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.

14,126 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

381. No Detectable Polyethylene Wear 15 Years After Implantation of a Mobile-Bearing Total Knee Arthroplasty With Electron Beam-Irradiated Polyethylene. (Abstract)

No Detectable Polyethylene Wear 15 Years After Implantation of a Mobile-Bearing Total Knee Arthroplasty With Electron Beam-Irradiated Polyethylene. The present study was designed to evaluate the risk of significant polyethylene (PE) wear 10 years or more after implantation of a total knee arthroplasty (TKA) using electron beam-irradiated highly cross-linked PE component.All patients operated between 2001 and 2004 for implantation of this particular TKA in the two participating centers were (...) eligible for this study. All patients were contacted after the 10-year follow-up for repeat clinical examination and radiological evaluation. The occurrence of a revision prior to the final evaluation and its reason were recorded. The thickness of the PE piece was measured on plain X-rays.Five hundred seventy-eight TKAs were implanted during the study time-frame. One hundred sixteen patients deceased prior to the 10-year follow-up (20%). An additional 121 patients were lost to follow-up prior to the 10

2019 Journal of Arthroplasty

382. Associations of joint line tenderness and patellofemoral grind with long-term knee joint outcomes: Data from the Osteoarthritis Initiative. (Abstract)

Associations of joint line tenderness and patellofemoral grind with long-term knee joint outcomes: Data from the Osteoarthritis Initiative. To examine whether joint line tenderness and patellofemoral grind from physical examination were associated with cartilage volume loss, worsening of radiographic osteoarthritis, and risk of total knee replacement.This study examined 4353 Osteoarthritis Initiative participants. For each of joint line tenderness and patellofemoral grind, the patterns were (...) grind.Patellofemoral grind, but not joint line tenderness, may represent a clinical marker associated with accelerated cartilage volume loss over 4 years and increased risk of total knee replacement over 6 years. This simple clinical examination may provide clinicians with an inexpensive way to identify those at higher risk of disease progression who should be targeted for surveillance and management. This article is protected by copyright. All rights reserved.This article is protected by copyright. All rights

2019 Arthritis care & research

383. Challenges in the management of floating knee injuries: Results of treatment and outcomes of 224 consecutive cases in 10 years. (Abstract)

follow up with clinical examination, radiographs, assessing the complications, and using the Modified Cincinnati Rating System Questionnaire (MCRSQ) and the Karlström/Olerud Score (KOS) to evaluate the progression of the outcomes.Early complications included 8 cases of compartment syndrome, 60 open fractures and 24 partially amputated limbs. A total amputation was performed in 3 patients. The most common late complication was heterotopic calcifications of the knee (n = 68, 30.6%). Good scores (...) Challenges in the management of floating knee injuries: Results of treatment and outcomes of 224 consecutive cases in 10 years. Floating knee is a flail knee joint resulting from fractures of the shafts or adjacent metaphyses of the femur and the ipsilateral tibia. It is usually associated with several complications and mortality. This study was designed to present our experience with the treatment of this injury.This study was performed between January 2004 and December 2014. 224 cases

2019 Injury

384. Subacute polyarticular arthralgias · swelling of the ankles and right knee · recent travel to the Dominican Republic · Dx? (Abstract)

developed generalized joint pain and a fever that lasted 1 to 2 weeks and subsequently resolved with the lingering polyarthralgias. She denied any rash, constitutional symptoms, photosensitivity, headaches, photophobia, or history of tick bite. Physical examination revealed normal vital signs, notable warmth and swelling of the bilateral ankles that was worse on the right side, and swelling of the right knee with effusion-but no tenderness-to palpation. (...) Subacute polyarticular arthralgias · swelling of the ankles and right knee · recent travel to the Dominican Republic · Dx? A 78-year-old woman with a history of anxiety and hypertension presented to our family medicine residency practice in Massachusetts with subacute polyarticular arthralgias that had been present for 2 months. She complained of pain and swelling of both ankles and the right knee. She noted that her symptoms had started on a recent trip to the Dominican Republic, where she

2019 Journal of Family Practice

385. Effect of Medial Soft Tissue Releases During Posterior-Stabilized Total Knee Arthroplasty on Contact Kinematics and Patient-Reported Outcomes. Full Text available with Trip Pro

postoperatively and composed of weight-bearing radiographic stereo examinations of knee flexion starting in full extension and in 20° increments of flexion to a maximum of 120°. Intraoperative medial soft tissue releases were recorded. Patient-reported outcomes used included Short-Form 12, Western Ontario and McMaster Osteoarthritis Index, and Knee Society Score.Fifty-one patients were included in the statistical analysis. Demographic characteristics were similar between all. Patients were divided into 3 (...) Effect of Medial Soft Tissue Releases During Posterior-Stabilized Total Knee Arthroplasty on Contact Kinematics and Patient-Reported Outcomes. Minimal to extensive medial soft tissue releases are part of the exposure and achieving adequate varus knee balance in total knee arthroplasty (TKA). However, the effect of these releases on knee kinematics and patient-reported outcomes is unclear. Our objective was to compare the postoperative in vivo tibiofemoral contact kinematics of a posterior

