Journal articles: 'Total knee replacement. Physical therapy'

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Fairgrieve, Kath. "Total Knee Replacement." Physiotherapy 76, no. 6 (June 1990): 363. http://dx.doi.org/10.1016/s0031-9406(10)62289-4.

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Kersten, Roel F. M. R., Martin Stevens, Jos J. A. M. van Raay, Sjoerd K. Bulstra, and Inge van den Akker-Scheek. "Habitual Physical Activity After Total Knee Replacement." Physical Therapy 92, no. 9 (September 1, 2012): 1109–16. http://dx.doi.org/10.2522/ptj.20110273.

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Background Previous studies on physical activity after total knee arthroplasty (TKA) concentrated mainly on a return to sports activities. Objective The objectives of this study were to determine the habitual physical activity behavior of people who had undergone TKA (TKA group) 1 to 5 years after surgery and to examine to what extent they adhered to international guidelines for health-enhancing physical activity. Additional aims were to compare younger (<65 years old) and older (≥65 years old) people as well as men and women in the TKA group and to compare the results for the TKA group with those for a sex- and age-matched normative population (normative group). Design This investigation was a cohort study. Methods All people who had a primary TKA at 1 of 2 participating hospitals between 2002 and 2006 were sent the Short Questionnaire to Assess Health-Enhancing Physical Activity at least 1 year after surgery. Results The TKA group spent, on average, 1,347 minutes per week on physical activity, most of which was light-intensity activity (780 minutes per week). Participants younger than 65 years of age spent significantly more time on physical activity than participants 65 years of age or older. There was no significant difference between male and female participants. Compared with the sex- and age-matched normative group, the TKA group spent significantly less time on the total amount of physical activity per week and met the guidelines for health-enhancing physical activity less often (55% versus 64%). Limitations A self-administered questionnaire was used to assess habitual physical activity, and presurgery data on physical activity were not available. Conclusions Almost half of the TKA group did not meet the health-enhancing physical activity guidelines, and the TKA group was not as physically active as the normative group. People who have undergone TKA should be encouraged to be more physically active.

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E. Endang Sri Mariani. "Aquatic Therapy Following Total Knee Replacement." Indonesian Journal of Physical Medicine & Rehabilitation 9, no. 1 (December 30, 2020): 54–68. http://dx.doi.org/10.36803/ijpmr.v9i1.256.

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ABSTRACTTotal knee replacement (TKR) has revolutionized the care of pati ents with end-stage knee joint disease. Rehabilitation of TKR commonly consists of land-based exercises as a primary mode, but it may notalways be an optimal approach. Water provides a unique environment. The level of exertion is a function of water properties and the physical laws of motion. Aquatic therapy allows fine gradations of exercise, increase control over thepercentage of weight bearing, increase ROM and strength, decrease pain and swelling, and increase confidence in functional movements.Although there is inconsistency in research results, of all studies aquatic therapy is not said to be worst than land-based therapy. Moreover, it has a positive influence on social behavior and mood. This may bemore advantageous in the early postoperative phase when patient s are limited by pain. As a tool, aquatic therapy has desirable and undesirable effects. So, it is important to screen the patientsbefore undergoing aquatic therapy and to assess patient’s condition during and after it. However, so far there has been no agreement in post TKR aquatic protocols. The obstacle also may occur on the cost forfacility maintenance and hygiene, as well as the availability o f competent human resources.Keywords: aquatic therapy, total knee replacement

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Foster, Robert R., and Shehra Khalifa. "Total Knee Replacement Rehabilitation." Sports Medicine and Arthroscopy Review 4, no. 1 (1996): 83–91. http://dx.doi.org/10.1097/00132585-199600410-00011.

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Warne, Kevin J. "Case Report—Physical Therapy After Total Knee Replacement Surgery." Home Health Care Management & Practice 27, no. 2 (December 8, 2014): 54–63. http://dx.doi.org/10.1177/1084822314561324.

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Lo, Chi-Kin, Hok-Yin Li, Yiu-Chung Wong, and Yuk-Leung Wai. "Total Knee Replacement with iASSIST Navigation System." Journal of Orthopaedics, Trauma and Rehabilitation 24, no. 1 (June 2018): 29–33. http://dx.doi.org/10.1016/j.jotr.2016.11.003.

