Journal of Joint Surgery and Research最新文献

{"title":"Achievement of minimal clinically important difference in shoulder function after reverse shoulder arthroplasty: a retrospective cohort study","authors":"Yumi Kubo ,&nbsp;Naoyuki Kubo ,&nbsp;Kotaro Yamakado","doi":"10.1016/j.jjoisr.2024.11.005","DOIUrl":"10.1016/j.jjoisr.2024.11.005","url":null,"abstract":"<div><h3>Purpose</h3><div>Reverse shoulder arthroplasty (RSA) is a surgical procedure to relieve pain and improve shoulder function. This study aimed to investigate the percentage of patients achieving a minimal clinically important difference (MCID) in the American Shoulder and Elbow Surgeons (ASES) score following RSA and to examine factors associated with MCID achievement.</div></div><div><h3>Methods</h3><div>This study included 74 patients (26 males and 48 females; mean age 76.9 ​± ​4.7 years) who underwent RSA between January 2019 and July 2022. Patients were grouped based on the change in ASES total score from pre-operative to 1 year post-operative as follows: not achieved group (&lt;16 point change); and improvement criteria achieved group (≥16 point change).</div></div><div><h3>Results</h3><div>Overall, 81% of patients achieved an ASES score change of ≥16 points. There were no significant differences in demographic characteristics between the two groups. However, the not achieved group had a significantly lower pre-operative pain visual analog scale score and a significantly higher pre-operative ASES total score than the improvement criteria achieved group. Logistic regression analysis identified pre-operative ASES total score as significantly associated with MCID achievement (odds ratio ​= ​0.91, 95% confidence interval 0.87–0.96; <em>p</em> ​= ​0.0007).</div></div><div><h3>Conclusions</h3><div>The rate of patients achieving a ≥16 point improvement in the ASES total score after RSA was 81%. A high pre-operative ASES total score was identified as a factor limiting MCID achievement, suggesting that patients with a high pre-operative function may experience less significant post-operative improvement.</div></div>","PeriodicalId":100795,"journal":{"name":"Journal of Joint Surgery and Research","volume":"3 1","pages":"Pages 31-34"},"PeriodicalIF":0.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143095543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Classification of coronal plane alignment of arthritic and healthy knees in Japan","authors":"Gai Kobayashi,&nbsp;Masahiro Hasegawa,&nbsp;Yohei Yamabe,&nbsp;Shine Tone,&nbsp;Yohei Naito,&nbsp;Akihiro Sudo","doi":"10.1016/j.jjoisr.2024.11.004","DOIUrl":"10.1016/j.jjoisr.2024.11.004","url":null,"abstract":"<div><h3>Purpose</h3><div>There are geographic differences in the prevalence of coronal plane alignment of the knee (CPAK) phenotypes. This study aimed to evaluate the CPAK classification of healthy and arthritic knees in Japan.</div></div><div><h3>Methods</h3><div>A cohort of arthritic knees (150 knees in 125 patients who underwent primary total knee arthroplasty) and a cohort of healthy knees (150 knees in 150 patients who underwent total hip arthroplasty or bipolar hip arthroplasty with healthy knees) underwent radiological assessment with long-leg radiographs and were categorized into nine phenotypes. The lateral distal femoral angle (LDFA), medial proximal tibial angle (MPTA), mechanical and arithmetic hip–knee–ankle angles (mHKA and aHKA, respectively), and joint line obliquity were measured.</div></div><div><h3>Results</h3><div>The mean LDFA was 88.1° and 86.9° in the arthritic and healthy knee cohorts, respectively, and the mean MPTA was 85.2° and 86.6°, respectively. The mean mHKA was −8.0° and −1.2° and the mean aHKA was −2.9° and −0.3° in the arthritic and healthy knee cohorts, respectively. There was no significant difference in the distribution of varus/valgus knee on mHKA between the arthritic and healthy knee cohorts. In the arthritic knee cohort, most were CPAK type I (97 knees, 64.7%). Healthy knees were most commonly classified as type II (71 knees, 47.3%).