BACKGROUND Total knee arthroplasty is one of the most clinically successful and cost-effective interventions in medicine. However, implant malalignment, especially in the coronal plane, is a common cause of early failure following total knee arthroplasty. Computer-assisted surgery has been employed during total knee arthroplasty to improve the precision of component alignment. The purpose of th...

BACKGROUND Total Knee Replacement (TKR) is the standard treatment for patients with severe knee osteoarthritis (OA). Significant improvement in pain and function are seen after TKR and approximately 80% of patients are very satisfied with the outcome. Functional status prior to TKR is a major predictor of outcome after the intervention. Thus, improving functional status prior to surgery through...

In recent years there have been many advances and developments in all orthopaedic disciplines and knee surgery is no exception. These advances and developments in knee surgery have been due to our better understanding, and in turn better management of arthroses, fractures, and ligamentous injuries of the knee. These have been coupled with advances in our understanding of biomechanics as well as...

BACKGROUND A range of interventions exist for the management of knee pain, but patient preferences for treatment are not clear. In this study the management received by people with chronic knee pain, their management preferences and reasons for these preferences were recorded. METHODS At baseline assessment of a clinical trial of rehabilitation for chronic knee pain, 415 participants were ask...

Knee surgery may be performed under general anesthesia, preferably, however, under regional anesthesia because of the profound preemptive analgesic effect that is provided by regional anes the t ic techn iques . Both cent roneurax is (sp ina l , ep idura l ) as well as peripheral nerve blocks may be used for knee surgery. Although the former may be used less frequently in the near future in kne...

This study aimed to determine gait ability at hospital discharge in patients undergoing total knee arthroplasty (TKA) as an indicator of the risk of falling. Fifty-seven patients undergoing primary TKA for knee osteoarthritis participated in this study. Gait variability measured with accelerometers and physical function including knee range of motion (ROM), quadriceps strength, walking speed, a...

conclusions although postoperative intra-articular meperidine is a better alternative for bupivacaine, their combination could improve their analgesic effects compared with each other alone. results the bupivacaine-meperidine group had better duration of postoperative analgesia (p = 0.001), latter first analgesic request (p ≤ 0.001), lower total fentanyl consumption in first 24 hours after the ...

Ochronosis or black joints disorder is a rare autosomal recessive disorder caused by deficiency of homogentisic acidoxidase. Orthopaedic manifestations are common and mostly involve spine and large joints such as knee and hip.Arthropathy is progressive and will eventually leads to arthroplasty. Not being familiar with this disorder might lead todevastating complications. We present a 57 year-ol...

Background:   Various drugs are administered intra-articularly to provide postoperative analgesia after arthroscopic knee surgery. The purpose of this study was to assess the analgesic effects of intra-articular injection of a dexmedetomidine   following knee arthroscopy.     Methods:   Forty six patients schadualed for arthroscopic knee surgery under general anaesthesia, were randomly devided ...