Clinical Orthopaedics and Related Research ®

A Publication of The Association of Bone and Joint Surgeons ®

Knee 443 articles

Articles

Vascular and Nerve Injury After Knee Dislocation: A Systematic Review

Omar Medina BS, Gabriel A. Arom BS, Michael G. Yeranosian MD, Frank A. Petrigliano MD, David R. McAllister MD

Vascular injury is a devastating complication of acute knee dislocation. However, there are wide discrepancies in the reported frequency of vascular injury after knee dislocations, as well as important differences among approaches for diagnosis of this potentially limb-threatening problem.

Medial Injury in Knee Dislocations: What Are the Common Injury Patterns and Surgical Outcomes?

Brian C. Werner MD, Michael M. Hadeed BS, F. Winston Gwathmey MD, Cree M. Gaskin MD, Joseph M. Hart PhD, ATC, Mark D. Miller MD

When associated with a knee dislocation, management of the medial ligamentous injury is challenging, with little literature available to guide treatment.

Arthrodesis Should Be Strongly Considered After Failed Two-stage Reimplantation TKA

Chia H. Wu MD, MBA, Chancellor F. Gray MD, Gwo-Chin Lee MD

A two-stage reimplantation procedure is a well-accepted procedure for management of first-time infected total knee arthroplasty (TKA). However, there is a lack of consensus on the treatment of subsequent reinfections.

Stress Radiography for the Diagnosis of Knee Ligament Injuries: A Systematic Review

Evan W. James BS, Brady T. Williams BS, Robert F. LaPrade MD, PhD

Stress radiography is a widely used diagnostic tool to assess injury to the anterior and posterior cruciate ligaments and the medial and lateral structures of the knee. However, to date, numerous techniques have been reported in the literature with no clear consensus as to which methodology is best for assessing ligament stability.

Does Chondrocalcinosis Affect Knee Society Scores and Range of Motion After TKA?

Gwo-Chin Lee MD, Paul A. Lotke MD

Chondrocalcinosis is manifested by crystalline deposits of calcium commonly found during primary TKA for osteoarthritis. Its frequency among patients undergoing TKA is poorly defined, as is its influence on pain or function after TKA.

Risk Factors for Revision Within 10 Years of Total Knee Arthroplasty

Christopher J. Dy MD, MSPH, Robert G. Marx MD, MSc, Kevin J. Bozic MD, MBA, Ting Jung Pan MPH, Douglas E. Padgett MD, Stephen Lyman PhD

An in-depth understanding of risk factors for revision TKA is needed to minimize the burden of revision surgery. Previous studies indicate that hospital and community characteristics may influence outcomes after TKA, but a detailed investigation in a diverse population is warranted to identify opportunities for quality improvement.

Pain Trajectories Identify Patients at Risk of Persistent Pain After Knee Arthroplasty: An Observational Study

Patricia M. Lavand’homme MD, PhD, Irina Grosu MD, Marie-Noëlle France RN, Emmanuel Thienpont MD, MBA

Persistent postsurgical pain is a major source of dissatisfaction after knee arthroplasty. Postoperative pain trajectories allow a dynamic view of pain resolution after surgery and might help to identify patients at risk for persistent pain.

Medial Open Wedge High Tibial Osteotomy: Can Delayed or Nonunion Be Predicted?

Albert H. Houten MD, Petra J. C. Heesterbeek PhD, Ronald J. Heerwaarden MD, PhD, Tony G. Tienen MD, PhD, Ate B. Wymenga MD, PhD

The opening wedge approach to high tibial osteotomy (HTO) is perceived to have some advantages relative to the closing wedge approach but it may be associated with delayed and nonunions. Because nonunions evolve over months, it would be advantageous to be able to identify risk factors for and early predictors of nonunion after medial opening wedge HTO.

Are Younger Patients Undergoing TKAs Appropriately Characterized As Active?

James A. Keeney MD, Ryan M. Nunley MD, Rick W. Wright MD, Robert L. Barrack MD, John C. Clohisy MD

The use of TKAs in young patients is increasing. Demographic characteristics and activity levels among this patient group may affect implant selection, performance, and survivorship. Patient age (≤ 55 years) and preoperative diagnosis have been used to define this patient group, with the presumption that these patients are more active than older patients with similar indications for TKA.

The Changing Demographics of Knee Dislocation: A Retrospective Database Review

Gabriel A. Arom BS, Michael G. Yeranosian MD, Frank A. Petrigliano MD, Rodney D. Terrell MD, David R. McAllister MD

Knee dislocations are uncommon but devastating orthopaedic injuries. Little is known about their frequency and the types of patients who are affected.