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Is Wear Still a Concern in TKA With Contemporary Conventional and Highly Crosslinked Polyethylene Tibial Inserts in the Mid- to Long-Term? 在使用当代传统和高交联聚乙烯胫骨假体的 TKA 中,磨损在中长期内是否仍然令人担忧?
Pub Date : 2024-05-31 DOI: 10.1101/2024.05.29.24308156
Devin P. Asher, Jennifer L. Wright, Deborah J. Hall, Hannah J. Lundberg, Douglas W. Van Citters, Joshua J. Jacobs, Brett R. Levine, Robin Pourzal
Background Modern literature has brought into question if wear of tibial inserts made from conventional or highly-crosslinked polyethylene (HXL PE) is still a factor limiting longevity of total knee arthroplasty (TKA) in the mid- to long-term. It is the objective of this study to determine: 1) most common causes of mid- to long-term TKA failure, 2) the prevalence of delamination, and 3) the medial/lateral linear wear rates of conventional and HXL PE tibial inserts retrieved in the mid- to long-term.
背景 现代文献对传统聚乙烯或高交联聚乙烯(HXL PE)胫骨假体的磨损是否仍然是限制全膝关节置换术(TKA)中长期使用寿命的一个因素提出了质疑。本研究的目的是确定1)中长期 TKA 失败的最常见原因;2)分层的发生率;3)中长期回收的传统和 HXL 聚乙烯胫骨插入物的内侧/外侧线性磨损率。
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引用次数: 0
Statistical analysis plan (SAP): Risk of revision for different types of cup fixation in elderly patients with primary hip osteoarthritis. A study of XXX,XXX primary total hip arthroplasties from the Nordic Arthroplasty Register Association (NARA) 统计分析计划(SAP):老年原发性髋关节骨关节炎患者不同类型髋臼杯固定的翻修风险。北欧关节置换术注册协会(NARA)对XXX,XXX例初次全髋关节置换术进行的研究
Pub Date : 2024-05-27 DOI: 10.1101/2024.05.26.24307935
Roshan Latifi, Simon Kornvig, Maziar Mohaddes Ardebili, Claus Varnum, Søren Overgaard
Uncemented fixation of THA components are increasingly used. Although cemented femoral component fixation in total hip arthroplasty has shown better results in older patients, less is known about the cup side.
非骨水泥固定的全髋关节置换术组件越来越多地被使用。虽然在全髋关节置换术中使用骨水泥固定股骨组件在老年患者中取得了更好的效果,但对髋臼杯侧的了解却较少。
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引用次数: 0
The Effectiveness of Using a Clinical Support Tool in Managing Adolescents with Non-Traumatic Knee Pain (MAP-Knee): protocol for a cluster-randomised superiority trial with delayed intervention and embedded realist evaluation 使用临床支持工具管理青少年非创伤性膝关节疼痛(MAP-Knee)的有效性:采用延迟干预和嵌入式现实主义评估的分组随机优越性试验方案
Pub Date : 2024-05-02 DOI: 10.1101/2024.04.29.24306576
Henrik Riel, Simon Kristoffer Johansen, Erika Maria Andersen, Malene Kjær Bruun, Niels Henrik Bruun, Chris Djurtoft, Simon Doessing, Tina Heyckendorff-Diebold, Per Hölmich, Martin Bach Jensen, Søren Kaalund, Niels-Christian Kaldau, Tommy Frisgaard Oehlenschlaeger, Charlotte Overgaard, Ole Rahbek, Dorthe Brøndum Rasmussen, Susanne Olesen Schaarup, Thomas Sørensen, Louise Lund Holm Thomsen, Michael Skovdal Rathleff
Background Knee pain affects one in three adolescents, which makes it one of the most common pain sites. Guideline recommendations about the clinical selection of patients likely to benefit from interventions are unclear, which leads to treatment heterogeneity and the potential of wasted resources among adolescents with a good prognosis. In contrast, adolescents with a poorer prognosis may not receive sufficient care. A newly developed clinical decision-support tool (The MAP-Knee Tool) intends to support clinicians in engaging with patients and adjusting the clinicians’ evidence-based practices to accommodate patient preferences and treatment needs via a shared decision-making process. The aims of this trial are 1) to investigate the effectiveness of using a clinical decision-support tool (The MAP-Knee Tool) compared with usual care in adolescents with non-traumatic knee pain in reducing pain measured by KOOS-Child Pain after 12 weeks and 2) to investigate how the intervention worked, for whom, why and under which circumstances applying realist evaluation methodology.
