Knee replacement is one of the commonest surgical procedures performed in older adults, and its incidence is increasing rapidly. It is the only curative procedure for knee osteoarthritis, and it has excellent outcomes overall in terms of reoperation, functional outcomes and cost-effectiveness. However, a significant proportion of patients are dissatisfied after knee replacement surgery and ther...

Chronic tibial subluxation is a rare and complicated problem that requires careful evaluation and planning to achieve the desired outcome and patient satisfaction. Reconstruction of catastrophic knee injury requires obtaining a balance in 2 opposing goals: stability and range of motion. Complete understanding of the impact of each of the involved ligamentous structures on knee stability and mot...

In surgical knee replacement, the damaged knee joint is replaced with artificial prostheses. An accurate clinical evaluation must be carried out before applying knee prostheses to ensure optimal outcome from surgical operations and to reduce the probability of having long-term problems. Useful information can be inferred from CT scans of the knee area, that can be used to estimate the stress th...

objectives: this study was designed to evaluate the effectiveness of a modified floor reaction ankle foot orthosis (frafo) design on gait performance in children with cerebral palsy. methods: eight children with cerebral palsy wore a modified frafo bilaterally for six weeks. motion analysis was used to assess the immediate effectiveness of the orthosis on improving gait and also following six w...

Antibiotic treatment and arthroscopic or open drainage is the gold standard for septic arthritis. Full recovery takes time after surgery hospital stay longer than arthrocentesis at bedside. We aimed to evaluate effectiveness of (medical approach) versus a surgical approach. retrospectively included 97 cases native joint arthritis (hip knee) between 2010 2017. The primary outcome was failure med...

Following arthroplasty of the knee, the patient's perception of improvement in symptoms is fundamental to the assessment of outcome. Better clinical outcome may offset the inferior survival observed for some types of implant. By examining linked National Joint Registry (NJR) and patient-reported outcome measures (PROMs) data, we aimed to compare PROMs collected at a minimum of six months post-o...

Total knee replacement (TKR) is the mainstay of treatment for people with end-stage knee OA among suitably "fit" candidates. As a high cost, high volume procedure with a worldwide demand that continues to grow it has become increasingly popular to measure response to surgery. While the majority who undergo TKR report improvements in pain and function following surgery, a significant proportion ...

The aim of this study was to compare a patient cohort after total knee arthroplasty (TKA) in terms of the revision rate and the functional outcome, with and without patella resurfacing. Sixty-six patients (71 TKAs) were implanted with the mobile-bearing knee prosthesis system e.motion UC (Aesculap AG, Tuttlingen, Germany). These patients were divided into 2 groups, 1 of which received primary p...

BACKGROUND The prevalence of asymptomatic deep vein thrombosis diagnosed by venography after hip or knee replacement remains high despite 7 to 10 days of anticoagulant prophylaxis. However, the risk of symptomatic events in such patients is unclear. We performed a meta-analysis to provide reliable estimates of the risk of symptomatic venous thromboembolism occurring within 3 months of hip or kn...