Journal of Joint Surgery and Research最新文献_第8页

Clinical evaluation of knee joint diseases 膝关节疾病的临床评价

Journal of Joint Surgery and Research Pub Date : 2023-12-01 DOI: 10.1016/j.jjoisr.2022.12.003

Kohei Nishitani, Shinichiro Nakamura, Shinichi Kuriyama

{"title":"Clinical evaluation of knee joint diseases","authors":"Kohei Nishitani, Shinichiro Nakamura, Shinichi Kuriyama","doi":"10.1016/j.jjoisr.2022.12.003","DOIUrl":"10.1016/j.jjoisr.2022.12.003","url":null,"abstract":"<div><h3>Purpose</h3><p>This article aimed to comprehensively introduce clinical scoring of pathological conditions of the knee.</p></div><div><h3>Methods</h3><p>Review articles on the clinical scores of knee joints were searched. The frequency of the clinical scores used in said articles are presented as whole-knee pathological conditions or according to specific knee diseases. Frequently used scoring systems are separately explained in terms of validity and clinically important values.</p></div><div><h3>Results</h3><p>Of 132 review articles, 95 were included in this review. Among these 95, the top five frequently used scoring systems were the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Knee Injury and Osteoarthritis Outcome Score (KOOS), International Knee Documentation Committee Subjective Knee Form (IKDC subjective score), Knee Society Score (KSS), and Lysholm Knee Scoring Scale. Patient-reported outcome measures to evaluate patients’ health-related quality of life, such as the EuroQol 5 dimensions (EQ5D), MOS 36-Item Short-Form Health Survey (SF-36), and SF-12 Health Survey (SF-12), were frequently used. Activity and functional ratings, such as the Tegner activity score and University of California Los Angeles (UCLA) Activity Scale, were also frequently used. Usage trends of scoring systems differed according to the pathological conditions of the knee, and some disease-specific scoring systems, such as the Kujala score for patellofemoral problems or Forgotten Joint Score for arthroplasty, have been reported.</p></div><div><h3>Conclusions</h3><p>Various scoring systems are used for pathological conditions of the knee. Even for knee diseases, trends in scoring systems differ according to pathological conditions, necessitating the selection of appropriate scoring systems.</p></div>","PeriodicalId":100795,"journal":{"name":"Journal of Joint Surgery and Research","volume":"2 ","pages":"Pages 9-17"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949705122000032/pdfft?md5=13bdb6d6880a18b925fb302ac23dfa6b&pid=1-s2.0-S2949705122000032-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50194908","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}

引用次数: 2

A plain radiography may underestimate the steep posterior tibial slope of the medial condyle in elderly Japanese with varus knee osteoarthritis undergoing arthroplasties 在接受关节置换术的老年日本人膝内翻性骨关节炎患者中，平片可能低估了内侧髁的胫骨后斜坡

Journal of Joint Surgery and Research Pub Date : 2023-12-01 DOI: 10.1016/j.jjoisr.2023.06.002

Kohei Nishitani, Shinichi Kuriyama, Shinichiro Nakamura, Taisuke Yabe, Young-Dong Song, Hiromu Ito, Shuichi Matsuda

{"title":"A plain radiography may underestimate the steep posterior tibial slope of the medial condyle in elderly Japanese with varus knee osteoarthritis undergoing arthroplasties","authors":"Kohei Nishitani, Shinichi Kuriyama, Shinichiro Nakamura, Taisuke Yabe, Young-Dong Song, Hiromu Ito, Shuichi Matsuda","doi":"10.1016/j.jjoisr.2023.06.002","DOIUrl":"10.1016/j.jjoisr.2023.06.002","url":null,"abstract":"<div><h3>Purpose</h3><p>Understanding the native posterior tibial slope (PTS) is important especially in cruciate ligament retaining total knee arthroplasty (TKA) and uni-compartmental knee arthroplasty (UKA). This study investigated the efficacy of PTS with lateral knee radiograph (radiographic PTS) by comparing it with PTS of medial and lateral tibial condyles (MPTS and LPTS) by computed tomography (CT).</p></div><div><h3>Methods</h3><p>In patients who underwent TKA and UKA on varus knee osteoarthritis, radiographic PTS, MPTS, and LPTS were measured. Spearman's correlation was used to compare the radiographic PTS and PTS on CT. More than 3° delta PTS (CT PTS - radiographic PTS) were defined as positive outliers.</p></div><div><h3>Results</h3><p>Three-hundred and twenty-six osteoarthritic knees (278 TKAs and 48 UKAs) were evaluated. The mean radiographic PTS, MPTS, LPTS was 8.0 ± 2.9°, 10.2 ± 4.2°, and 8.3 ± 3.3°, respectively. Plain radiograph tended to underestimate steep MPTS, and its correlations to LPTS (ρ = 0.65, p < 0.001) and MPTS (ρ = 0.54, p < 0.001) were moderate. The positive outliers were observed in 136/326 (42%) and 36/326 (12%) knees in medial and lateral condyles, respectively. Even in UKA, the positive outliers were observed in 13/48 (28%) knees in medial condyle.</p></div><div><h3>Conclusions</h3><p>Radiographic PTS better reproduced LPTS, but did not accurately reproduce MPTS in varus knee osteoarthritis. Radiographic PTS may not detect steep medial PTS. Surgeons should be cautious because the actual PTS of the medial tibial condyle may be different from that preoperatively measured on plain radiographs.</p></div>","PeriodicalId":100795,"journal":{"name":"Journal of Joint Surgery and Research","volume":"2 ","pages":"Pages 139-144"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949705123000191/pdfft?md5=172cc9567cf1419d58a050202bc124f2&pid=1-s2.0-S2949705123000191-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50195369","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}

