How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

13,615 results for

Knee Exam

by
...
Latest & greatest
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

261. Efficacy and safety of multiple boluses of oral versus intravenous tranexamic acid at reducing blood loss after primary total knee arthroplasty without a tourniquet: A prospective randomized clinical trial (Abstract)

Efficacy and safety of multiple boluses of oral versus intravenous tranexamic acid at reducing blood loss after primary total knee arthroplasty without a tourniquet: A prospective randomized clinical trial The aim of this study was to examine whether the administration of multiple boluses of oral or intravenous tranexamic acid (TXA) postoperatively were equivalent at reducing blood loss and the inflammatory and fibrinolytic responses in primary total knee arthroplasty (TKA) without

2018 EvidenceUpdates

262. A randomized, double-blind, placebo-controlled Phase III trial of duloxetine in Japanese patients with knee pain due to osteoarthritis Full Text available with Trip Pro

A randomized, double-blind, placebo-controlled Phase III trial of duloxetine in Japanese patients with knee pain due to osteoarthritis To examine the efficacy and safety of duloxetine in Japanese patients with knee pain due to osteoarthritis.Patients were randomized to receive duloxetine 60 mg/day or placebo for 14 weeks in a double-blind manner (ClinicalTrials.gov Identifier: NCT02248480). The primary efficacy endpoint was mean change in Brief Pain Inventory pain severity (BPI-Severity (...) ) average pain. Secondary endpoints included improvement in other BPI-Severity scales, Patient Global Impression of Improvement, Clinical Global Impressions of Severity, health-related quality of life (HRQoL) scales, range of motion of the knee joint, safety and tolerability, and structural changes on X-ray images.Of the 354 randomized patients, 161 in the duloxetine group and 162 in the placebo group completed the study. BPI-Severity average pain improved significantly with duloxetine vs. placebo

2018 EvidenceUpdates Controlled trial quality: predicted high

263. Preoperative Opioid Use Is Associated with Higher Readmission and Revision Rates in Total Knee and Total Hip Arthroplasty (Abstract)

Preoperative Opioid Use Is Associated with Higher Readmission and Revision Rates in Total Knee and Total Hip Arthroplasty Prescription opioid use is epidemic in the U.S. Recently, an association was demonstrated between preoperative opioid use and increased health-care utilization following abdominal surgeries. Given that primary total knee arthroplasty (TKA) and total hip arthroplasty (THA) are 2 of the most common surgical procedures in the U.S., we examined the association of preoperative

2018 EvidenceUpdates

264. Costs and effectiveness of a brief MRI examination of patients with acute knee injury

Costs and effectiveness of a brief MRI examination of patients with acute knee injury Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2009 NHS Economic Evaluation Database.

265. A Cross-sectional Examination of Quadriceps Strength, Biomechanical Function, and Functional Performance From 9 to 24 Months After Anterior Cruciate Ligament Reconstruction. (Abstract)

A Cross-sectional Examination of Quadriceps Strength, Biomechanical Function, and Functional Performance From 9 to 24 Months After Anterior Cruciate Ligament Reconstruction. Patients who undergo anterior cruciate ligament reconstruction (ACLR) have deficiencies in strength, functional performance, and biomechanical function at return to activity. Patients who have abnormal strength and function after ACLR may be at a greater risk for secondary injury and posttraumatic osteoarthritis.To examine (...) quadriceps strength, functional performance, and knee biomechanics in patients who are 9, 12, 18, and 24 months after ACLR.Cross-sectional study; Level of evidence, 3.We recruited 82 participants (45 female) who underwent ACLR and were cleared to return to activity . Participants were assigned to 1 of 4 groups based on their time from ACLR: 9 months (285.26 ± 8.16 days), 12 months (373.59 ± 8.81 days), 18 months (557.50 ± 11.96 days), and 24 months postoperative (741.05 ± 11.86 days). Quadriceps strength

2020 American Journal of Sports Medicine

266. Robotically Simulated Pivot Shift That Represents the Clinical Exam. (Abstract)

Robotically Simulated Pivot Shift That Represents the Clinical Exam. A thorough understanding of anterior cruciate ligament (ACL) function and the effects of surgical interventions on knee biomechanics requires robust technologies and simulation paradigms that align with clinical insight. In vitro orthopedic biomechanical testing for the elucidation of ACL integrity doesn't have an established testing paradigm to simulate the clinical pivot shift exam on cadaveric specimens. The study aim (...) was to develop a robotically simulated pivot shift that represents the clinical exam. An orthopedic surgeon performed a pivot shift on an instrumented ACL-deficient cadaver leg to capture 6 degree-of-freedom motion/loads. The same knee was mounted to the robot and the sensitivity of the motion/loading profiles quantified. Three loading profile candidates that generated positive pivot shifts on the instrumented knee were selected and applied to 7 ACL-intact/deficient specimens and resulted

