Knee pain is a common reason for medical consultations. A thorough history and clinical examination often provide sufficient information to narrow down the diagnosis before advanced imaging is required. Incorporating classical orthopedic differential diagnoses is particularly useful in this process. Elderly individuals, especially women over 65, are disproportionately affected. Accurate identification of the condition, supported by targeted additional diagnostics, allows for stage-appropriate therapy, which should be categorized based on etiology and radiological findings.
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Study on the impact of Kinesiophobia after Total Knee Arthroplasty on the rehabilitation of patients during hospitalization: A pilot study.
PLoS One
January 2025
Department of Operating Room, Baoding First Central Hospital, Baoding, China.
The purpose of this study is to investigate the influence of kinesiophobia following Total Knee Arthroplasty (TKA) on the rehabilitation outcomes of patients during hospitalization, includes examining the trends in resting pain levels at various time points post-surgery, the trends in active flexion of the knee at various time points post-surgery, and the effects of kinesiophobia on the timing of first postoperative ambulation, the duration of postoperative hospital stay, and the results of the two-minute walk test on the day of discharge. Postoperative kinesiophobia in patients was identified using the Tampa Scale for Kinesiophobia (TSK), with 33 patients scoring >37 points and 35 patients scoring ≤37 points. Resting Pain levels were assessed using the Numerical Rating Scale (NRS) at various time points, including upon return to the ward (T1), the first (T2), second (T3), third (T4), fifth(T5) postoperative days, and the day of discharge (T6).
View Article and Find Full Text PDFTranexamic dosing for major joint arthroplasty in adult patients with chronic kidney disease: A pharmacokinetic study and new dosing regimen.
Anesthesiology
January 2025
Department of Anesthesiology, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
Background: Tranexamic acid is an anti-fibrinolytic agent routinely used during hip and knee joint replacement surgery to minimize bleeding. Chronic kidney disease is a common chronic health problem seen among adults requiring major arthroplasty surgery. Tranexamic acid is renally cleared and may accumulate in chronic kidney disease.
View Article and Find Full Text PDFHigh failure rate in meniscal repair when preceding anterior cruciate ligament reconstruction: An analysis of two-stage surgery for concomitant ACL injury and traumatic meniscus tear.
Knee Surg Sports Traumatol Arthrosc
January 2025
Capio Artro Clinic, FIFA Medical Centre of Excellence, Sophiahemmet Hospital, Stockholm, Sweden.
Purpose: To investigate the failure rate, predictive factors associated with failure and clinical outcomes after a two-stage surgery; meniscus repair followed by subsequent anterior cruciate ligament (ACL) reconstruction (ACLR).
Methods: Patients with a concomitant traumatic meniscus tear and ACL injury who underwent a two-stage surgery between January 2015 and January 2021 were identified. The primary outcome was meniscal repair failure, defined as a reoperation (re-repair or resection).
Objective: To describe the utility of a tricompartmental offloading knee brace as an adjunct intervention for managing persistent PFP conditions.
Clinical Features: Three cases of active adult females with persistent PFP following non-response to conventional and guideline aligned management strategies are presented.
Intervention And Outcomes: Patients were managed using a tricompartmental offloading knee brace alongside individualized exercise programs for up to 12 weeks.
Acute effects of tissue flossing on boxers with chronic knee pain.
Front Bioeng Biotechnol
January 2025
School of Athletic Performance, Shanghai University of Sport, Shanghai, China.
Objectives: To explore the acute intervention effects of tissue flossing on chronic knee pain (CKP) in boxers.
Methods: Eighteen boxers with CKP (12 male/6 female) were randomly divided into an experimental group (EG) with tissue flossing (n = 9) and a control group (CG) (n = 9). The visual analog scale (VAS), Lysholm knee function score, flexion range of motion (ROM), maximal isometric extensor muscle strength, and stability of the knee were measured pre- and post-intervention (EG: 3-minute tissue flossing, CG: rest).
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