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Background/Purpose The iASSIST system is a novel navigation system for total knee replacement. It is based on accelerometers built within electronic pods attached to the instruments within the operative field. The objective of this study was to compare the accuracy of iASSIST navigation with that of the conventional alignment technique. Methods A total of 91 patients (92 knees) retrospectively matched for age, gender, preoperative range of motion, and lower limb deformity underwent total knee replacement using iASSIST navigation (45 patients, 46 knees) or conventional instrumentation (46 patients, 46 knees). Operative time and radiological alignments were compared. Results The use of iASSIST navigation resulted in fewer outliners (as defined by >3° deviation from the neutral mechanical axis) in lower limb alignment. Operative time with iASSIST navigation was not longer than that using conventional instruments. Conclusion iASSIST navigation reduces the incidence of lower limb malalignment without adding extra time to the procedure.

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Raynauld, Jean-Pierre, Johanne Martel-Pelletier, Marc Dorais, Boulos Haraoui, Denis Choquette, François Abram, André Beaulieu, et al. "Total Knee Replacement as a Knee Osteoarthritis Outcome." CARTILAGE 4, no. 3 (April 10, 2013): 219–26. http://dx.doi.org/10.1177/1947603513483547.

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Pui-kan, Chan Calvin, Lee Quun-jid, Wong Yiu-chung, and Wai Yuk-leung. "Bilateral Sequential Total Knee Replacement versus Unilateral Total Knee Replacement in a High Volume Hospital." Journal of Orthopaedics, Trauma and Rehabilitation 24, no. 1 (June 2018): 9–11. http://dx.doi.org/10.1016/j.jotr.2016.12.001.

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Background/Purpose Bilateral simultaneous or sequential total knee replacement (TKR) is performed on a portion of patients but the benefits and risks remain controversial. Methods A total of 89 sequential bilateral TKR (BTKR) patients were compared with 89 unilateral TKR (UTKR) patients in our total joint replacement centre from October 2011 to October 2014. The baseline parameters were matched and postoperative results were compared. Results The BTKR group had a shorter length of stay per knee (4.8 days vs. 6.5 days) but with a higher total drain output, higher haemoglobin drop, higher transfusion rate, and more postoperative acute retention of urine. Both groups had similar major complication rates and no 90 days mortality. Conclusion BTKR is a safe surgery in selected patients performed in a high volume hospital with fast-track programme.

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Bradbury, Neil, David Borton, Geoff Spoo, and Mervyn J. Cross. "Participation in Sports After Total Knee Replacement." American Journal of Sports Medicine 26, no. 4 (July 1998): 530–35. http://dx.doi.org/10.1177/03635465980260041001.

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Return to regular sports activity was evaluated in a retrospective review of 160 patients who had undergone total knee replacement surgery by a single surgeon (208 knee replacements). Mean age of the patients was 68 years (range, 27 to 87) at surgery and 73 years (range, 33 to 91) at review at a mean follow-up of 5 years (range, 3 to 7). Seventy-nine patients regularly participated in sports, at least once per week, before surgery, and 51 patients regularly participated in sports after surgery. Only eight patients took up sports after surgery who were not regularly involved in sports in the year before surgery. Patients were more likely to return to low-impact activities such as bowls (29 of 32, or 91%) than to high-impact activities such as tennis (6 of 30, or 20% returned). Forty-three of 56 patients (77%) who had participated in regular exercise in the year before surgery returned to sports. Eighty patients did not participate in sports before surgery and 54 of these had coexisting disease that prevented sports. None of these patients returned to sports.

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Hodges, Alison, Alison R. Harmer, Sarah Dennis, Lillias Nairn, Lyn March, Ross Crawford, David Parker, and Marlene Fransen. "Prevalence and determinants of physical activity and sedentary behaviour before and up to 12 months after total knee replacement: a longitudinal cohort study." Clinical Rehabilitation 32, no. 9 (April 25, 2018): 1271–83. http://dx.doi.org/10.1177/0269215518769986.

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Objective: This study aims to evaluate the prevalence and determinants of inadequate physical activity and excessive sedentary behaviour before and after total knee replacement. Design, setting and subjects: Secondary analysis was performed on data from a cohort of 422 adults (45–74 years), drawn from 12 public or private hospitals, undergoing primary unilateral or bilateral total knee replacement surgery. Main measures: Questionnaires were used to determine the presence of inadequate physical activity and excessive sedentary behaviour before and 6 and 12 months after total knee replacement surgery. Knee pain, activity limitations, comorbidities, muscle strength, psychological well-being, fatigue, sleep and body mass index were measured/assessed as possible determinants of physical activity or sedentary behaviour. Results: Before surgery, 77% ( n = 326) of the cohort participated in inadequate physical activity according to World Health Organization guidelines, and 60% ( n = 253) engaged in excessive sedentary behaviour. Twelve months after surgery, 53% ( n = 185) of the cohort engaged in inadequate physical activity and 45% ( n = 157) in excessive sedentary behaviour. Inadequate physical activity before surgery ( P = 0.02), obesity ( P = 0.07) and comorbidity score >6 ( P = 0.04) predicted inadequate physical activity 12 months after surgery. Excessive sedentary behaviour and activity limitations before surgery predicted excessive sedentary behaviour 12 months after surgery. Conclusion: Although there were improvements after total knee replacement, 12 months after surgery about half the cohort did not meet World Health Organization recommendations for activity. Pre-surgery assessment of physical activity, activity limitations, sedentary behaviour and body mass index is essential to identify patients at risk for long-term inactivity.