2019 Journal of Orthopaedic Research

267. Kinematically aligned total knee arthroplasty reduces knee adduction moment more than mechanically aligned total knee arthroplasty. (Abstract)

Kinematically aligned total knee arthroplasty reduces knee adduction moment more than mechanically aligned total knee arthroplasty. Knee adduction moment (KAM) has been recognized as a good clinical surrogate for medial tibiofemoral joint loading and is associated with implant durability after total knee arthroplasty (TKA). This study aimed to examine the effects of joint line obliquity in kinematically aligned TKA (KA-TKA) on KAM during gait.The study enrolled 21 knees from 18 patients who (...) underwent cylindrical axis reference KA-TKA and a matched group of 21 knees from 18 patients who underwent mechanically aligned (MA)-TKA as controls. Gait analyses were performed the day before TKA and at an overall mean of 2.6 years postoperatively. First peak KAM and variables associated with frontal knee kinetics were determined and compared between groups.In KA-TKA, the proximal tibia was resected with 3.4° ± 1.5° of varus in relation to the mechanical axis, and the final femorotibial shaft axis

2017 Knee Surgery, Sports Traumatology, Arthroscopy

268. AIUM Practice Parameter for the Performance of an Ultrasound Examination for Detection and Assessment of Developmental Dysplasia of the Hip

position, stability, and acetabular morphology. If position, stability, and/or morphology cannot be assessed when attempting to perform a complete examination, the report should note the portion not performed. It is acceptable to perform the examina- tion with the infant in a supine or in each lateral decubitus position separately. Morphology is assessed at rest. The stress maneuver (posterior push maneuver) is performed to evaluate for hip instability with the hip and knee 2 JUltrasound Med2018; 9999 (...) AIUM Practice Parameter for the Performance of an Ultrasound Examination for Detection and Assessment of Developmental Dysplasia of the Hip PRACTICEGUIDELINES AIUM–ACR–SPR–SRU Practice Parameter for the Performance of an Ultrasound Examination for Detection and Assessment of Developmental Dysplasia of the Hip Preamble T heAmericanInstituteofUltrasoundinMedicine(AIUM)isa multidisciplinary association dedicated to advancing the safe and effective use of ultrasound in medicine through professional

2013 American Institute of Ultrasound in Medicine

269. Intra-Articular Hyaluronic Acid for Osteoarthritis of the Knee

of the knee. Chicago: BlueCross BlueShield Association (BCBS). TEC Assessment 29(6). 2014 Authors' objectives To determine whether available evidence demonstrates IAHA provides clinically meaningful improvement in pain and function compared with placebo in patients with knee OA; to examine the potential harms of IAHA; and to assess whether net health outcomes are improved. Authors' conclusions A large body of evidence obtained from randomized controlled trials has examined the effect of IAHA on pain (...) assembled from randomized controlled trials has been examined in multiple meta-analyses, the evidence is insufficient to permit conclusions whether IAHA for OA of the knee provides a clinically meaningful benefit compared with placebo. 3. The technology must improve the net health outcome. The evidence is not sufficient to determine whether reported improvements in pain and function—and most importantly unbiased estimates—achieve a difference over placebo that is clinically meaningful. 4. The technology

2015 Health Technology Assessment (HTA) Database.

270. Knee Stability and Movement Coordination Impairments: Knee Ligament Sprain

A, Inc, 2920 East Avenue South, Suite 200, La Crosse, WI 54601. E-mail: icf@orthopt.org SUMMARY OF RECOMMENDATIONS A2 INTRODUCTION A3 METHODS A4 CLINICAL GUIDELINES: Impairment/Function-Based Diagnosis A7 CLINICAL GUIDELINES: Examination A17 CLINICAL GUIDELINES: Interventions A22 AUTHOR/REVIEWER AFFILIATIONS AND CONTACTS A25 REFERENCES A26 47-11 CPG Knee 3.indd 1 10/18/2017 2:26:08 PM Journal of Orthopaedic & Sports Physical Therapy® Downloaded from www.jospt.org at on November 3, 2017. For personal (...) involving cruciate ligament of knee, and Injury to multiple structures of knee, and the associated International Classification of Functioning, Dis - ability and Health (ICF) impairment-based categories of knee insta- bility (b7150 Stability of a single joint) and movement coordination impairments (b7601 Control of complex voluntary movements), us- ing the following history and physical examination findings: mecha - nism of injury, passive knee laxity, joint pain, joint effusion, and movement

2017 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.