2019 Journal of Arthroplasty

386. Regional Anesthesia and Readmission Rates After Total Knee Arthroplasty. Full Text available with Trip Pro

data, we identified 138,362 privately insured patients 18-64 years of age who underwent total knee arthroplasty between 2002 and 2013. We then examined whether the use of a nerve block was associated with decreases in readmission rates and related costs during the 90 days after discharge. Our analyses were adjusted for potential confounding variables including medical comorbidities and previous use of opioids and other medications.After adjusting for patient demographics, comorbidities (...) Regional Anesthesia and Readmission Rates After Total Knee Arthroplasty. Total knee arthroplasty is a commonly performed procedure and an important contributor to national health care spending. Reducing the incidence of readmission could have important consequences for patient well-being and relevant financial implications. Whether regional anesthesia techniques are associated with decreased readmission rates and costs among privately insured patients remains unknown.Using administrative claims

2019 Anesthesia and Analgesia

387. Rate of force development and rapid muscle activation characteristics of knee extensors in very old men. (Abstract)

of the knee extensors in 15 very old (82 ± 1 yr) vs 12 young (24 ± 4 yr) men. Maximal force (Fmax) and maximal rate of force development (RFDmax) were determined during separated specific isometric contractions. EMG from the vastus lateralis was analyzed to assess the rate of EMG rise (RER). Finally, RFD and RER were examined at time intervals of 0-50, 50-100, 100-200, 0-200 ms and 0-30, 0-50, 0-75 ms, respectively. We reported lower Fmax (414 ± 91 N vs. 661 ± 139 N) and absolute RFDmax (8720 ± 2056 N*s (...) Rate of force development and rapid muscle activation characteristics of knee extensors in very old men. The age-related decrease in neuromuscular performance is usually accentuated in very old age (>80 yr) as evidenced by a marked reduction in maximal force production. However, little is known about the ability to rapidly produce force, which limits daily activities and increase the risk of falling. We aimed to assess rapid force production characteristics and rate of muscle activation

2019 Experimental Gerontology

388. Ruptured Appendicitis and Retrocecal Abscess Masquerading as Knee Pain in a Pediatric Patient: A Case Report. (Abstract)

, discomfort with weightbearing, fever, and elevated inflammatory laboratory markers. Physical examination and magnetic resonance imaging findings of the knee were benign, leading to low clinical suspicion for knee septic arthritis. Blood cultures were positive for a gastrointestinal organism, Granulicatella adiacens, suggesting abdominal pathology leading to referred pain. Ultrasound evaluation and computed tomography (CT) of the abdomen revealed a large abscess secondary to perforated appendicitis, which (...) Ruptured Appendicitis and Retrocecal Abscess Masquerading as Knee Pain in a Pediatric Patient: A Case Report. Knee pain has a variety of etiologies in the pediatric population, including septic arthritis, osteomyelitis, fracture, ligamentous injury, and neoplasms. Extrinsic sources of knee pain may also be intra-abdominal, although abdominal pathology is much more likely to manifest as hip or proximal thigh musculature pain.A 5-year-old healthy male presented with atraumatic right knee pain

2019 Journal of Emergency Medicine

389. Relationship between alignment and cartilage thickness in patients with non-traumatic and post-traumatic knee osteoarthritis. Full Text available with Trip Pro

regression analyses examined the relationship between cartilage thickness and knee OA group after controlling for disease severity, meniscal status, and alignment.In participants with predominantly medial compartment knee OA, compared to healthy controls, those with non-traumatic knee OA had diminished cartilage thickness in the medial plateau (p = 0.035) and those with post-traumatic knee OA had greater cartilage thickness in the lateral condyle (p = 0.044). In the lateral condyle, data revealed (...) Relationship between alignment and cartilage thickness in patients with non-traumatic and post-traumatic knee osteoarthritis. To compare cartilage thickness between patients with non-traumatic and post-traumatic knee osteoarthritis (OA) and healthy controls and to determine if disease severity and alignment impact these differences.Participants with non-traumatic (n = 22) and post-traumatic (n = 19) knee OA, and healthy controls (n = 22) were recruited for this cross-sectional study

2019 Osteoarthritis and Cartilage

390. Marked and Rapid Change of Bone Shape In Acutely Acl Injured Knees - An Exploratory Analysis Of The Kanon Trial. Full Text available with Trip Pro

reference cohort of 176 individuals was selected from the Osteoarthritis Initiative (OAI). Primary endpoint was change in bone area of the medial femoral condyle; exploratory analyses compared results by treatment and examined other knee regions. Comparisons were made using repeated measures mixed model ANOVA with adjustment for age, sex and body mass index (BMI).Mean medial femur bone area increased 3.2% (78.0 [95% CI 70.2 to 86.4] mm2) over 5 years after ACL injury and most prominently in knees (...) Marked and Rapid Change of Bone Shape In Acutely Acl Injured Knees - An Exploratory Analysis Of The Kanon Trial. To investigate changes in knee 3D bone shape over the first 5 years after acute anterior cruciate ligament (ACL) injury in participants of the randomized controlled KANON-trial.Serial MR images over 5 years from 121 young (32 women, mean age 26.1 years) adults with an acute ACL tear in a previously un-injured knee were analyzed using statistical shape models for bone. A matched

