July 21, 2022 JAMA Network Open TAKE-HOME MESSAGE This 5-year follow-up of the ESCAPE trial examined the long-term (3–5 years) effects of arthroscopic partial meniscectomy versus exercise-based physical therapy (PT) in patients with degenerative meniscal tears. The authors assessed patient-reported knee function and the progression of knee osteoarthritis using radiographs for more than 5 years […]
A Systematic Review With Meta-Analysis of Data From More Than 17,000 Patients Journal of Orthopaedic & Sports Physical Therapy Published Online:April 19, 2021Volume0Issue0Pages1-54 https://www.jospt.org/doi/10.2519/jospt.2021.9515 Abstract Objective To compare physical function, pain, impairments (stiffness, range of motion, and strength), and health-related quality of life (HRQOL) outcomes between patients with and without diabetes mellitus, before and after […]
— MRI confirms better outcomes than with allograft alone in randomized study by Ed Susman, Contributing Writer, MedPage Today December 4, 2020 Patients undergoing anterior cruciate ligament (ACL) reconstruction with allografts appeared to heal more quickly when injections of bone marrow aspirate were included, according to a randomized trial. Magnetic resonance imaging (MRI) scans at […]
Simon G F Abram British Journal of Sports Medicine 2020;54:652-663. Abstract Objective To assess the benefit of arthroscopic partial meniscectomy (APM) in adults with a meniscal tear and knee pain in three defined populations (taking account of the comparison intervention): (A) all patients (any type of meniscal tear with or without radiographic osteoarthritis); (B) patients with […]
Layci J. Harrison, PhD, LAT, ATC; Lindsey K. Lepley, PhD, ATC; Dana K. Fuller, PhD; Jennifer L. Caputo, PhD, CSCS, MX Athletic Training and Sports Health Care. https://doi.org/10.3928/19425864-20181107-01 Abstract PURPOSE:To evaluate cross-over effect balance training after knee surgery. METHODS:Individuals with a history of knee surgery (N = 10) were randomized to balance training or control […]
Surgeons say it’s feasible in even severely obese patients, but beware of complications by Randy Dotinga, Contributing Writer, MedPage Today March 19, 2019 LAS VEGAS — Simultaneous bilateral total knee arthroplasty (SBTKA) is a feasible option for many patients, including those who are severely obese, according to authors of a pair of new studies that […]
Nicola M. Parry, DVM February 15, 2019 The majority of knee and hip replacements can be expected to last 25 years, according to two new studies. Jonathan T. Evans, MRCS, Bristol Medical School, Southmead Hospital, United Kingdom, and colleagues conducted both studies. Their findings were published online February 14 in the Lancet. Overall, approximately 82% of primary total […]
Layci J. Harrison, PhD, LAT, ATC Athletic Training and Sports Health Care. https://doi.org/10.3928/19425864-20181107-01 Posted February 1, 2019 Abstract PURPOSE: To evaluate cross-over effect balance training after knee surgery. METHODS: Individuals with a history of knee surgery (N = 10) were randomized to balance training or control groups. The non-surgical leg was trained three times a […]
Janis C. Kelly January 31, 2019 Two characteristics that can be assessed before knee arthroplasty (KA) — pain catastrophizing and a larger number of painful body regions — are significant predictors of poor pain and function outcomes and might be useful for identifying patients for intervention prior to surgery, a study has found. Low income […]
By Elaine Goodman Knee replacement is an increasingly common surgery for treatment of osteoarthritis, but recent research is raising questions about the procedure’s effectiveness in relieving pain and improving function. “Most patients have a very good clinical outcome after knee replacement, but multiple studies have reported that 20% or more of patients do not,” Professor […]
written by Dr. Carl Freeman The Lower the “D” the Higher the Risks (Vitamin D and Knee Replacement) Knee patients who are vitamin D deficient ninety days before having a total knee replacement have a 69% higher rate of manipulations under anesthesia (MUA), a 76% higher rate of infection, and a three-fold higher risk of prosthesis […]
Medically reviewed by William Morrison, MD on October 23, 2017 — Written by Samuel Greengard Knee replacements have emerged as a mainstream surgery. According to the Agency of Research and Quality (AHRQ), over 600,000 procedures were performed in 2009. That number is expected to grow into the millions by the year 2030. According to the […]
October 2, 2018 The ESCAPE Randomized Clinical Trial Victor A. van de Graaf, MD Key Points Question Is physical therapy noninferior to early surgery with arthroscopic partial meniscectomy for improving knee function among patients with nonobstructive meniscal tears? Findings In this noninferiority randomized clinical trial that included 321 patients, knee function that was measured by a self-administered […]
Vishal Hegde, MD; Armin Arshi, MD; Christopher Wang, BS; Zorica Buser, PhD; Jeffrey C. Wang, MD; Andrew R. Jensen, MD; John S. Adams, MD; Erik N. Zeegen, MD; Nicholas M. Bernthal, MD Orthopedics. https://doi.org/10.3928/01477447-20180424-04 Posted April 30, 2018 Abstract The purpose of this study was to determine the relative incidence of postoperative complications in 25-hydroxyvitamin […]
by Nicole Lou, Reporter, MedPage Today/CRTonline.org March 18, 2018 LOS ANGELES — Geniculate artery embolization was found to dampen knee pain arising from osteoarthritis, according to interim study results presented here. One month after the catheter-based procedure, patients reported having less intense knee pain on a visual analog scale (VAS; baseline 75 mm, average decrease of 53 […]
~ A study finds that 23 percent of those 60-plus show cognitive deterioration after surgery by Kent Allen, AARP, February 21, 2018 A study has found that almost 1 in 4 of knee replacement patients who are 60 or older show a decline in activity in at least one brain region 48 hours after surgery. […]
Written by Samuel Greengard Medically Reviewed by William Morrison, MD on October 23, 2017 Knee replacements have emerged as a mainstream surgery. According to the Agency of Research and Quality (AHRQ), over 600,000 procedures were performed in 2009. That number is expected to grow into the millions by the year 2030. According to the American Academy of […]
Melvin G. Joice, BSE; Subhrojyoti Bhowmick, MD; Derek F. Amanatullah, MD, PhD Orthopedics September/October 2017 – Volume 40 · Issue 5: e765-e773 Posted October 10, 2017 DOI: 10.3928/01477447-20170518-03 Abstract Total knee arthroplasty has a high success rate. In the interest of enhancing patient outcomes, numerous perioperative interventions have been studied, including preoperative education, preoperative rehabilitation, […]
Authors: Daniel G. Cobian, DPT, PhD, CSCS Study Design Descriptive, prospective single-cohort longitudinal study. Background Rapid torque development is essential in activities of daily living and sports, but isn’t specifically tested by most physical therapists or incorporated into rehabilitation programs until late in the treatment process. Little evidence is available on quadriceps rate of torque […]
Sihvonen R, et al. Ann Rheum Dis. 2017;doi:10.1136/annrheumdis-2017-211172. June 7, 2017 Recently published results showed patients with a degenerative meniscal tear who underwent arthroscopic partial meniscectomy had no significant benefit over placebo surgery. “As the evidence started to mount that arthroscopic partial meniscectomy (APM), the most common orthopedic procedure, offers little more than just placebo […]