</div></div><div><h3>Conclusions</h3><div>The distribution of varus/valgus knee was similar in Japanese arthritic and healthy knees. However, the distribution of the CPAK classification in the arthritic and healthy knees of Japanese individuals was different.</div></div>","PeriodicalId":100795,"journal":{"name":"Journal of Joint Surgery and Research","volume":"3 1","pages":"Pages 26-30"},"PeriodicalIF":0.0,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143095541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Post-operative change in lower limb length in inverted V-shaped high tibial osteotomy with a large correction angle is larger than that with a small correction angle","authors":"Seiju Hayashi,&nbsp;Kei Kato,&nbsp;Satoshi Miyazaki,&nbsp;Kazuki Yunokawa","doi":"10.1016/j.jjoisr.2024.11.003","DOIUrl":"10.1016/j.jjoisr.2024.11.003","url":null,"abstract":"<div><h3>Purpose</h3><div>Although inverted V-shaped high tibial osteotomy (iVHTO) is a good option for severe varus deformity requiring a valgus correction angle &gt;15°, it is still unclear whether its several clinical advantages can be applied to varus deformities requiring a valgus correction angle ≤15°. Moreover, no previous studies have revealed why the application of iVHTO was limited to a correction angle &gt;15°. This study aimed to compare post-operative anatomical changes and to determine any applicability of iVHTO for a valgus correction angle ≤15° using three-dimensional (3D) bone models.</div></div><div><h3>Methods</h3><div>Differences in post-operative anatomical alignment changes between iVHTO with &gt;15° of correction (L-iVHTO group) and iVHTO with ≤15° of correction (S-iVHTO group) were examined. A total of 37 knees (18 ​L-iVHTO and 19 ​S-iVHTO) in 27 patients were enrolled. Pre- and post-operative 3D computed tomography bone models were reconstructed using a ZedHTO system. Post-operative anatomical changes (Δ) in posterior tibial slope (PTS), medial proximal tibial angle (MPTA), knee rotation angle (KRA), tibial torsion angle (TTA), patella tilting angle (PTA), Caton–Deschamps index (CDI), tibia length (TL), and lower leg length (LLL) were compared.</div></div><div><h3>Results</h3><div>ΔLLL in the L-iVHTO group (1.8 ​± ​5.6 ​mm) was significantly larger than that in the S-iVHTO group (−1.7 ​± ​4.8 ​mm; <em>p</em> ​&lt; ​0.01). No significant differences were observed among the groups in ΔMPTA, ΔPTS at the medial and lateral tibial plateau, ΔKRA, ΔTTA, ΔPTA, ΔCDI, and ΔTL.</div></div><div><h3>Conclusions</h3><div>Since the characteristics of hemi-open-wedge HTO (OWHTO) and hemi-closed-wedge HTO (CWHTO) might be expressed in iVHTO depending on the correction angle, surgeons should be aware pre-operatively that L-iVHTO will lengthen the LLL and S-iVHTO will shorten the LLL post-operatively.</div></div>","PeriodicalId":100795,"journal":{"name":"Journal of Joint Surgery and Research","volume":"3 1","pages":"Pages 21-25"},"PeriodicalIF":0.0,"publicationDate":"2024-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143095544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hip fracture and cancer: descriptive epidemiological study demonstrating a paradigm shift in common orthopedic trauma","authors":"Juri Teramoto ,&nbsp;Yasuhiro Homma ,&nbsp;Taiji Watari ,&nbsp;Koju Hayashi ,&nbsp;Tomonori Baba ,&nbsp;Nobuhiko Hasegawa ,&nbsp;Daisuke Kubota ,&nbsp;Tatsuya Takagi ,&nbsp;Muneaki Ishijima","doi":"10.1016/j.jjoisr.2024.11.002","DOIUrl":"10.1016/j.jjoisr.2024.11.002","url":null,"abstract":"<div><h3>Purpose</h3><div>Despite the increase both in patients with cancer and those with proximal femoral fractures (PFFs), details of the characteristics of non-pathological PFFs in patients undergoing cancer treatment are unknown. The purpose of this retrospective study was to investigate the characteristics and issues of patients with active cancer who have non-pathological PFFs.