背景 膝关节疼痛影响着三分之一的青少年,是最常见的疼痛部位之一。有关临床选择可能从干预措施中受益的患者的指南建议尚不明确,这导致了治疗的异质性,并有可能在预后良好的青少年中造成资源浪费。相反,预后较差的青少年可能得不到足够的治疗。新开发的临床决策支持工具(MAP-Knee 工具)旨在支持临床医生与患者进行沟通,并通过共同决策过程调整临床医生的循证实践,以适应患者的偏好和治疗需求。本试验的目的是:1)研究在非创伤性膝关节疼痛的青少年患者中,使用临床决策支持工具(MAP-膝关节工具)与常规护理相比,在 12 周后通过 KOOS 儿童疼痛测量法减轻疼痛的效果;2)采用现实主义评估方法,研究干预的效果如何、对谁有效、为什么有效以及在什么情况下有效。
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引用次数: 0
Incidence rate, risk factors and patient reported outcome in patients with a dislocation following hip hemiarthroplasty after acute femoral neck fracture; a scoping review 急性股骨颈骨折后进行髋关节半关节置换术后脱位患者的发病率、风险因素和患者报告结果;范围界定综述
Pub Date : 2024-04-30 DOI: 10.1101/2024.04.29.24306544
Susanne C. Faurholt Närhi, Louise I. E. Ø. Rasmussen, Søren Overgaard, Bjarke L. Viberg, Lars L. Hermansen
Objective The objective of this scoping review of the literature is to find the incidence rate and risk factors for dislocation of hip hemiarthroplasties (HAs) after acute femoral neck fractures (FNFs). Additionally we aim to determine the subjectively reported experience and/or Patient Reported Outcomes (PROs) minimum six months after a dislocation of a hip HA after acute FNF.
目的 本文献综述旨在了解急性股骨颈骨折(FNF)后髋关节半关节置换术(HA)脱位的发生率和风险因素。此外,我们还旨在确定急性股骨颈骨折后髋关节半关节置换术(HA)脱位至少六个月后的主观报告经验和/或患者报告结果(PROs)。
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引用次数: 0
MRI-derived Articular Cartilage Strains Predict Patient-Reported Outcomes Six Months Post Anterior Cruciate Ligament Reconstruction MRI 导出的关节软骨应变可预测前十字韧带重建术后 6 个月的患者报告结果
Pub Date : 2024-04-29 DOI: 10.1101/2024.04.27.24306484
Emily Y. Miller, Woowon Lee, Timothy Lowe, Hongtian Zhu, Pablo F. Argote, Danielle Dresdner, James Kelly, Rachel M. Frank, Eric McCarty, Jonathan Bravman, Daniel Stokes, Nancy C. Emery, Corey P. Neu
Key terms Multicontrast and Multiparametric, Magnetic Resonance Imaging, Osteoarthritis, Functional Biomechanical Imaging, Knee Joint Degeneration
关键术语 多对比和多参数、磁共振成像、骨关节炎、功能性生物力学成像、膝关节退变
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引用次数: 0
What would you do first? A survey of treatment priorities for patients with hip-spine syndrome among spine and hip surgeons 您会先做什么?脊柱和髋关节外科医生对髋关节综合征患者治疗重点的调查
Pub Date : 2024-04-16 DOI: 10.1101/2024.04.13.24305764
Carolina Breuning, Xinggui Tian, Jens Goronzy, Klaus-Peter Günther, Uwe Platz, Franziska Beyer, Alexander Carl Disch, Paul F. Lachiewicz, Ning Liu, Stuart B. Goodman, Kirkham B. Wood, Stefan Zwingenberger
Background The optimal sequence of hip and spine surgeries for managing hip-spine syndrome remains controversial.