引用次数: 0

Does lateral incision reduce perceptual deficits and improve postoperative kneeling ability after total knee arthroplasty? 外侧切口是否能减少全膝关节置换术后的知觉缺陷并提高术后跪下能力？

Journal of Joint Surgery and Research Pub Date : 2023-12-01 DOI: 10.1016/j.jjoisr.2023.05.003

Yutaka Suetomi , Hiroshi Fujii , Atsunori Tokushige , Patricio Ⅲ Dumlao , Takashi Sakai

{"title":"Does lateral incision reduce perceptual deficits and improve postoperative kneeling ability after total knee arthroplasty?","authors":"Yutaka Suetomi , Hiroshi Fujii , Atsunori Tokushige , Patricio Ⅲ Dumlao , Takashi Sakai","doi":"10.1016/j.jjoisr.2023.05.003","DOIUrl":"10.1016/j.jjoisr.2023.05.003","url":null,"abstract":"<div><h3>Purpose</h3><p>Kneeling is often difficult after a total knee arthroplasty. However, the reasons behind kneeling difficulties are not yet fully understood. According to several studies, a lateral incision reduces perceptual deficits and improves kneeling performance. This study compared two different skin incisions (lateral and midline) as they relate to postoperative perceptual deficits, as well as kneeling on a mat or in daily life following TKA, and demonstrates the advantage of the lateral incision in postoperative kneeling ability.</p></div><div><h3>Methods</h3><p>This study included 99 patients with lateral incisions and 104 patients with midline incisions. Sensory disturbance was evaluated with a brush on the nine subdivisions of the kneeling area. Patients were tested in the outpatient clinic to determine whether they could kneel on a mat. The level of discomfort in the kneeling area was assessed using a visual analog scale. Questionnaires were used to assess kneeling ability.</p></div><div><h3>Results</h3><p>Compared to a midline incision, a lateral incision significantly reduced the perceptual deficits in the center of the kneeling area and the discomfort associated with kneeling on a mat. There was no significant difference between the two groups in kneeling on a mat in the clinic or kneeling in daily activities. However, less than 30% of patients in both groups could kneel in daily living. The reasons for being unable to kneel were mainly anxiety and pain, rather than numbness.</p></div><div><h3>Conclusion</h3><p>Lateral incisions alone did not improve kneeling in patients' daily living following TKA.</p></div>","PeriodicalId":100795,"journal":{"name":"Journal of Joint Surgery and Research","volume":"2 ","pages":"Pages 158-162"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949705123000178/pdfft?md5=e56e2e80d944c2355f9d72e75bb3ad8b&pid=1-s2.0-S2949705123000178-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50195370","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}

引用次数: 0

Contemporary posterior surgical approach with standard cemented total hip arthroplasty for femoral neck fracture in patients of age 60 years and older: Still a safe option? 标准骨水泥全髋关节置换术治疗60岁及以上患者股骨颈骨折的现代后路手术方法：仍然是一种安全的选择？

Journal of Joint Surgery and Research Pub Date : 2023-12-01 DOI: 10.1016/j.jjoisr.2023.08.002

Kevin Syam , P Nithin Unnikrishnan , Akmal Turaev , Jeremy Oakley , Henry Wynn Jones , Nikhil Shah

