Hypersensitive Reaction of Oxidized Regenerated Cellulose Powder in Total Knee Arthroplasty.

The powdered form of oxidized regenerated cellulose (ORC powder) is a widely used biodegradable hemostatic material in the field of surgery. There are several reports of its effectiveness and safety; however, excessive foreign body reactions remain a concern for surgeons in total knee arthroplasty (TKA). A 70-year-old woman who underwent unilateral TKA using ORC powder to control perioperative blood loss exhibited a skin rash around her operated knee at six days postoperatively.

Modern cementless posterior stabilized mobile-bearing total knee arthroplasty shows comparable clinical and radiographical results to its cemented predecessor at 1-year follow-up.

Purpose: The purpose of this study was to evaluate perioperative and short-term clinical and radiographical results of a modern PS mobile-bearing cementless TKA system.

Methods: A retrospective review of a consecutive series of TKAs was performed by a single surgeon using a cementless or cemented TKA of the same design (Attune, DePuy Synthes, Massachusetts, USA). The 2011 Knee Society Score, Forgotten Joint Score-12, Hip-Knee-Ankle angle, and the presence of radiolucent lines (RLLs) were reviewed 1-year postoperatively with 1:1 matching performed for age, gender, body mass index, and preoperative UCLA score.

Does mobile-bearing knee arthroplasty motion change with activity?

Background: The purpose of this study was to evaluate the effect of mobile-bearing implant design and activity on knee arthroplasty kinematics during three activities of daily living.

Methods: In vivo kinematics were analyzed using 3D model registration from fluoroscopic images of non-weightbearing knee flexion-extension, weight-bearing squatting and stair activities in 20 knees in 10 patients with bilateral total knee arthroplasty. Each patient had one rotating-platform and one meniscal-bearing variant of the same prosthesis design.

Efficacy of acupuncture during post-acute phase of rehabilitation after total knee arthroplasty.

Objective: The purpose of this study was to determine whether acupuncture is effective in reducing pain and swelling around the knee and improving range of motion (ROM) during the post-acute phase of rehabilitation after total knee arthroplasty (TKA).

Methods: Following TKA, 80 knees in 80 patients were randomly assigned to either an acupuncture treatment group (Group A) or a control group (Group C). In Group A, the complementary treatment of acupuncture was performed three times/week from postoperative day 7 until postoperative day 21.

Neglected spontaneous rupture of the Achilles tendon in elderly patients with rheumatoid arthritis.

Spontaneous Achilles tendon rupture associated with rheumatoid arthritis (RA) is a very rare complication. In this report, we have experienced neglected spontaneous rupture of the Achilles tendon in 5 elderly RA patients, and report its clinical features and management. These patients had taken corticosteroids for a long time for RA control.