背景 治疗髋关节-脊柱综合征的最佳髋关节和脊柱手术顺序仍存在争议。
{"title":"What would you do first? A survey of treatment priorities for patients with hip-spine syndrome among spine and hip surgeons","authors":"Carolina Breuning, Xinggui Tian, Jens Goronzy, Klaus-Peter Günther, Uwe Platz, Franziska Beyer, Alexander Carl Disch, Paul F. Lachiewicz, Ning Liu, Stuart B. Goodman, Kirkham B. Wood, Stefan Zwingenberger","doi":"10.1101/2024.04.13.24305764","DOIUrl":"https://doi.org/10.1101/2024.04.13.24305764","url":null,"abstract":"<strong>Background</strong> The optimal sequence of hip and spine surgeries for managing hip-spine syndrome remains controversial.","PeriodicalId":501263,"journal":{"name":"medRxiv - Orthopedics","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140627348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Differential Causal Effects of Type 1 and Type 2 Diabetes on Osteomyelitis Risk: Insights from Mendelian Randomization Analysis 1 型和 2 型糖尿病对骨髓炎风险的差异因果效应:孟德尔随机分析的启示
Pub Date : 2024-04-10 DOI: 10.1101/2024.04.08.24305482
YanHui Li, Chuanyang Zhou, Liming Yang, Lei Tan
Background Osteomyelitis (OM) poses a significant clinical challenge, especially among individuals with diabetes mellitus (DM). While both type 1 diabetes mellitus (T1DM) and type 2 diabetes mellitus (T2DM) have been linked to an elevated risk of OM, the precise causal relationships remain uncertain.
背景 骨髓炎(OM)是一项重大的临床挑战,尤其是在糖尿病(DM)患者中。虽然 1 型糖尿病(T1DM)和 2 型糖尿病(T2DM)都与 OM 风险升高有关,但确切的因果关系仍不确定。
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引用次数: 0
Cumulative risk of revision after primary total hip arthroplasty in registries: Systematic review and meta-analysis of selected hip stems and cups 登记册中初级全髋关节置换术后翻修的累积风险:对部分髋关节柄和髋臼杯的系统回顾和荟萃分析
Pub Date : 2024-04-03 DOI: 10.1101/2024.04.03.24305257
Christophe Combescure, James A Smith, Christophe Barea, Lotje A. Hoogervorst, Rob Nelissen, Perla J Marang-van de Mheen, Anne Lübbeke, the arthroplasty registry group
Purpose The objective was to investigate the consistency in cumulative revision rates for a selection of total hip arthroplasty cups and stems across national/regional hip arthroplasty registries worldwide.
目的 本研究旨在调查世界各国/地区髋关节置换登记处对部分全髋关节置换杯和柄的累积翻修率的一致性。
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引用次数: 0
X-ray measurement of periarticular soft tissue predict readmission complications after Total Knee Arthroplasty 关节周围软组织的 X 射线测量结果可预测全膝关节置换术后的再入院并发症
Pub Date : 2024-03-26 DOI: 10.1101/2024.03.24.24304790
Hanwen Hu, Ye Tao, Qingyuan Zheng, Guoqiang Zhang, Ming Ni
Abstract:Purpose: Obesity is widely recognized as one of the risk factors for osteoarthritis. This study aims to explore the association between BMI and periarticular soft tissue on readmission complications in patients with previous joint replacement through the study of clinical and imaging data.Methods: This retrospective study summarized 625 patients who underwent total knee arthroplasty . Imaging measurement data included several measurable soft tissue values and ratios on the anteroposterior. The association between BMI and imaging soft tissue measurement data with complications leading to readmission during follow-up was explored.Results: Analyzing 761 preoperative imaging measurements and postoperative follow-up data, a significant correlation (P<0.05) emerged between postoperative readmission complications and measured soft tissue thickness around the joint. A 1:4 paired test affirmed the independent predictive power (P<0.1) of select soft tissue data for readmission complications.Conclusion: BMI proved insufficient in evaluating obesity-related complications post total knee arthroplasty. Preoperative imaging soft tissue data exhibited superior predictive capability for anticipating readmission complications after arthroplasty.
