Publications by authors named "R Perez-Andres"
Effect of Patient Resilience on Functional Outcomes After Meniscectomy.
Orthop J Sports Med
November 2024
Article Synopsis
- - The study investigated how preoperative patient resilience impacts outcomes two years after arthroscopic meniscectomy, particularly focusing on psychological factors affecting recovery.
- - 100 patients who underwent the surgery were analyzed, revealing that those with higher resilience had better initial knee function scores, but resilience levels changed post-surgery, with some patients' resilience improving and others' declining.
- - Ultimately, the findings suggested that although higher resilience correlates with better preoperative outcomes, it did not consistently predict differences in long-term patient-reported outcomes after surgery.
Purpose: The purpose of this study was to determine if patients who have undergone prior open or arthroscopic shoulder surgery and develop distal mononeuropathy (DMN) achieve the same clinical benefit after nerve release compared with those who did not have a prior shoulder procedure.
Methods: Patients were identified by Current Procedural Terminology code for shoulder arthroplasty, shoulder stabilization, and rotator cuff repair and if they had an ensuing nerve release (cubital or carpal tunnel) within 2 years of shoulder surgery. Another cohort that underwent nerve release surgery for DMN with no prior history of shoulder surgery was identified and subsequently matched to the first cohort by a 3:1 (control:case) ratio.
Article Synopsis
- The study aimed to investigate the symptoms and clinical exam findings in patients who underwent meniscal root repairs, which can help physicians accurately diagnose this specific injury.
- Researchers reviewed clinical notes from 221 patients (aged 40 and above) who had isolated arthroscopic meniscal root repairs, focusing on initial symptoms, physical examination results, and radiographic grading for osteoarthritis and root tears.
- Key findings included that most patients experienced pain after an acute injury, with common signs like knee effusion, positive McMurray tests, and positive hyperflexion tests observed in those with meniscal root tears.
Purpose: To compare osteochondral defect size measurements and characteristics across magnetic resonance imaging (MRI) and arthroscopy and at the time of osteochondral allograft (OCA) transplantation or autologous chondrocyte implantation (ACI).
Methods: Patients who underwent ACI and OCA transplantation at a single institution between 2015 and 2019 were retrospectively identified. Patients were excluded if they had severe osteoarthritis, MRI scans were not available for review, surgical records did not include defect sizing necessary for analysis, or operative reports were not available.
Purpose: To compare the outcomes of patients undergoing partial meniscectomy preoperatively identified with the "meniscal comma sign" with those undergoing meniscectomy with other tear patterns.
Methods: Patients with meniscal "comma sign," as indicated by a query of magnetic resonance imaging reports, were screened using the search terms "meniscotibial recess," "meniscus perched over the medial tibial margin," or other search terms by radiologists between January 2008 and November 2019. Patients were matched and chart review was done for demographics, revision surgery, and progression to total knee arthroplasty.