{"title":"Contemporary posterior surgical approach with standard cemented total hip arthroplasty for femoral neck fracture in patients of age 60 years and older: Still a safe option?","authors":"Kevin Syam , P Nithin Unnikrishnan , Akmal Turaev , Jeremy Oakley , Henry Wynn Jones , Nikhil Shah","doi":"10.1016/j.jjoisr.2023.08.002","DOIUrl":"10.1016/j.jjoisr.2023.08.002","url":null,"abstract":"<div><h3>Purpose</h3><p>The ideal operative treatment of displaced intracapsular femoral neck fractures in the active elderly is contentious. Recent literature favours a better outcome with the use of total hip arthroplasty (THA). Dislocation remains a major concern with THA, especially when a posterior approach is used. More recently, the concept of dual mobility cups is being promoted to avoid dislocations. The aim of the present study was to look at the outcomes of cemented THA utilising the posterior approach for these patients using a 28 mm (mm) femoral head.</p></div><div><h3>Methods</h3><p>This study retrospectively analysed the outcome of 108 primary cemented THA, performed by specialist hip surgeons, using a posterior approach with robust soft tissue repair in patients of age 60 years and older presenting with displaced intra capsular femoral neck fractures using a 28 mm head.</p></div><div><h3>Result</h3><p>At mean follow-up of 5.2 years (2.0–10.5 years), there were 2 dislocations (1.9%). One underwent manipulation under anaesthesia and the other had application of a posterior lip augmentation device. No other revisions were performed during the follow up period. The 30 day mortality was nil and no post-operative deep infections. Hundred patients (93%) at 1 year follow-up were independently mobilising.</p></div><div><h3>Conclusions</h3><p>With optimal patient selection, an excellent outcome can be achieved for patients with displaced femoral neck fractures using the standard cemented THA via the posterior approach with 28 mm head. A robust soft tissue repair and a specialist hip surgeon is recommended for this cohort of patients.</p></div>","PeriodicalId":100795,"journal":{"name":"Journal of Joint Surgery and Research","volume":"2 ","pages":"Pages 192-196"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949705123000270/pdfft?md5=39a27efc17a44aecadcb1461425d8f87&pid=1-s2.0-S2949705123000270-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50195378","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}

引用次数: 0

Effectiveness of single leg standing up exercise for recovery of knee muscle strength and lower extremity motion function following anterior cruciate ligament reconstruction 单腿站立运动对前交叉韧带重建后膝关节肌力和下肢运动功能恢复的效果

Journal of Joint Surgery and Research Pub Date : 2023-12-01 DOI: 10.1016/j.jjoisr.2023.07.006

Koichi Kamiike , Takahisa Mori , Shinichi Yoshiya , Kotaro Kawaguchi , Shigeo Fukunishi

{"title":"Effectiveness of single leg standing up exercise for recovery of knee muscle strength and lower extremity motion function following anterior cruciate ligament reconstruction","authors":"Koichi Kamiike , Takahisa Mori , Shinichi Yoshiya , Kotaro Kawaguchi , Shigeo Fukunishi","doi":"10.1016/j.jjoisr.2023.07.006","DOIUrl":"10.1016/j.jjoisr.2023.07.006","url":null,"abstract":"<div><h3>Purpose</h3><p>We investigated the effectiveness of single-leg standing exercise (SLSE) as a home-based self-exercise for the recovery of knee joint muscle strength and lower limb motor function after anterior cruciate ligament (ACL) reconstruction.</p></div><div><h3>Methods</h3><p>In addition to postoperative rehabilitation, 55 patients who underwent ACL repair were asked to begin SLSE as a home-based self-exercise 50 times per day using a platform elevated at 40 cm for 2 months, 30 cm at 3 months, 20 cm at 4 months, and 10 cm at 5 months (intervention group). Sixty-four patients who underwent ACL reconstruction and followed the existing rehabilitation protocol were included in the control group. Isokinetic knee extension and flexion at 60° angular velocity at 3, 8, and 10 months after surgery and lower limb motor function performance at 8 and 10 months after surgery were compared within and between the two groups.</p></div><div><h3>Results</h3><p>Knee extension and flexion muscle strength and lower-extremity motor function recovered over time in both groups. There were no significant differences in knee extension and flexion muscle strength between the two groups at 3 months after surgery. However, knee extension strength, flexion strength, and triple hop test (THT) results were significantly higher in the intervention group (<em>p</em> < 0.01) 8 months after surgery. In addition, knee flexion strength and THT were significantly higher in the intervention group (<em>p</em> < 0.01) 10 months after surgery.</p></div><div><h3>Conclusions</h3><p>The results of this study suggest that SLSE can be an effective exercise for recovering knee joint muscle strength and lower limb motor function.</p></div>","PeriodicalId":100795,"journal":{"name":"Journal of Joint Surgery and Research","volume":"2 ","pages":"Pages 179-185"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949705123000257/pdfft?md5=bb1fcd5352697d56ec09e8438f6094c8&pid=1-s2.0-S2949705123000257-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50195379","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}

引用次数: 0