- Orthopaedic implants and arthroplasty
- Total Knee Arthroplasty Outcomes
- Orthopedic Infections and Treatments
- Orthopedic Surgery and Rehabilitation
- Shoulder Injury and Treatment
- Knee injuries and reconstruction techniques
- Hip and Femur Fractures
- Tendon Structure and Treatment
- Sports injuries and prevention
- Bone fractures and treatments
- Meta-analysis and systematic reviews
- Health Systems, Economic Evaluations, Quality of Life
- Hip disorders and treatments
- Shoulder and Clavicle Injuries
- Elbow and Forearm Trauma Treatment
- Musculoskeletal pain and rehabilitation
- Healthcare cost, quality, practices
- Peripheral Nerve Disorders
- COVID-19 and healthcare impacts
- Trauma and Emergency Care Studies
- Climate Change and Health Impacts
- Lower Extremity Biomechanics and Pathologies
- Dupuytren's Contracture and Treatments
- Cardiac, Anesthesia and Surgical Outcomes
- Health and Medical Research Impacts
Tampere University
2019-2025
Coxa Hospital
2016-2025
Tampere University Hospital
2019-2025
Central Finland Health Care District
2017-2024
University Foundation
2024
Joint Replacement Institute
2010
Abstract Background COVID-19 outbreak lead to nationwide lockdown in Finland on the March 16th, 2020. Previous data regarding patient load emergency departments during pandemics is scarce. Our aim describe effect of national and social distancing number reasons for department (ED) visits inpatient admissions three large volume hospitals prior after epidemic Finland. Methods Data this register-based retrospective cohort study were collected from ED’s Finland, covering 1/6 Finnish population....
Abstract Background Survival analysis and effect of covariates on survival time is a central research interest. Cox proportional hazards regression remains as gold standard in the analysis. The model relies assumption (PH) across different covariates. PH assumptions should be assessed handled if violated. Our aim was to investigate reporting details testing total joint arthroplasty (TJA) studies. Methods We conducted review PubMed database 28th August 2019. A 1154 studies were identified....
Background Although increasingly used, the benefit of surgical treatment displaced 2-part proximal humerus fractures has not been proven. This trial evaluates clinical effectiveness surgery with locking plate compared non-operative for these fractures. Methods and findings The NITEP group conducted a superiority, assessor-blinded, multicenter randomized in 6 hospitals Finland, Estonia, Sweden, Denmark. Eighty-eight patients aged 60 years or older (more than 1 cm 45 degrees) anatomical neck...
The introduction and development of new total knee arthroplasty (TKA) implant designs are industry driven. To date, an adequately powered randomized controlled trial (RCT) to provide evidence the superiority novel over conventional ones is often lacking. aim our RCT was investigate functional outcomes a TKA design compared with 2 designs. Primary outcome difference in change Oxford Knee Score (OKS) at years. Secondary were Forgotten Joint Score, 15D quality life questionnaire, UCLA activity...
We designed a prospective, single-center study to assess whether blood metal ion levels could predict implant failure in patients managed with unilateral metal-on-metal hip resurfacing or total arthroplasty.Five hundred and ninety-seven who had received Articular Surface Replacement prostheses at least twelve months earlier were recruited. Blood compared between the group of failed implants non-failed implants. Implant was defined as associated revision, an intention revise, poor...
Surgery, needle fasciotomy, and collagenase injection are used to treat Dupuytren contracture. The treatment decision requires balancing initial morbidity costs of surgery against its potential long-term benefits over fasciotomy collagenase.
There has been increasing concern of metal-on-metal (MOM) hip replacements regarding adverse reactions to metal debris. Information prevalence and risk factors for these is scarce.The primary purposes our study were determine (1) the debris among patients who received small-headed (< 50 mm) Articular Surface Replacement (ASR™) prostheses in resurfacing procedures or ASR™ XL during THAs at institution, (2) if they are different compared with THAs?Small-headed used 482 operations (424...
