Patients with diabetes have increased risk of infections and wound complications after total knee arthroplasty (TKA). Glycemic markers identifying patients at for TKA not yet been elucidated.We aimed to determine the correlations among four commonly used glycemic identify most strongly associated occurrence surgical site postoperative in mellitus undergoing TKA.Our retrospective study included 462 diabetes, who underwent a 714 TKAs. Blood levels markers, including preoperative fasting blood...

Abstract Background The alignment correction after high tibial osteotomy (HTO) is made both by bony and soft-tissue around the knee. Change of joint-line convergence angle (JLCA) represents HTO, which a tangential line between femoral condyles plateau. We described patterns JLCA change related factors HTO investigated appropriate preoperative planning method. Methods Eighty patients who underwent 2013 2016 were included for this retrospective study. Standing, whole-limb radiograph, supine...

TKA commonly involves substantial blood loss and tranexamic acid has been used to reduce after TKA. Numerous clinical trials have documented the efficacy safety of intravenous (IV) or intraarticular (IA) use acid. Combined administration also suggested; however, there is no consensus regarding ideal route administration.(1) To compare in terms total allogeneic transfusion rate among three routes administration: IV alone, IA combined IA. (2) these regimens venous thromboembolism (VTE)...

We aimed to determine whether navigated opening wedge high tibial osteotomy (HTO) is superior the conventional technique in terms of accuracy coronal and sagittal alignment correction, functional outcome, operative time.Studies comparing HTO were included this meta-analysis. compared incidence radiological outliers slope maintenance, mean differences outcome scales, time. Subgroup analyses performed on based intraoperative method confirmation: fluoroscopy vs. gap measurement method.Twelve...

Osteoarthritis (OA) and osteoporosis (OP) are the 2 most common bone disorders associated with aging. We can simply assume that older patients have a higher incidence of OA OP more severity. Although several papers conducted studies on relationship between OP, none them has demonstrated conclusive link. In this study, we used radiological knee mineral density (BMD; T-score total hip lumbar spine) to analyze in large population. aimed determine investigate risk factors.This cross-sectional...

Higher tourniquet pressures may be associated with an increased risk of complications. We aimed to determine (1) whether a lower pressure [systolic blood (SBP) + 120 mmHg] is as effective conventional (SBP 150 mmHg) in providing bloodless surgical field and decreasing loss, (2) lowering the decreases tourniquet-related complications compared inflation pressure.One hundred sixty knees 124 patients undergoing total knee arthroplasty (TKA) were randomly allocated either (n = 80) or group 80)....

In studies of TKA, treating each knee as an independent case in patients with bilateral TKAs can lead to errors, because and unilateral may achieve different levels function the assumption statistical independence is violated.We determined whether (1) undergoing have demographics preoperative postoperative from those TKAs, (2) means, SEs, p values change substantially based on how two cases are treated analyses.We retrospectively compared 513 602 regarding (age, gender, BMI), 1-year (motion...

Prompt diagnosis and treatment of septic arthritis the knee is crucial. Nevertheless, quality evidence for low. In this study, authors developed a machine learning-based diagnostic algorithm native using clinical data in an emergency department validated its accuracy.Patients (n = 326) who underwent synovial fluid analysis at suspected were enrolled. Septic was diagnosed 164 patients (50.3%) modified Newman criteria. Clinical characteristics inflammatory compared. Area under...

Abstract Background To evaluate the diagnostic characteristics of tryptophanyl tRNA synthetase (WRS) for diagnosis septic arthritis knee joint and to determine whether it is a reliable sensitive synovial biomarker discriminating from other types arthritis. Methods Patients effusions which was suspected were prospectively recruited between January 2019 September 2020. A total 9 patients had arthritis, 6 acute gout attack, 1 an flare chronic rheumatic 46 pseudogout or reactive arthropathy....

We sought to document the clinical performance of 1st American Academy Orthopaedic Surgeons (AAOS) guideline on prevention symptomatic pulmonary embolism (PE) after total knee arthroplasty (TKA) in Korean patients, terms proportions each risk-stratified group, efficacy and safety. Consecutive 328 patients underwent TKA were preoperatively assessed for risks PE bleeding categorized into 4 groups: 1) standard risk, 2) high risk PE, 3) bleeding, 4) both bleeding. One three options was...

Gouty arthritis is a common crystal arthropathy, but gout tophus in the bipartite patella rare condition. This report presented traumatic separation of patellar fragment caused by mild trauma patient with comorbid gout. When and underlying gouty complains pain after trauma, clinical suspicion needed about patella. Keywords: Patella; Gout; Injuries