Meniscal Tears and Discoid Meniscus in Children: Diagnosis and Treatment
J Am Acad Orthop Surg, Vol 17, No 11, November 2009, Dennis E. Kramer, MD and Lyle J. Micheli, MD The incidence of traumatic meniscal tears in children is on the rise, likely because of increased sports participation and more accurate diagnostic modalities. The increased vascularity of the developing meniscus is believed to enable greater […]
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. […]
All-Polyethylene Compared with Metal-Backed Tibial Components in Total Knee Arthroplasty at Ten Years
The Journal of Bone and Joint Surgery (American). 2009;91 A Prospective, Randomized Controlled Trial Karen A. Bettinson, MSc, RN1, Ian M. Pinder, FRCS2, Chris G. Moran, MD, FRCS(Ed)3, David J. Weir, FRCS(Orth)1 and Elizabeth A. Lingard, BPhty, MPhil, MPH1 Background: Several studies have described equivalent performance on radiostereometric analysis at two years for metal-backed compared […]
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 […]
Controversies in the Treatment of Knee Dislocations and Multiligament Reconstruction
Bruce A. Levy, MD, Gregory C. Fanelli, MD, Daniel B. Whelan, MD, James P. Stannard, MD, Peter A. MacDonald, MD, Joel L. Boyd, MD, Robert G. Marx, MD, Michael J. Stuart, MD and The Knee Dislocation Study Group A systematic approach to evaluation and treatment is needed for the patient with knee dislocation. There is […]
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 […]
Early Return to Surgery for Evacuation of a Postoperative Hematoma After Primary Total Knee Arthroplasty
The Journal of Bone and Joint Surgery 2008, Volume 90, Issue 11 Daniel D. Galat, MD1, Scott C. McGovern, MD1, Arlen D. Hanssen, MD1, Dirk R. Larson, MS1, Jeffrey R. Harrington, MA1 and Henry D. Clarke, MD2 Background: Development of a postoperative hematoma is a reported complication after primary total knee arthroplasty. However, little is […]