Publications by authors named "Riku A Palanne"

Article Synopsis
  • Manipulation under anesthesia (MUA) is used to treat stiffness after total knee arthroplasty (TKA) when other treatments have failed, but factors affecting its outcomes are not well-studied.
  • A study involving 391 TKA patients identified 39 who required MUA; these patients were younger and consumed more opioids post-surgery compared to those who didn't need MUA.
  • After 1 year, while MUA led to significant improvements in range of motion, the total range was still less favorable compared to non-MUA patients; however, patient-reported outcome measures showed no significant difference between the two groups.
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Background: Persistent postsurgical pain after total knee arthroplasty is a common problem and a major reason for patient dissatisfaction. This secondary analysis aimed to investigate the effects of anesthesia (spinal vs. general) and tourniquet use on persistent pain after total knee arthroplasty.

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Purpose: Dexamethasone has been shown to prevent post-operative nausea and vomiting (PONV) and seems to reduce post-operative pain. Both factors, which can extend the hospital stay, delay rehabilitation, and impact patient satisfaction. Because of the immunosuppressive and glucose-rising effects of dexamethasone, there has been concern of its safety in arthroplasty surgery.

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