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Brown, Lee E., Michael Whitehurst, and David N. Buchalter. "Bilateral Isokinetic Knee Rehabilitation Following Bilateral Total Knee Replacement Surgery." Journal of Sport Rehabilitation 2, no. 4 (November 1993): 274–80. http://dx.doi.org/10.1123/jsr.2.4.274.

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A 67-year-old male underwent bilateral total knee replacement surgery and was subsequently placed on a bilateral isokinetic knee rehabilitation program. Isokinetic knee testing was performed on unilateral dominant (UD; right) and nondominant (UND; left) limbs as well as bilateral limbs (BLs) before and after a three-times-per-week, 8-week protocol during which the patient followed a bilateral isokinetic velocity spectrum (60 to 300°/s) rehabilitation program. The protocol was made possible by the introduction of a new bilateral isokinetic knee attachment developed by the authors. The BL extension and flexion peak torque increased 41% and 51% at 60°/s, respectively. The UD and UND extension peak torque increased 22% and 37%, respectively, while flexion peak torque increased 68% and 52%, respectively. The bilateral deficit decreased with increasing velocity for both extension and flexion. These results demonstrate that a bilateral isokinetic approach to rehabilitation may be a legitimate technique to increase knee extension and flexion peak torque both unilaterally and bilaterally following bilateral total knee replacement surgery.

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Jenkins, Cathy, William Jackson, Nicholas Bottomley, Andrew Price, David Murray, and Karen Barker. "Delayed knee flexion is a safe and effective pathway for Total Knee Replacement." Physiotherapy 108 (September 2020): 45. http://dx.doi.org/10.1016/j.physio.2020.05.002.

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Davies, Madeleine A. M., Zachary Y. Kerr, J. D. DeFreese, Nigel K. Arden, Stephen W. Marshall, Kevin M. Guskiewicz, Darin A. Padua, and Brian Pietrosimone. "Prevalence of and Risk Factors for Total Hip and Knee Replacement in Retired National Football League Athletes." American Journal of Sports Medicine 47, no. 12 (September 9, 2019): 2863–70. http://dx.doi.org/10.1177/0363546519870804.

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Background: Osteoarthritis is a substantial cause of disability. Joint replacement prevalence relates to the burden of severe osteoarthritis, and identifying risk factors for end-stage disease may indicate intervention opportunities. American football has high youth and elite participation, and determining risk factors for severe osteoarthritis may support future morbidity prevention. Purpose: To (1) determine the prevalence of hip and knee replacement in retired National Football League (NFL) athletes, (2) examine risk factors for replacement, and (3) identify the association between knee injuries and knee replacement. Study Design: Case-control study; Level of evidence, 3. Methods: Retired NFL athletes who participated in a general health survey were included. This historical cohort included those playing between 1929 and 2001. The association between self-reported playing or injury history, and replacement after retirement, was assessed with prevalence ratios (PRs). Models were adjusted for potential confounders of age and weight. Results: Data for 2432 retired male NFL players (69.3% response rate) who had participated in football for a mean 15.2 years were included, in which 277 players reported replacement after retirement (11.4%). More participants reported knee replacement (7.7%) than hip replacement (4.6%). The majority of participants reported previous severe knee injury (53%), and the most prevalent was meniscal tear (32.2%). In multivariable models, age (10-year increase, PR, 2.23; 95% CI, 1.99-2.51), current weight (PR, 1.10; 95% CI, 1.06-1.14), and reporting 1 (PR, 1.78; 95% CI, 1.14-2.77), 2 (PR, 1.91; 95% CI, 1.16-3.15), or ≥3 knee injuries (PR, 3.44; 95% CI, 2.33-5.09) were associated with knee replacement. Age (10-year increase, PR, 1.86; 95% CI, 1.59-2.18), linemen (PR, 1.62; 95% CI, 1.03-2.55), and reporting 1 (PR, 1.72; 95% CI, 1.05-2.80), 2 (PR, 2.77 95% CI, 1.58-4.84), or ≥3 (PR, 2.44; 95% CI, 1.52-3.91) hip injuries were associated with hip replacement. Each reported knee injury type was cross-sectionally associated with replacement after retirement ( P < .05). Conclusion: Knee replacement was more prevalent than hip replacement. Risk factors differed between the hip and the knee, with age and severe joint injury associated with hip and knee replacement, weight with knee replacement, and playing position associated with hip replacement. Joint injury and weight management may be prevention opportunities to reduce morbidity and end-stage osteoarthritis in this population.

