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  • Jessen McFadden posted an update 6 days, 8 hours ago

    A 61-year-old man who stretched in the morning presented a rupture of the tibialis anterior tendon treated by extensor hallucis longus transfer. Rupture of the tibialis anterior tendon is rare. Surgical treatment seems to be more efficient in improving the function.LIA is an emerging alternative for patient-con- trolled epidural analgesia(PCEA) after total knee arthroplasty(TKA). LIA allows faster mobilisation, eliminates the risks of epidural catheters, and can hasten patient turnover. Conversely, PCEA provides reliable pain relief in the first days after this type of surgery. The purpose of this study was to evaluate the quality of antinociception, postoperative nausea & vomiting (PONV), and general comfort until 7 days postoperatively. 40 patients received PCEA and 41 received LIA. Patients were retrospectively asked for pain scores at the day of surgery(=D0), D2, and D7, PONV, and general comfort scores. Patients in the LIA group reported equal pain scores at D0, significantly better PONV scores and pain scores at D2 and D7. In addition to faster mobilisation and elimination of the risks and burden of an epidural catheter and PCEA, LIA delivers equal to better analgesia, and better PONV and general comfort scores.The purpose of this study is to perform a systematic review of literature to assess the quality of life of patients with patellofemoral pain syndrome A systematic review was performed in Pubmed ; Cochrane ; Embase ; Web of science and were searched until January 2018. There was no limit regarding the year of publication. The review was limited to English, Dutch and German articles. Fifteen articles met the inclusion criteria. Seven articles reported the SF-36 and three articles reported the KOOS. Both the SF-36 and the KOOS showed lower quality of life of patients with patellofemoral pain syndrome. There are indications that patellofemoral pain syn- drome influences the quality of life equal to serious medical conditions and sometimes even osteoarthritis. Because it afflicts moslty young people it may have a huge impact on their lifes. More research is needed, in particular which is focus on the quality of life.The number of revision total knee arthroplasty (TKA) surgeries has increased over the years and it is expected that its number will keep rising. Most frequent reasons for revision are known to be aseptic loosening, infection, instability, periprosthetic frac- ture, arthrofibrosis and component malposition. The influence of the indication for revision on the outcome scores is not fully understood. Therefore, this work will evaluate and review the existing literature regarding outcome scores after revision TKA surgery. We conducted a sensitive and comprehensive search for published and unpublished studies relevant to the review question. We restricted our search to English studies published between January 2008 and December 2018. Our systematic review was done according to PRISMA guidelines. We withheld 19 studies (1419 knees) for inclusion. Of these, 9 papers reported outcome scores after TKA revision for aseptic loosening, 10 reported on revision for instability, 10 reported on stiffness or arthrofibrosis and 4 papers reported on component malposition. Although we found some papers suggesting that there is no difference in postoperative outcome scores depending on the aetiology of revision surgery, the majority of the included studies suggest differently. This review suggests there is a tendency for relative higher outcome scores after revision for aseptic loosening. Revision for malrotation might give comparable postoperative outcome scores and satisfaction ratios. Revision for instability tends to give lower postoperative outcome scores than aseptic loosening, although certain subgroups of instability show comparable results. Lowest postoperative scores might be found after revision for stiffness and arthrofibrosis.Previous studies report good clinical outcomes with the initial mobile-bearing implant design in TKA. Nevertheless clinical data on the subject system are scant and information is lacking to fully appraise the safety and performance of the subject device. A population of 283 consecutive patients who received 307 primary Vanguard ROCC TKAs over a 5.5-year period was retrospectively assessed. At follow-up, Knee Society Scores, Forgotten Joint Scores and Knee injury and Osteoarthritis Outcome Scores were obtained, and patients underwent radiographic evaluation at 4.9 ± 1.0 years post-implantation. Survival analyses included the following endpoints revision of the tibial or femoral component for any reason, and revision of any component for any reason. find more At a mean follow-up time of 5.0 (range, 3.0-8.2) years, 166 patients (183 TKAs) were available for clinical assessment. All postoperative clinical scores were deemed satisfactory. Survival with revision of the tibial and/or femoral component for any reason was 97.3% (95%, 94.5-98.7%) at 6 years. Radiolucent lines were observed in 32 (17.7%) out of 181 knees. The present study showed that the Vanguard ROCC system demonstrates favourable clinical outcome with satisfactory medium-term survival.The radiological follow-up is an essential element of evaluation of total hip arthroplasty. This is a retrospective study based on 71 THA using a cemented Ceraver-Osteal ® stem. They were systematically associated with RM ® cups in all cases with a ceramic on polyethylene bearing surface. The mean age of patients was 74.4 +/-10.2 years and the mean follow-up was 7.9 +/- 0,9 years. Aetiologies were 61 osteoarthritis, 4 osteonecrosis and 6 femoral neck fractures. The main purpose of this work is to verify if a subsidence of femoral implants and radiological changes can be recognized in a comparable pattern using EBRA-FCA ® method and Imagika ® software. The measured subsidence is 0.05 +/- 0.005 mm / year with EBRA-FCA ® and 0.06 +/- 0.004 mm / year with Imagika ® (p = 0.74). We did not show significant migration whatever the method used. The precision of the Imagika ® method, thanks to the automatic detection of contours and the use of a correction factor, makes it possible to objectify sub- millimeter migrations of femoral stems.

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