</div></div><div><h3>Methods</h3><div>This was a retrospective, observational, descriptive epidemiological study. A total of 376 patients were admitted to Juntendo University hospital with a diagnosis of PFF. Six of these patients had metastasis-related pathological fractures and were excluded from this study. The remaining 370 patients comprised 100 men and 270 women.</div></div><div><h3>Results</h3><div>The mean patient age was 78.6 ​± ​11.2 years. Fractures included 141 trochanteric femoral fractures and 229 femoral neck fractures. Of these, 39 (10.5%) of the patients had active cancer, 55 (14.9%) has a history of past cancer, and 276 (74.6%) had no cancer. Among the 39 patients with active cancer, 13 (33.3%) received glucocorticoids; furthermore, 10 (76.9%) of these 13 patients were not receiving medications to prevent osteoporosis. Lastly, 9 of the 39 falls were hospitalization-related, but 6 (66.7%) of these 9 patients did not undergo rehabilitation during hospitalization.</div></div><div><h3>Conclusions</h3><div>Approximately one in ten patients with PFF in this study were undergoing cancer treatment. Moreover, one in four patients with PFF were cancer-related. Therefore, orthopedic surgeons should have basic knowledge about cancer management in hip fracture.</div></div>","PeriodicalId":100795,"journal":{"name":"Journal of Joint Surgery and Research","volume":"3 1","pages":"Pages 17-20"},"PeriodicalIF":0.0,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142743997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determining the most effective osteoporosis drug for bone mineral density loss in proximal area after total hip arthroplasty: A network meta-analysis","authors":"Akira Morita ,&nbsp;Emi Kamono ,&nbsp;Tadashi Oyama ,&nbsp;Hyonmin Choe ,&nbsp;Yutaka Inaba ,&nbsp;Naomi Kobayashi","doi":"10.1016/j.jjoisr.2024.11.001","DOIUrl":"10.1016/j.jjoisr.2024.11.001","url":null,"abstract":"<div><h3>Purpose</h3><div>The aim of this study was to compare and rank the efficacy of different drugs for bone mineral density (BMD) loss prevention at 1 year after total hip arthroplasty (THA) using a network meta-analysis (NMA) of randomized controlled trials (RCTs).</div></div><div><h3>Methods</h3><div>A literature search was conducted based on the PRISMA statement. The searched databases included MEDLINE (through PubMed), Cochrane Central Register of Controlled Trials, and Cumulative Index to Nursing &amp; Allied Health Literature (CINAHL). Only RCTs exploring the efficacy of currently available osteoporosis drugs in preventing periprosthetic BMD loss were included. A multivariate random-effects NMA was conducted to combine direct and indirect comparisons of agents using a frequentist consistency model. Regarding the efficacy rank, the frequentist analog to the surface under the cumulative ranking (SUCRA) probabilities, called the P-score, was used.</div></div><div><h3>Result</h3><div>In total, 17 RCTs were extracted. According to the pairwise mean difference (95% confidence interval) in BMD change, the efficacy of teriparatide was highest in both zones 1 and 7. From the predicted treatment rankings for BMD changes, teriparatide was ranked as the best intervention in zone 1 (P-score ​= ​0.8844) and zone 7 (P-score ​= ​0.9044)</div></div><div><h3>Conclusions</h3><div>The results suggest that teriparatide, zoledronic acid, alendronate, and etidronate may be options for the prevention of periprosthetic BMD loss in zones 1 and 7 ​at 1 year after THA.