Background: The authors of recent studies have reported newly devised implant-specific blood metal ion thresholds to predict adverse reactions debris (ARMD) in patients who undergone unilateral or bilateral metal-on-metal (MoM) hip arthroplasty. These were most effective for identifying at low risk ARMD. We investigated whether these could effectively identify ARMD after MoM arthroplasty an external cohort patients. Methods: performed a validation study involving 803 arthroplasties (323...
Background and purpose — COVID-19 lockdowns have resulted in noteworthy changes trauma admissions. We report compare the incidence characteristics of severe injuries (New Injury Severity Score [NISS] >15) during lockdown Finland with earlier years. Methods retrospectively analyzed rate, injury severity scores, patterns, mechanisms all severely injured patients (NISS 4 Finn- ish hospitals (Tampere University Hospital, Kuopio Uni- versity Central Mikkeli Cen- tral Hospital) 11-week period...
Background Assessment, diagnosis, and treatment of motor control impairments are among the most widely implemented management strategies for chronic low back pain (CLBP). Low movement tests described by Luomajoki et al. reliable valid assessing presence severity impairment. However, very little is known about importance demographic well-established CLBP contributing factors in explaining any type Objective The study objectives were to evaluate associations impairment with age, gender, BMI,...
Dupuytren’s contracture (DC) is often treated with limited fasciectomy (LF), while percutaneous treatment options are gaining popularity. The recent trends in the incidence rates of LF not well known. Our study aimed to investigate over time, and we collected nationwide data on all performed between January 1, 1997 December 31, 2018. main outcome variables were first subsequent for each patient per 100,000 person-years, calculated year, gender, age group. Data obtained from Finnish National...
Background High revision rates attributable to adverse reactions metal debris have been reported for total hip arthroplasties (THAs) with metal-on-metal implants and resurfacings. The effect of on blood ion levels is described only in small series, the clinical results revisions contradictory, concerns regarding component loosening presented. Questions/purposes We asked: (1) Did surgery result a reduction normal whole cobalt (Co) chromium (Cr) (2) What changes Oxford Hip Score were observed...
Abstract Background Research on mortality and comorbidity associated with pelvic fractures in older patients is scarce. We aimed to determine the short- long-term rates of a ring fracture compared both an age-matched cohort femoral neck general population, investigate 30- 60-day readmission after fracture. Methods This was retrospective study done emergency department level II/III trauma center. All aged over 70 years diagnosed or acetabular between January 2010 December 2016 our ED were...
Aims Metal particles detached from metal-on-metal hip prostheses (MoM-THA) have been shown to cause inflammation and destruction of tissues. To further explore this, we investigated the histopathology (aseptic lymphocyte-dominated vasculitis-associated lesions (ALVAL) score) metal concentrations periprosthetic tissues obtained patients who underwent revision knee arthroplasty. We also aimed investigate whether accumulated debris was associated with ALVAL-type reactions in synovium. Methods...
Aims We evaluated the short-term functional outcome and prevalence of bearing-specific generation audible noise in 301 patients (336 hips) operated on with fourth (Delta) medium diameter head, ceramic-on-ceramic (CoC) total hip arthroplasties (THAs). Patients Methods There were 191 female (63%) 110 male (37%) a mean age 61 years (29 to 78) follow-up 2.1 (1.3 3.4). completed three questionnaires: Oxford Hip Score (OHS), Research Development 36-item health survey (RAND-36) noise-specific...
Nonoperative treatment is feasible in most patients with acute Achilles tendon rupture. Risk factors associated failed nonoperative are poorly understood. We investigated risk rerupture after and otherwise of rupture.All diagnosed rupture between January 2009 June 2016 who underwent 8 weeks functional rehabilitation were included the study. Patients or identified retrospectively. Time to association age, sex, time from injury, diabetes, visits physiotherapist for cases reruptures...
of recorded rides was 2 million, indicating a more robust analysis than those reported previously.The main limitation this study its retrospective nature.Because e-scooters remain popular and the market continues to grow, further studies are needed evaluate targeted safety measures on e-scooter use.The incidence in our can be used as reference value for new interventions.