摘要:目的:肥胖被公认为骨关节炎的危险因素之一。本研究旨在通过对临床和影像学数据的研究,探讨BMI和关节周围软组织对既往接受过关节置换术的患者再入院并发症的影响:这项回顾性研究总结了 625 名接受全膝关节置换术的患者。影像学测量数据包括几项可测量的软组织数值和前后位比率。研究探讨了 BMI 和影像学软组织测量数据与导致随访期间再次入院的并发症之间的关联:结果:通过分析 761 项术前成像测量数据和术后随访数据,发现术后再入院并发症与关节周围软组织厚度测量值之间存在显著相关性(P<0.05)。1:4配对测试证实了所选软组织数据对再入院并发症的独立预测能力(P<0.1):结论:体重指数不足以评估全膝关节置换术后肥胖相关并发症。术前成像软组织数据在预测关节置换术后再入院并发症方面表现出更强的预测能力。
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引用次数: 0
Development and content validation of a questionnaire identifying patients' functional priorities and abilities after hip or knee arthroplasty 髋关节或膝关节置换术后患者功能优先事项和能力调查表的编制与内容验证
Pub Date : 2024-03-22 DOI: 10.1101/2024.03.20.24304636
Motahareh Karimijashni, Marie Westby, Tim Ramsay, Paul Beaule, Stephane Poitras
Background: To develop a self-report questionnaire evaluating functional priorities after hip or knee arthroplasty and evaluate patients' understanding of its items and conceptual relevance.Methods: A self-report questionnaire was first developed based on the International Classification of Functioning, Disability, and Health (ICF) core set for osteoarthritis (OA). In the second stage, two research physiotherapists thoroughly reviewed and refined the questionnaire, and another physiotherapist conducted cognitive think-aloud interviews with 18 patients to assess the face and content validity of the questionnaire. Results: All categories and corresponding activities of ICF core set for OA were used to develop the questionnaire. Several questionnaire issues were identified and addressed. Most challenges were related to comprehension, followed by item ordering and visual elements. Patients identified ambiguous wording which we subsequently simplified. Ten activities of the core set were excluded due to lack of face validity, two activities were added, and four activities were modified. Conclusion and implication: The findings suggest that the ICF core set for OA needs to be adjusted for patients undergoing hip or knee arthroplasty and highlight the feasibility of applying a modified core set to assess functional priorities after hip or knee arthroplasty.
背景:开发一种评估髋关节或膝关节置换术后功能优先事项的自我报告问卷,并评估患者对其项目的理解和概念相关性:目的:编制一份自我报告问卷,评估髋关节或膝关节置换术后的功能优先级,并评估患者对其项目的理解和概念相关性:方法:首先,根据骨关节炎(OA)的国际功能、残疾和健康分类(ICF)核心内容编制了一份自我报告问卷。在第二阶段,两名研究物理治疗师对问卷进行了全面审查和改进,另一名物理治疗师对 18 名患者进行了认知思考访谈,以评估问卷的面效度和内容效度。结果问卷采用了《国际功能、残疾和健康分类》(ICF)OA 核心内容的所有类别和相应活动。发现并解决了一些问卷问题。大多数问题与理解有关,其次是项目排序和视觉元素。患者指出了一些含糊不清的措辞,我们随后对其进行了简化。由于缺乏表面效度,我们排除了核心问卷中的 10 项活动,增加了 2 项活动,修改了 4 项活动。结论和影响:研究结果表明,需要针对接受髋关节或膝关节置换术的患者调整国际功能、残疾和健康分类(ICF)OA 核心项集,并强调了应用修改后的核心项集评估髋关节或膝关节置换术后功能优先事项的可行性。
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medRxiv - Orthopedics
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