</div></div>","PeriodicalId":100795,"journal":{"name":"Journal of Joint Surgery and Research","volume":"3 1","pages":"Pages 8-16"},"PeriodicalIF":0.0,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142721005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Accurate acetabular cup placement using a smartphone-based digital alignment guide in total hip arthroplasty","authors":"Yuki Teranishi ,&nbsp;Yusuke Okanoue ,&nbsp;Junpei Dan ,&nbsp;Dai Ohira ,&nbsp;Masahiko Ikeuchi","doi":"10.1016/j.jjoisr.2024.10.002","DOIUrl":"10.1016/j.jjoisr.2024.10.002","url":null,"abstract":"<div><h3>Purpose</h3><div>Successful total hip arthroplasty (THA) requires accurate positioning of the acetabular cup. Although computed tomography (CT)-based navigation technology enables more accurate placement, most navigation systems are bulky, expensive, and often inaccessible due to cost and complexity. The purpose of this study was to introduce a smartphone-based digital cup alignment guide to improve placement accuracy and provide a cost-effective and accessible solution for THA.</div></div><div><h3>Methods</h3><div>A smartphone application for acetabular cup placement in THA using built-in gyroscope and accelerometer sensors was developed. The application calculates and displays the cup inclination angle to ensure surgical accuracy. A prospective study was conducted to verify and validate the new guide by assessing the difference between the target pre-operative planned angles and the post-operative placement angles in 87 patients. Differences between the displayed intra-operative angles and the post-operative placement angles were compared between the new guide and CT-based navigation in 20 of the 87 cases.</div></div><div><h3>Results</h3><div>The post-operative cup inclination and anteversion angles were 40.4 ​± ​2.9° (range 35–47°) and 13.7 ​± ​4.4° (range 5–27°). Differences between the intra-operative target and post-operative cup inclination and anteversion angles were 1.8 ​± ​1.9° (range 0–7°) and 2.8 ​± ​2.5° (range 0–10°), respectively. The application demonstrated no significant difference in cup inclination and anteversion angle accuracy compared with CT-based navigation.</div></div><div><h3>Conclusions</h3><div>The smartphone-based guide provides a practical alternative for cup placement in THA, especially in settings where CT-based navigation is not available. Challenges include the need to manage intra-operative pelvic alignment and rotational errors, which suggest room for improvement. However, it is a cost-effective and accessible tool that can improve the accuracy of acetabular cup placement in THA.</div></div>","PeriodicalId":100795,"journal":{"name":"Journal of Joint Surgery and Research","volume":"3 1","pages":"Pages 1-7"},"PeriodicalIF":0.0,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142697447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Meniscus tears in the setting of anterior cruciate ligament injury","authors":"Koji Nukuto ,&nbsp;Efstathios Konstantinou ,&nbsp;Anja Maximiliane Wackerle ,&nbsp;Jaren C. Lagreca ,&nbsp;Camila Grandberg ,&nbsp;Yunseo Linda Park ,&nbsp;Brooke Collins ,&nbsp;Volker Musahl","doi":"10.1016/j.jjoisr.2024.10.003","DOIUrl":"10.1016/j.jjoisr.2024.10.003","url":null,"abstract":"<div><h3>Purpose</h3><div>Meniscus tears in the setting of anterior cruciate ligament (ACL) injury can affect post-operative outcomes and stability when not treated correctly. To reduce post-operative osteoarthritis and to improve outcomes, accurate diagnosis and treatment options must be selected. The purpose of this review was to review recent evidence regarding biomechanics and diagnosis of meniscus injury as well as treatment options for meniscus tears, which are often complicated by ACL injuries.</div></div><div><h3>Methods</h3><div>Studies and topics on concomitant meniscus tears in the presence of ACL injury were searched.</div></div><div><h3>Results</h3><div>Various risk factors have been identified for meniscus tears associated with ACL injuries. As some meniscus tears are difficult to identify on magnetic resonance imaging (MRI), arthroscopic diagnosis of meniscal pathology plays a crucial role. Indications for meniscectomy should be limited due to subsequent exacerbation of post-operative instability and contribution to osteoarthritic changes. Although meniscal repair is the standard treatment for bucket handle tears, ramp lesions, lateral meniscus posterior root tears, and lateral meniscus oblique radial tears, non-operative treatment may be also effective to a certain extent for stable meniscal tears. However, the indication for non-operative treatment should be carefully considered owing to potential enlargement of the torn area.