group of 30 patients who had with mini-incision to similar standard length incision. The some minor early advantages (less pain medication use, earlier improvement range motion), but these dissipated by 3 months followup. Radiographic evaluations showed that four the minimal incisions tibial component varus malalignment (< 87°), whereas no incision malalignment. Although performed using may provide...
Pain management is a major concern for patients contemplating total knee replacement surgery and one of the leading causes dissatisfaction after replacement. Substantial progress has been made over past several years in improving pain control using multimodal control, preemptive analgesia, periarticular injections.
This prospective, double-blinded evaluation of 24 osteoarthritic patients undergoing bilateral total knee replacement compared the midvastus and standard parapatellar approaches. The approach was found to offer an early advantage in terms less pain earlier return function. There were no significant complications associated with approach. should be a part surgeon's armamentarium.
There are several surgical management options for medial knee arthritis, and it is often difficult to decide whether a unicompartmental arthroplasty (UKA) or total (TKA) appropriate. Few studies have compared UKAs TKAs in the same patient. We identified 23 patients with osteoarthritis who had TKA on one side UKA other. The preoperative values of 2 knees were not statistically different. Strict criteria used determine could be performed (functional anterior cruciate ligament, minimal...
Gender-specific total knee replacement has generated much interest recently. We reviewed 1970 Sigma knees implanted in 920 women and 592 men with a mean age of 69.7 years. At follow-up 7.3 years (minimum, five years), we found minimal differences the outcome between genders. final follow-up, had higher overall Knee Society score more osteolysis (3.8% vs 1.1%). However, there were no significant terms complications or improvements function, pain range movement. The estimated ten-year...
The long-term follow-up evaluation of total knee arthroplasty (TIC&) in patients under age 45 is reviewed.One hundred three knees 67 who had an average period 7.2 years were retrospectively reviewed.Fifty-eight percent the rheumatoid arthritis, and 29% juvenile arthritis.Thirteen post-traumatic avascular necrosis, hemochromatosis, or lupus.The results demonstrate that success TKA this patient population are comparable to those for elderly.
Relatively little has been written concerning the proximal tibia in total knee arthroplasty. Few authors have looked at landmarks and guidelines for tibial tray preparation orientation. The current study showed that a line drawn 1 mm medial to border of tubercle going through midsulcus spines (the line) provided reproducible landmark tibia, when perpendicular cut was made relative this line, 46 50 knees were appropriate alignment. In addition, it said should be rotated externally...
After right total knee arthroplasty (TKA), patients are usually eager to return driving. Previous studies suggest 6 weeks postsurgery is a safe time. However, recent advances in surgical technique, pain management, and rehabilitation have theoretically improved recovery after TKA.We therefore determined if (1) the timeframe for driving, as by attainment of preoperative braking levels, would be shorter contemporary TKA than that reported previously traditional TKA; (2) gender or age influence...
This retrospective study evaluated the midterm clinical and radiographic outcomes of a second-generation total knee replacement system. In multicentre consecutive series 1512 patients, 1970 knees were treated with PFC Sigma system (Depuy, Warsaw, Indiana). The patients reviewed for functional outcome, underwent independent evaluation at mean follow-up 7.3 years (5 to 10). A 40 (2%) required revision, 17 (0.9%) infection. incidence osteolysis was 2.2%. ten-year survival revision any cause...
Background Tranexamic acid ( TXA ) is an antifibrinolytic that reduces blood loss and transfusion rates in total joint arthroplasty. Blood allogenic have not been well studied patients receiving undergoing bilateral staged knee arthroplasty TKA ). The purpose was to evaluate the effect of on loss, hemoglobin Hb changes, . Study Design Methods authors compared 51 who received (2 g; subjects) with 70 did (controls). There were no significant differences between groups terms demographics or...
Background Greater levels of self-reported pain, pain catastrophizing, and depression have been shown to be associated with persistent functional limitation after surgeries such as TKA. It would useful for clinicians able measure these factors efficiently. Questions/purposes We asked: (1) What is the association whole-body osteoarthritis (OA)-related knee function, mental health? (2) sensitivity specificity different cutoffs body diagram region categories in relation catastrophizing? Methods...