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Buchalter, D. N., L. E. Brown, and H. Whitehurot. "217 BILATERAL ISOKINETIC KNEE REHABILITATION FOLLOWING BILATERAL TOTAL KNEE REPLACEMENT SURGERY." Medicine & Science in Sports & Exercise 25, Supplement (May 1993): S39. http://dx.doi.org/10.1249/00005768-199305001-00219.

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Milner, Clare E., and Sarah N. Kuhnert. "Are Altered Knee Mechanics Compensated Proximally After Unilateral Total Knee Replacement?" Medicine & Science in Sports & Exercise 40, Supplement (May 2008): S167. http://dx.doi.org/10.1249/01.mss.0000322191.05486.54.

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Christiansen, Meredith B., Louise M. Thoma, Hiral Master, Laura A. Schmitt, Ryan Pohlig, and Daniel K. White. "A Physical Therapist–Administered Physical Activity Intervention After Total Knee Replacement: Protocol for a Randomized Controlled Trial." Physical Therapy 98, no. 7 (March 28, 2018): 578–84. http://dx.doi.org/10.1093/ptj/pzy037.

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AbstractBackgroundThe definitive treatment for knee osteoarthritis is a total knee replacement, which results in a clinically meaningful improvement in pain and physical function. However, evidence suggests that physical activity (PA) remains unchanged after total knee replacement (TKR).ObjectiveThe objective of this study is to investigate the efficacy, fidelity, and safety of a physical therapist–administered PA intervention for people after TKR.DesignThis study will be a randomized controlled trial.SettingThe setting is an outpatient physical therapy clinic.ParticipantsThe participants are 125 individuals who are over the age of 45 and are seeking outpatient physical therapy following a unilateral TKR.InterventionIn addition to standardized physical therapy after TKR, the intervention group will receive, during physical therapy, a weekly PA intervention that includes a wearable activity tracking device, individualized step goals, and face-to-face feedback provided by a physical therapist.ControlThe control group will receive standardized physical therapy alone after TKR.MeasurementsThe efficacy of the intervention will be measured as minutes per week spent in moderate to vigorous PA at enrollment, at discharge, and at 6 months and 12 months after discharge from physical therapy. The fidelity and safety of the intervention will be assessed throughout the study.LimitationsParticipants will not be masked, PA data will be collected after randomization, and the trial will be conducted at a single site.ConclusionsThe goal of this randomized controlled trial is to increase PA after TKR. A protocol for investigating the efficacy, fidelity, and safety of a physical therapist–administered PA intervention for people after TKR is presented. The findings will be used to support a large multisite clinical trial to test the effectiveness, implementation, and cost of this intervention.

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Whidden, Melissa A., and W. Craig Stevens. "Aerobic Capacity after Bilateral Total Knee Replacement Surgery." Medicine & Science in Sports & Exercise 48 (May 2016): 511. http://dx.doi.org/10.1249/01.mss.0000486537.96140.45.

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Mandeville, D. S., L. R. Osternig, and L. Chou. "LOWER EXTREMITY FUNCTIONAL ADAPTATIONS TO TOTAL KNEE REPLACEMENT." Medicine & Science in Sports & Exercise 35, Supplement 1 (May 2003): S383. http://dx.doi.org/10.1097/00005768-200305001-02137.

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Barry, Simon, Louise Wallace, and Sarah Lamb. "Cryotherapy after total knee replacement: a survey of current practice." Physiotherapy Research International 8, no. 3 (August 2003): 111–20. http://dx.doi.org/10.1002/pri.279.

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Naylor, Justine, Alison Harmer, Marlene Fransen, Jack Crosbie, and Lesley Innes. "Status of physiotherapy rehabilitation after total knee replacement in Australia." Physiotherapy Research International 11, no. 1 (2006): 35–47. http://dx.doi.org/10.1002/pri.40.

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Karson, Tarn, Lee Qun-Jid, and Wong Yiu-Chung. "Unicompartmental knee replacement - An Underrated Alternative of Total Knee Replacement: A Matched Comparative Study Analysing Their Benefits and Risks in Local Population." Journal of Orthopaedics, Trauma and Rehabilitation 25, no. 1 (June 1, 2018): 58–61. http://dx.doi.org/10.1016/j.jotr.2017.07.001.