</div></div><div><h3>Conclusions</h3><div>Inadequate treatment of concomitant meniscus tears can result in residual instability and poor outcomes despite successful ACL reconstruction. High-quality evidence on the long-term outcomes of meniscus tears complicating ACL injuries is scarce and hence future studies are required.</div></div>","PeriodicalId":100795,"journal":{"name":"Journal of Joint Surgery and Research","volume":"2 4","pages":"Pages 180-188"},"PeriodicalIF":0.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142661122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changes in the cortical bone reaction around the stem after uncemented total hip replacement using short tapered wedge stem","authors":"Hao Dinh Anh Hoang ,&nbsp;Hironobu Hoshino ,&nbsp;Mitsuru Hanada ,&nbsp;Yukihiro Matsuyama","doi":"10.1016/j.jjoisr.2024.10.001","DOIUrl":"10.1016/j.jjoisr.2024.10.001","url":null,"abstract":"<div><h3>Purpose</h3><div>This study examined the relationship between stem alignment and the cortical bone area around the distal end of the femoral component using three-dimensional computed tomography (3D-CT) images after uncemented total hip arthroplasty (THA).</div></div><div><h3>Methods</h3><div>A total of 59 patients who underwent primary THA using an uncemented short tapered wedge stem from 2019 to 2021 were followed for at least 24 months. Patients were divided into groups based on stem position. Changes in stem position and cross-sectional area of femoral cortical bone at the distal end of the stem were examined using 3D-CT at 12 months and 24 months post-operatively and were compared with pre-operative values.</div></div><div><h3>Results</h3><div>The 12-month post-operative cortical bone area around the stem showed significant differences compared with the pre-operative area in the anterior, posterior, and lateral zone 1. Differences at these same points were noted when comparing the 24-month post-operative area with the pre-operative area. No significant difference was found in the change in the cortical bone area over time among the neutral, flexed, and extended stem groups. In the varus stem group, a significant increase in cortical bone area over time was observed in lateral zone 2. In the valgus stem group, a significant increase in the cortical bone area over time was observed in medial zone 1.</div></div><div><h3>Conclusions</h3><div>Stem alignment may affect periprosthetic cortical bone changes after THA using an uncemented short tapered wedge stem. Cortical bone reaction was revealed laterally to the stem tip in the varus-aligned stem, and medially to the stem tip in the valgus-aligned stem.</div></div>","PeriodicalId":100795,"journal":{"name":"Journal of Joint Surgery and Research","volume":"2 4","pages":"Pages 173-179"},"PeriodicalIF":0.0,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142593812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pain characteristics in patients with hip osteoarthritis","authors":"Toru Nishiwaki,&nbsp;Hisatoshi Ishikura,&nbsp;Tatsuya Yamamoto","doi":"10.1016/j.jjoisr.2024.09.003","DOIUrl":"10.1016/j.jjoisr.2024.09.003","url":null,"abstract":"<div><h3>Purpose</h3><div>Exacerbations of osteoarthritis (OA) pain significantly impair activities of daily living and walking, thereby reducing quality of life. Despite various treatments, persistent pain remains a challenge, particularly in patients with hip OA, where pain perception mechanisms extend beyond nociceptive pain. This study examined the pain characteristics in patients with hip OA, with an emphasis on neuropathic pain and central sensitization (CS).