271. Effect of ACL graft material on joint forces during a simulated in vivo motion in the porcine knee: Examining force during the initial cycles. (Abstract)

Effect of ACL graft material on joint forces during a simulated in vivo motion in the porcine knee: Examining force during the initial cycles. This study compared three-dimensional forces in knees containing anterior cruciate ligament (ACL) graft materials versus the native porcine ACL. A six-degree-of-freedom (DOF) robot simulated gait while recording the joint forces and moments. Knees were subjected to 10 cycles of simulated gait in intact, ACL-deficient, and ACL-reconstructed knee states (...) to examine time zero biomechanical performance. Reconstruction was performed using bone-patellar tendon-bone allograft (BPTB), reconstructive porcine tissue matrix (RTM), and an RTM-polymer hybrid (Hybrid). Forces and moments were examined about anatomic DOFs throughout the gait cycle and at three key points during gait: heel strike (HS), mid stance (MS), toe off (TO). Compared to native ACL, each graft restored antero-posterior (A-P) forces throughout gait. However, all failed to mimic normal joint

2014 Journal of Orthopaedic Research

272. Examination of Biopsies From Healthy Knee Joints

Examination of Biopsies From Healthy Knee Joints Examination of Biopsies From Healthy Knee Joints - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Examination of Biopsies From Healthy Knee Joints The safety (...) group. Study Design Go to Layout table for study information Study Type : Observational Actual Enrollment : 43 participants Observational Model: Cohort Time Perspective: Retrospective Official Title: Examination of Biopsies From Healthy Knee Joints for the Use of Research Activities in Inflammatory Joint Diseases Study Start Date : August 2013 Actual Primary Completion Date : December 2014 Actual Study Completion Date : December 2014 Resource links provided by the National Library of Medicine

2014 Clinical Trials

273. Particulated Juvenile Articular Cartilage Implantation in the Knee: A 3-Year EPIC-µCT and Histological Examination Full Text available with Trip Pro

Particulated Juvenile Articular Cartilage Implantation in the Knee: A 3-Year EPIC-µCT and Histological Examination The goal of this report is to describe the outcome of sequential particulated cartilage allograft and autologous osteochondral transfer treatments for an osteochondral lesion of the medial femoral condyle.A 44-year-old woman was treated with a particulated juvenile articular cartilage allograft (DeNovo NT) for a chondral lesion of the knee. As a result of continued pain, she had 2 (...) further surgeries, including an autologous osteochondral transfer system procedure and finally a unicondylar knee arthroplasty. At the final procedure, the areas of the allograft and autograft tissue were biopsied for histological evaluation. The quality of the residual cartilage tissue was assessed first by equilibrium partitioning of an ionic contrast agent via micro-computed tomography (EPIC-µCT), and then by hematoxylin and eosin, Safranin O staining, and polarized light microscopy.Despite showing

2014 Cartilage

274. Routine Examination of Pathology Specimens Following Knee Arthroscopy: A Cost-Effectiveness Analysis. (Abstract)

Routine Examination of Pathology Specimens Following Knee Arthroscopy: A Cost-Effectiveness Analysis. While the clinical value of routine pathologic examination of tissues removed during orthopaedic procedures has not been determined, limited cost-effectiveness and a low prevalence of findings that alter patient management have been previously demonstrated with arthroscopy. The purpose of this study was to examine the clinical value and cost-effectiveness of routine histological examination (...) of knee arthroscopy specimens.Retrospective chart analysis of 3797 consecutive knee arthroscopies by two surgeons from 2004 to 2013 at three affiliated hospitals within one health-care system was undertaken. Pathology reports regarding tissue removed during partial meniscectomies and anterior cruciate ligament reconstructions were reviewed to determine if the results altered patient care. The total costs of histological examination were estimated in 2012-adjusted U.S. dollars. The cost per health

2014 The Journal of Bone and Joint Surgery. American Volume

275. Surgical Guideline for Work-related Knee Injuries

Surgical Guideline for Work-related Knee Injuries 1 Washington State Department of Labor and Industries Surgical Guideline for Work-related Knee Injuries – July 2016 Surgical Guideline for Work-related Knee Injuries 2016 TABLE OF CONTENTS I. Review Criteria for Knee Surgery 2 II. Introduction 9 A. Background and Prevalence 9 B. Establishing Work-relatedness 10 III. Assessment 11 A. History and Clinical Examination 11 B. “Overuse Syndrome” and Contralateral Effects 11 C. Diagnostic Imaging 12 IV (...) independent non-work related risk factor for developing symptomatic knee osteoarthritis, with the risk increasing as BMI increases [9, 11-13] . c http://app.leg.wa.gov/RCW/default.aspx?cite=51.08.100 d http://app.leg.wa.gov/RCW/default.aspx?cite=51.08.140 11 Washington State Department of Labor and Industries Surgical Guideline for Work-related Knee Injuries – July 2016 III. Assessment A. History and Clinical Examination Knee injuries may be complex, often involving more than a single tissue or anatomic