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Introduction The demand of knee arthroplasty is increasing worldwide with aging population. Even though unicompartmental knee replacement is associated with fewer complications namely stroke, myocardial infarction, thrombo-embolism, blood transfusion and mortality, it merely comprises 3–8% of knee arthroplasties. The aim of the study is to establish the role of unicompartmental knee replacement by evaluating the benefits and risks of unicompartmental knee replacement versus total knee replacement in Hong Kong population. Methods All unicompartmental knee replacement performed in our institute from 2011 to 2014 were reviewed. Comparative analyses were performed on pre-operative, operative and post-operative parameters. Primary total knee replacement performed in the same period was chosen as control group with 1:1 matching for age, sex, BMI and pre-operative range of motion. Results There were 46 unicompartmental knee replacement. It comprises 3.3% of all knee arthroplasties in our institute. The mean follow-up time was 12.8 months (4–38 months). There was no significant difference in all pre-operative parameters except WOMAC score. All operative parameters favored unicompartmental knee replacement significantly (operation time 76 vs 91 minutes; wound size 7.5 vs 12.4 cm; haemoglobin drop 0.75 vs 2.46g/dl, p < 0.05). Early post-operative parameters also favored unicompartmental knee replacement (Deep vein thrombosis rate 4.3 vs 23.9%; length of stay 5.4 vs 7.0 days, p < 0.05). There was no infection or mortality in both groups. Conclusion Because of less operative risk and faster rehabilitation, this study suggested that unicompartmental knee replacement is more cost effective and might be a better choice for patients with unicompartmental arthritis in local population.

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Worland, Richard L., Jorge Arredondo, Francesc Angles, Francisco Lopez-Jimenez, and Douglas E. Jessup. "Home continuous passive motion machine versus professional physical therapy following total knee replacement." Journal of Arthroplasty 13, no. 7 (October 1998): 784–87. http://dx.doi.org/10.1016/s0883-5403(98)90031-6.

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Worland, Richard L., Jorge Arredondo, Douglas E. Jessup, and Francesc Angles. "Home continuous passive motion machine versus professional physical therapy following total knee replacement." Journal of Arthroplasty 13, no. 2 (February 1998): 230. http://dx.doi.org/10.1016/s0883-5403(98)90129-2.

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Pasquina, Paul F., and Erik Dahl. "Total knee replacement in an amputee patient: A case report." Archives of Physical Medicine and Rehabilitation 81, no. 6 (June 2000): 824–26. http://dx.doi.org/10.1016/s0003-9993(00)90118-7.

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Rossi, Mark D., Lee E. Brown, Michael Whitehurst, Crystal Charni, Jodi Hankins, and Carol Lynne Taylor. "Comparison of knee extensor strength between limbs in individuals with bilateral total knee replacement." Archives of Physical Medicine and Rehabilitation 83, no. 4 (April 2002): 523–26. http://dx.doi.org/10.1053/apmr.2002.30935.

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Kramer, John, Zoe Agnidis, Robert Bourne, and Cecil Rorabeck. "Reliability of Knee Extensor and Flexor Strength Measurements After Total Knee Replacement." Isokinetics and Exercise Science 2, no. 2 (April 1, 1992): 76–81. http://dx.doi.org/10.3233/ies-1992-2207.

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Mitchell, Jean M., James D. Reschovsky, and Elizabeth Anne Reicherter. "Use of Physical Therapy Following Total Knee Replacement Surgery: Implications of Orthopedic Surgeons’ Ownership of Physical Therapy Services." Health Services Research 51, no. 5 (February 23, 2016): 1838–57. http://dx.doi.org/10.1111/1475-6773.12465.

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Milner, Clare E. "Interlimb Asymmetry During Walking Following Unilateral Total Knee Replacement." Medicine & Science in Sports & Exercise 39, Supplement (May 2007): S150. http://dx.doi.org/10.1249/01.mss.0000273540.60110.8e.

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Bloomfield, Michael R., and William J. Hozack. "Total Hip and Knee Replacement in the Mature Athlete." Sports Health: A Multidisciplinary Approach 6, no. 1 (November 20, 2013): 78–80. http://dx.doi.org/10.1177/1941738113512760.

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KUSTER, MARKUS S., ESTHER SPALINGER, BRIAN A. BLANKSBY, and ANDR?? G??CHTER. "Endurance sports after total knee replacement: a biomechanical investigation." Medicine & Science in Sports & Exercise 32, no. 4 (April 2000): 721–24. http://dx.doi.org/10.1097/00005768-200004000-00001.

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Mehta, Saurabh, Andrew Rigney, Kyle Webb, Jacob Wesney, Paul W. Stratford, Franklin D. Shuler, and Ali Oliashirazi. "Characterizing the recovery trajectories of knee range of motion for one year after total knee replacement." Physiotherapy Theory and Practice 36, no. 1 (June 13, 2018): 176–85. http://dx.doi.org/10.1080/09593985.2018.1482980.