</div></div><div><h3>Methods</h3><div>A total of 421 patients scheduled for unilateral total hip arthroplasty were analyzed using the painDETECT score and Central Sensitization Inventory to classify the pain types as nociceptive (Noc), CS, neuropathic (Neu), or neuropathic with CS (NeuCS).</div></div><div><h3>Results</h3><div>The results indicated that 72.9% of patients experienced Noc pain, while 5.0% experienced combined NeuCS pain. The Neu and NeuCS groups exhibited significantly lower modified Harris Hip Score and EuroQol-5 Dimensions Questionnaire (EQ-5D) scores than the Noc group, indicating worse clinical outcomes and quality of life. Neu pain was more intense at rest, and when combined with CS it significantly diminished the quality of life.</div></div><div><h3>Conclusion</h3><div>These findings highlight the need for mechanism-based pain treatment strategies, such as Neu pain and CS components, which independently and cumulatively affect clinical scores and quality of life. This study highlights the importance of early recognition and targeted treatment of these pain mechanisms in patients with hip OA. Future research should focus on evaluating therapeutic interventions for Neu pain and CS to optimize patient outcomes.</div></div>","PeriodicalId":100795,"journal":{"name":"Journal of Joint Surgery and Research","volume":"2 4","pages":"Pages 168-172"},"PeriodicalIF":0.0,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142423620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of physical function recovery in patients with rheumatoid arthritis and those with osteoarthritis after total knee arthroplasty","authors":"Eriko Mashimoto ,&nbsp;Manabu Nankaku ,&nbsp;Gakuto Kitamura ,&nbsp;Kohei Nishitani ,&nbsp;Shinichiro Nakamura ,&nbsp;Shinichi Kuriyama ,&nbsp;Ryosuke Ikeguchi ,&nbsp;Shuichi Matsuda","doi":"10.1016/j.jjoisr.2024.08.001","DOIUrl":"10.1016/j.jjoisr.2024.08.001","url":null,"abstract":"<div><h3>Purpose</h3><p>Patients with rheumatoid arthritis (RA) who have undergone primary total knee arthroplasty (TKA) have a different recovery process of walking ability compared with patients with osteoarthritis (OA). However, how this relates to pain and other physical functions is unknown. This study aimed to evaluate and compare physical function after TKA in patients with RA and knee OA.</p></div><div><h3>Methods</h3><p>This study enrolled 146 patients (24 with RA and 122 with OA) who underwent primary TKA. Data on the following were collected pre- and post-TKA (3 weeks and 1 year): 10 Meter Walk Test (10MWT), Timed Up and Go (TUG) test, knee pain, physical activity, isometric knee extensor and flexor strength, passive knee extension and flexion angle, and one-leg standing time. Two-way repeated measures analysis of variance (ANOVA) with Bonferroni <em>post hoc</em> comparisons was performed to examine the influence of the different diseases on post-operative changes in physical function over time.</p></div><div><h3>Results</h3><p>The RA group had a significantly more severe pre-operative pain score than the OA group (<em>p</em> ​&lt; ​0.05). A two-way repeated measures ANOVA showed a significant group ​× ​time interaction in the TUG test and 10MWT time. The RA group had a slower pre-operative time in these tests than the OA group (<em>p</em> ​&lt; ​0.01). However, the TUG test and 10MWT time at 3 weeks and 1 year post-TKA were not significantly different between the two groups.</p></div><div><h3>Conclusion</h3><p>In patients with RA, walking ability significantly improved at 3 weeks following TKA, and showed recovery from 3 weeks up to 1 year similar to patients with OA.</p></div>","PeriodicalId":100795,"journal":{"name":"Journal of Joint Surgery and Research","volume":"2 4","pages":"Pages 163-167"},"PeriodicalIF":0.0,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949705124000227/pdfft?md5=9060ad885107605c6f477c92faae18a9&pid=1-s2.0-S2949705124000227-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142242107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}