2016 Washington State Department of Labor and Industries

276. Factors associated with knee pain in 5148 women aged 50 years and older: A population-based study. Full Text available with Trip Pro

Factors associated with knee pain in 5148 women aged 50 years and older: A population-based study. This study was performed to investigate the factors associated with the level of knee pain in a nationally representative sample of noninstitutionalized women aged 50 years or older.Women aged 50 years or older were selected and included in the data analyses from the Korean National Health and Nutrition Examination Surveys (2010-2013). Those having malignant diseases or using osteoarthritis (...) medication were excluded. Significant factors associated with the level of knee pain were analyzed using multivariate regression analysis.A total of 5148 women (average age, 62.9 years; standard deviation, 9.3 years) were included. For women without knee osteoarthritis, level of hip pain (p<0.001), presence of back pain (p<0.001), age (p<0.001), and body mass index (BMI) (p<0.001) were found to be significant factors associated with the level of knee pain. For women with knee osteoarthritis

2018 PLoS ONE

277. Evaluation of maslinic acid with whole-body vibration training in elderly women with knee osteoarthritis. Full Text available with Trip Pro

Evaluation of maslinic acid with whole-body vibration training in elderly women with knee osteoarthritis. Maslinic acid (MA) is a component derived from a natural olive-based extract known to have pharmacological functions that include suppressing inflammation. This study examined how MA, in conjunction with whole-body vibration training (WBVT), can improve knee and muscle function in elderly women with knee osteoarthritis (OA).The study was a double-blinded, placebo-controlled, randomized (...) intervention study that enrolled individuals with knee pain. Participants were 26 females aged 65-85 years with knee OA. They performed WBVT and ingested either 16.7 mg of MA or a placebo daily for 20 weeks. We compared the effect of WBVT with placebo (WBVT/P) and WBVT with MA (WBVT/MA) in participants with various degrees of knee OA (Kellgren and Lawrence (K-L) grade) using the Japanese Orthopaedic Association (JOA) score and isokinetic dynamometer measurements to evaluate knee and muscle function

2018 PLoS ONE Controlled trial quality: uncertain

278. Sport advice given by Dutch orthopaedic surgeons to patients after a total hip arthroplasty or total knee arthroplasty. Full Text available with Trip Pro

Sport advice given by Dutch orthopaedic surgeons to patients after a total hip arthroplasty or total knee arthroplasty. The advice given to patients in the Netherlands regarding sport activities after total hip arthroplasty or total knee arthroplasty (THA/TKA) is currently based on the opinion of the individual orthopaedic surgeon.To give an overview of the sport advice given by Dutch orthopaedic surgeons and to examine whether surgeons are familiar with the Dutch health-enhancing physical

2018 PLoS ONE

279. Psychosocial and demographic factors influencing pain scores of patients with knee osteoarthritis. Full Text available with Trip Pro

Psychosocial and demographic factors influencing pain scores of patients with knee osteoarthritis. Pain levels in patients with osteoarthritis (OA) of the knee are commonly assessed by using a numeric scoring system, but results may be influenced by factors other than the patient's actual physical discomfort or disease severity, including psychosocial and demographic variables. We examined the possible relation between knee-pain scores and several psychosocial, sociodemographic, disease (...) , and treatment variables in 355 patients with knee OA.The pain-evaluation instrument was a 0- to 10-point rating scale. Data obtained retrospectively from the patients' medical records were demographic characteristics, body mass index (BMI), concomitant disorders, illicit and prescription drug use, alcohol use, smoking, knee OA treatment, and severity of knee OA indicated by Kellgren-Lawrence (KL) radiographic grade. Univariate and multivariate analyses were performed to determine whether these variables

2018 PLoS ONE

280. Prevalence of hand osteoarthritis and knee osteoarthritis in Kashin-Beck disease endemic areas and non Kashin-Beck disease endemic areas: A status survey. Full Text available with Trip Pro

Prevalence of hand osteoarthritis and knee osteoarthritis in Kashin-Beck disease endemic areas and non Kashin-Beck disease endemic areas: A status survey. Osteoarthritis (OA) is a considerable health problem worldwide, and the prevalence of OA varies in different regions. In this study, the prevalence of OA in Kashin-Beck disease (KBD) and non-KBD endemic areas was examined, respectively. According to monitoring data, 4 types of regions (including none, mild, moderate and high KBD endemic areas (...) ) in Heilongjiang and Jilin provinces were selected. All local residents were eligible for inclusion criteria have undergone X-ray images of hands and anteroposterior image of knees. A total of 1673 cases were collected, 1446 cases were analyzed after removing the KBD patients (227). The overall hand OA and knee OA detection rates were 33.3% (481/1446) and 56.6% (818/1446), respectively. After being standardized by age, the detection rate of hand OA in the KBD endemic areas was significantly higher than

2018 PLoS ONE

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>