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Li, Michelle Kar Lam, Lawrence Chun Man Lau, Yuk Wah Hung, Ka Bon Kwok, Alexander Pak Hin Chan, and Jason Chi Ho Fan. "Enhanced patella tracking in rotating platform total knee replacements, friend or foe? A case of iliotibial band impingement by rotating polyethylene insert." Journal of Orthopaedics, Trauma and Rehabilitation 26, no. 2 (July 12, 2019): 99–104. http://dx.doi.org/10.1177/2210491719859594.

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Rotating platform total knee replacement implants have been marketed to allow more precise approximation of normal knee kinematics and enhance patella tracking. At liberty of rotation, the distinct mobile polyethylene insert design does have its pitfalls in spite of purported merits. We report a case of lateral knee pain following rotating platform total knee replacement, attributable to iliotibial band impingement by the rotating polyethylene insert. Prompt treatment via arthroscopic release circumvented a traumatic and costly revision procedure.

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Morris, Jennifer. "The Value of Continuous Passive Motion in Rehabilitation Following Total Knee Replacement." Physiotherapy 81, no. 9 (September 1995): 557–62. http://dx.doi.org/10.1016/s0031-9406(05)66696-5.

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Moutzouri, Maria, Nigel Gleeson, Evdokia Billis, Elias Tsepis, and John Gliatis. "Greek Physiotherapists' Perspectives on Rehabilitation Following Total Knee Replacement: a Descriptive Survey." Physiotherapy Research International 22, no. 4 (May 16, 2016): e1671. http://dx.doi.org/10.1002/pri.1671.

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Robertson, Claire, Fiona Coutts, and Jonathan Bell. "Investigation of anterior knee pain after total hip replacement: a pilot study." Physiotherapy Research International 12, no. 1 (2007): 25–28. http://dx.doi.org/10.1002/pri.350.

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Ashworth, Hannah M., Christian N. Warner, Saurabh P. Mehta, Franklin D. Shuler, and Ali Oliashirazi. "Preoperative Low Back Pain Affects Recovery in Knee Flexion Range of Motion Following Total Knee Replacement." Critical Reviews in Physical and Rehabilitation Medicine 28, no. 1-2 (2016): 47–55. http://dx.doi.org/10.1615/critrevphysrehabilmed.2016018885.

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Chi-Kin, Lo, Lai Chun-Kit, Tsang Koon-Ho, and Wong Yiu-Chung. "Non-Hodgkin Lymphoma Mimics Infected Total Knee Arthroplasty." Journal of Orthopaedics, Trauma and Rehabilitation 24, no. 1 (June 2018): 25–28. http://dx.doi.org/10.1016/j.jotr.2017.02.001.

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Lymphoma associated with total knee arthroplasty is a rare condition. We report a case of non-Hodgkin lymphoma mimicking an infected total knee arthroplasty. A 73-year-old woman who received left total knee replacement presented with fever and a discharging sinus over her left knee 12 weeks after surgery. The diagnosis of prosthetic joint infection was made and a two-stage revision arthroplasty planned. After implant removal and insertion of an antibiotic spacer in the first-stage operation, culture results of all intraoperative specimens were negative but the pathology report showed diffuse large B-cell lymphoma. She then received chemotherapy and a second-stage reconstruction operation. The wound healed uneventfully and she regained independent mobility.

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Rosser, Crystal A., T. David Punt, and Cormac G. Ryan. "Left/right limb judgement task performance following total knee replacement." Journal of Back and Musculoskeletal Rehabilitation 32, no. 1 (January 24, 2019): 77–84. http://dx.doi.org/10.3233/bmr-171104.

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Faucett, Scott C., Benjamin Peter Geisler, Jorge Chahla, Aaron J. Krych, Peter R. Kurzweil, Abigail M. Garner, Shan Liu, Robert F. LaPrade, and Jan B. Pietzsch. "Meniscus Root Repair vs Meniscectomy or Nonoperative Management to Prevent Knee Osteoarthritis After Medial Meniscus Root Tears: Clinical and Economic Effectiveness." American Journal of Sports Medicine 47, no. 3 (March 8, 2018): 762–69. http://dx.doi.org/10.1177/0363546518755754.

