Treatment of Osteoarthritis of the Knee (Nonarthroplasty)

J Am Acad Orthop Surg, Vol 17, No 9, September 2009 John Richmond, MD (Chair), David Hunter, MD, PhD, Jay Irrgang, PT, PhD, ATC, Morgan H. Jones, MD, Bruce Levy, MD, Robert Marx, MD, MSc, FRCSC, Lynn Snyder-Mackler, PT, ATC, SCS, ScD, William C. Watters, III, MD, Robert H. Haralson, III, MD, MBA, Charles M. […]

Sources of Error in Total Knee Arthroplasty

Loukas Koyonos, MD; S. David Stulberg, MD; Todd C. Moen, MD; Gina Bart, PAC; Michael Granieri, BS ORTHOPEDICS 2009; 32:317 Abstract The purpose of this study was to identify the procedural steps in a total knee arthroplasty (TKA) in which technical errors occur and to quantify the magnitude of these errors. Forty-nine consecutive TKAs were […]

Management of the Posttraumatic Arthritic Knee

Asheesh Bedi and George J. Haidukewych J Am Acad Orthop Surg 2009 17: 88-101. Excellent long-term outcomes can be achieved with contemporary methods of ligament reconstruction and open reduction and internal fixation for injuries around the knee; nevertheless, posttraumatic arthritis frequently develops. Reconstruction options for symptomatic posttraumatic knee arthritis include osteotomy, arthrodesis, and arthroplasty. Surgical […]

Comparison of Opioid Requirements and Analgesic Response in Opioid-Tolerant versus Opioid-Naive Patients After Total Knee Arthroplasty

Pharmacotherapy, January, 2009 Asad E. Patanwala, Pharm.D.; Donna L. Jarzyna, R.N., M.S.; Michael D. Miller, M.D.; Brian L. Erstad, Pharm.D. Abstract Study Objectives. To compare opioid requirements in opioid-tolerant and opioid-naïve patients after total knee arthroplasty, and to compare pain scores, sedation scores, and adverse effects between the groups. Design. Prospective, observational study. Setting. Academic […]

Cementless Fixation in Total Knee Arthroplasty: Past, Present, and Future

R. Michael Meneghini, MD; Arlen D. Hanssen, MD J Knee Surg. 2008;21:307-314. ABSTRACT Cementless fixation in total knee arthroplasty (TKA) has had limited use in recent decades due to past failures in the early generation of cementless designs. Screw track osteolysis, poor polyethylene, and metal-backed patellar component failures contributed to a controversial track record and […]

The Pivot Shift

J Am Acad Orthop Surg, Vol 16, No 12, December 2008 Clayton G. Lane, MD, Russell Warren, MD and Andrew D. Pearle, MD The Lachman and the pivot shift are the two clinical tests most commonly used to assess instability in the anterior cruciate ligament (ACL)–deficient knee. Because it is quantifiable, the Lachman test has […]

Foot orthoses and physiotherapy in the treatment of patellofemoral pain syndrome: randomised clinical trial

BMJ. 2008 Oct 24;337:a1735. doi: 10.1136/bmj.a1735. Collins N, Crossley K, Beller E, Darnell R, McPoil T, Vicenzino B. OBJECTIVE: To compare the clinical efficacy of foot orthoses in the management of patellofemoral pain syndrome with flat inserts or physiotherapy, and to investigate the effectiveness of foot orthoses plus physiotherapy. DESIGN: Prospective, single blind, randomised clinical […]

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