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Background: Medial meniscus root tears are a common knee injury and can lead to accelerated osteoarthritis, which might ultimately result in a total knee replacement. Purpose: To compare meniscus repair, meniscectomy, and nonoperative treatment approaches among middle-aged patients in terms of osteoarthritis development, total knee replacement rates (clinical effectiveness), and cost-effectiveness. Study Design: Meta-analysis and cost-effectiveness analysis. Methods: A systematic literature search was conducted. Progression to osteoarthritis was pooled and meta-analyzed. A Markov model projected strategy-specific costs and disutilities in a cohort of 55-year-old patients presenting with a meniscus root tear without osteoarthritis at baseline. Failure rates of repair and meniscectomy procedures and disutilities associated with osteoarthritis, total knee replacement, and revision total knee replacement were accounted for. Utilities, costs, and event rates were based on literature and public databases. Analyses considered a time frame between 5 years and lifetime and explored the effects of parameter uncertainty. Results: Over 10 years, meniscus repair, meniscectomy, and nonoperative treatment led to 53.0%, 99.3%, and 95.1% rates of osteoarthritis and 33.5%, 51.5%, and 45.5% rates of total knee replacement, respectively. Meta-analysis confirmed lower osteoarthritis and total knee replacement rates for meniscus repair versus meniscectomy and nonoperative treatment. Discounted 10-year costs were $22,590 for meniscus repair, as opposed to $31,528 and $25,006 for meniscectomy and nonoperative treatment, respectively; projected quality-adjusted life years were 6.892, 6.533, and 6.693, respectively, yielding meniscus repair to be an economically dominant strategy. Repair was either cost-effective or dominant when compared with meniscectomy and nonoperative treatment across a broad range of assumptions starting from 5 years after surgery. Conclusion: Repair of medial meniscus root tears, as compared with total meniscectomy and nonsurgical treatment, leads to less osteoarthritis and is a cost-saving intervention. While small confirmatory randomized clinical head-to-head trials are warranted, the presented evidence seems to point relatively clearly toward adopting meniscus repair as the preferred initial intervention for medial meniscus root tears.

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Singh, Luthra Jatinder, and Salim A. L. Habsi. "Biological Reconstruction of Varus Deformity in Primary Total Knee Replacement Using Bone Graft and Description of a New Technique." Journal of Orthopaedics, Trauma and Rehabilitation 25, no. 1 (June 1, 2018): 69–72. http://dx.doi.org/10.1016/j.jotr.2017.11.001.

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Peripheral bony defects of the tibia can be seen in patients with osteoarthritis of the knee. These defects must be corrected at the time of total knee replacement to ensure correct placement and alignment of the components. We describe a new technique for correcting large tibial defect by using bone graft, where the uncontained defects were converted to contained defects using bone graft and the contained defect was impacted with cancellous bone. Between 2006 and 2010, 48 cases of primary total knee arthroplasty were reconstructed using autologous bone graft. Of 48 cases, five cases had large tibial defect and were treated with the new technique. Collapse was seen in one knee at 5 months postoperative. The rest of the patients showed improvement in total knee score and limb alignment. We now use this technique to treat large tibial defect during total knee replacement.

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Oatis, Carol A., Joshua K. Johnson, Traci DeWan, Kelly Donahue, Wenjun Li, and Patricia D. Franklin. "Characteristics of Usual Physical Therapy Post‐Total Knee Replacement and Their Associations With Functional Outcomes." Arthritis Care & Research 71, no. 9 (August 30, 2019): 1171–77. http://dx.doi.org/10.1002/acr.23761.

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Ackerman, Ilana N., and Kim L. Bennell. "Current Australian practice in pre-operative physiotherapy prior to total knee replacement surgery." Physiotherapy 90, no. 4 (December 2004): 176–82. http://dx.doi.org/10.1016/j.physio.2004.03.009.

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Standifird, Tyler W., Harold E. Cates, and Songning Zhang. "Hip Joint Muscle Forces during Stair Ascent Following Total Knee Replacement." Medicine & Science in Sports & Exercise 48 (May 2016): 886–87. http://dx.doi.org/10.1249/01.mss.0000487655.87293.0a.

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Valenzuela, Kevin, and Songning Zhang. "Logistic Regression Analyses Regarding Patient Dissatisfaction with Total Knee Replacement Outcomes." Medicine & Science in Sports & Exercise 51, Supplement (June 2019): 10–11. http://dx.doi.org/10.1249/01.mss.0000560518.07254.ef.

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Lim, Sung-Joon, Sung-Hyoun Cho, and Gi-San Nam. "The effects of standing balance in anteroposterior and mediolateral directions on knee strengthening in post-total knee replacement." Journal of Physical Therapy Science 28, no. 1 (2016): 261–63. http://dx.doi.org/10.1589/jpts.28.261.

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Judd, Dana L., Pamela Wolfe, Cherie V. LeDoux, Craig Hogan, Michael R. Dayton, and Jennifer E. Stevens-Lapsley. "Trajectories of functional performance and muscle strength recovery differ after total knee and total hip replacement." International Journal of Rehabilitation Research 42, no. 3 (September 2019): 211–16. http://dx.doi.org/10.1097/mrr.0000000000000344.

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Dominick, Gregory M., Joseph A. Zeni, and Daniel K. White. "Association of Psychosocial Factors With Physical Activity and Function After Total Knee Replacement: An Exploratory Study." Archives of Physical Medicine and Rehabilitation 97, no. 9 (September 2016): S218—S225. http://dx.doi.org/10.1016/j.apmr.2015.09.028.

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Moutzouri, Maria, Nigel Gleeson, Fiona Coutts, Elias Tsepis, and John Gliatis. "Early self-managed focal sensorimotor rehabilitative training enhances functional mobility and sensorimotor function in patients following total knee replacement: a controlled clinical trial." Clinical Rehabilitation 32, no. 7 (February 23, 2018): 888–98. http://dx.doi.org/10.1177/0269215518757291.

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Objective: To assess the effects of early self-managed focal sensorimotor training compared to functional exercise training after total knee replacement on functional mobility and sensorimotor function. Design: A single-blind controlled clinical trial. Setting: University Hospital of Rion, Greece. Subjects: A total of 52 participants following total knee replacement. Outcome measures: The primary outcome was the Timed Up and Go Test and the secondary outcomes were balance, joint position error, the Knee Outcome Survey Activities of Daily Living Scale, and pain. Patients were assessed on three separate occasions (presurgery, 8 weeks post surgery, and 14 weeks post surgery). Intervention: Participants were randomized to either focal sensorimotor exercise training (experimental group) or functional exercise training (control group). Both groups received a 12-week home-based programme prescribed for 3–5 sessions/week (35–45 minutes). Results: Consistently greater improvements ( F2,98 = 4.3 to 24.8; P < 0.05) in group mean scores favour the experimental group compared to the control group: Timed Up and Go (7.8 ± 2.9 seconds vs. 4.6 ± 2.6 seconds); balance (2.1 ± 0.9° vs. 0.7 ± 1.2°); joint position error (13.8 ± 7.3° vs. 6.2 ± 9.1°); Knee Outcome Survey Activities of Daily Living Scale (44.2 ± 11.3 vs. 26.1 ± 11.4); and pain (5.9 ± 1.3 cm vs. 4.6 ± 1.1 cm). Patterns of improvement for the experimental group over time were represented by a relative effect size range of 1.3–6.5. Conclusions: Overall, the magnitude of improvements in functional mobility and sensorimotor function endorses using focal sensorimotor training as an effective mode of rehabilitation following knee replacement.

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Papalia, Rocco, Stefano Campi, Ferruccio Vorini, Biagio Zampogna, Sebastiano Vasta, Giuseppe Papalia, Chiara Fossati, Guglielmo Torre, and Vincenzo Denaro. "The Role of Physical Activity and Rehabilitation Following Hip and Knee Arthroplasty in the Elderly." Journal of Clinical Medicine 9, no. 5 (May 9, 2020): 1401. http://dx.doi.org/10.3390/jcm9051401.

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Hip and knee replacement is an effective treatment for symptomatic, end-stage hip and knee osteoarthritis, aiming to relieve pain and restore joint function. Several postoperative rehabilitation protocols and physical activities are proposed in routine clinical practice. However, their effect on clinical outcome and implant revision in patients undergoing joint replacement is still unclear. A systematic review of the literature was performed through a comprehensive search on online databases including Pubmed-Medline, Cochrane central, and Google scholar. We included all the available studies on postoperative physical activity and rehabilitation protocols after total knee and total hip arthroplasty in patients older than 65 years. The primary endpoint was to evaluate the effect of physical activity and rehabilitation on clinical outcome; the secondary outcome was to determine the effect on patients’ quality of life (QoL) and implant survival. Although the heterogeneity of the rehabilitation protocols and outcome measures did not allow to draw definitive conclusions, most studies suggested that aquatic therapy, ergometer cycling, and fast-track protocols have a beneficial effect on muscle strength, gait speed, and main clinical scores after total hip arthroplasty. Similarly, enhanced rehabilitation protocols produced an improvement in primary and secondary outcomes after total knee arthroplasty.

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Edwards, Bennett G. "Contralateral and ipsilateral cane usage by patients with total knee or hip replacement." Archives of Physical Medicine and Rehabilitation 67, no. 10 (October 1986): 734–40. http://dx.doi.org/10.1016/0003-9993(86)90006-7.

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Journal articles on the topic 'Total knee replacement. Physical therapy'

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