2019 Osteoarthritis and Cartilage Controlled trial quality: uncertain

391. A Surgeon Scorecard Is Associated with Improved Value in Elective Primary Hip and Knee Arthroplasty. (Abstract)

A Surgeon Scorecard Is Associated with Improved Value in Elective Primary Hip and Knee Arthroplasty. Despite increasing interest in total joint arthroplasty registries, evidence of the impact of physician-level performance on the value of care provided to patients undergoing hip and knee arthroplasty is lacking. The purpose of this study was to examine the effectiveness of an unblinded orthopaedic surgeon-specific value scorecard in improving patient outcomes and reducing hospital costs.We

2019 The Journal of Bone and Joint Surgery. American Volume

392. Gait mechanics contribute to exercise induced pain flares in knee osteoarthritis. Full Text available with Trip Pro

Gait mechanics contribute to exercise induced pain flares in knee osteoarthritis. Exercise-induced pain flares represent a significant barrier for individuals with knee osteoarthritis to meet physical activity recommendations. There is a need to understand factors that contribute to pain flares and the potential for the motor system to adapt and reduce joint loading should a flare occur. The study aim was to examine the impact of a bout of exercise on self-reported pain, walking mechanics (...) and muscle co-contraction for participants with knee osteoarthritis.Thirty-six adults (17 healthy older and 19 knee osteoarthritis) participated in this study. Self-reported pain, joint mechanics and muscle co-activation during gait at two self-selected speeds were collected before and after a 20-min preferred pace treadmill walk (20MTW).Eight of nineteen osteoarthritis participants had a clinically significant pain flare response to the 20MTW. At baseline the participants that did not experience a pain

2019 BMC Musculoskeletal Disorders

393. To what extent do education and physical work load factors explain occupational differences in disability retirement due to knee OA? A nationwide register-based study in Finland. Full Text available with Trip Pro

To what extent do education and physical work load factors explain occupational differences in disability retirement due to knee OA? A nationwide register-based study in Finland. To examine the association of education and physical work load factors on the occupational differences in disability retirement due to knee osteoarthritis (OA).Longitudinal study.Linkage of several nationwide registers and a job exposure matrix in Finland.A total of 1 135 654 Finns aged 30-60 years in gainful (...) employment were followed from 2005 to 2013 for full disability retirement due to knee OA.We calculated age-adjusted incidence rates and examined the association of occupation, education and physical work load factors with disability retirement using competing risk regression model. Disability retirement due to other causes than knee OA, old-age retirement and death were treated as competing risk.A total of 6117 persons had disability retirement due to knee OA. Women had a higher age-adjusted incidence

2019 BMJ open

394. Clinical Course and Impact of Complex Regional Pain Syndrome Confined to the Knee. Full Text available with Trip Pro

-center study.Patients with CRPS of the knee.Patients self-reported their past and current CRPS symptoms, HR-QoL, and work status; all underwent a physical examination. A comparison was made of changes in symptoms over time between patients with CRPS of the knee and those with CRPS of more distal locations.In total, 32 patients were enrolled. The follow-up time was 11.5 ± 6.29 years since diagnosis, and symptoms and signs showed a significant decrease over time. Twelve patients (37.5%) rated (...) Clinical Course and Impact of Complex Regional Pain Syndrome Confined to the Knee. Although complex regional pain syndrome (CRPS) of the knee is comparable to CRPS of the ankle/foot at time of diagnosis, no reports are available concerning the course of knee CRPS. Therefore, this study investigated the clinical course in terms of the symptoms and signs, health-related quality of life (HR-QoL), and work status of patients diagnosed with CRPS of the knee.Observational, descriptive study.Single

2019 Pain Medicine

395. Blueberries Improve Pain, Gait Performance, and Inflammation in Individuals with Symptomatic Knee Osteoarthritis. Full Text available with Trip Pro

is one of the major drives of the progression of OA. Dietary polyphenols have been studied for their anti-inflammatory properties and potential anabolic effects on the cartilage cells. Blueberries are widely consumed and are high in dietary polyphenols, therefore regular consumption of blueberries may help improve OA. The purpose of the present study was to examine the effect of freeze dried whole blueberries on pain, gait performance, and inflammation in individuals with symptomatic knee OA (...) Blueberries Improve Pain, Gait Performance, and Inflammation in Individuals with Symptomatic Knee Osteoarthritis. Osteoarthritis (OA) is the most common joint disorder in the world and is the most frequent cause of walking related disability among older adults in the US, which brings a significant economic burden and reduces quality of life. The initiation and development of OA typically involves degeneration or progressive loss of the structure and function of articular cartilage. Inflammation

2019 Nutrients Controlled trial quality: predicted high

396. Protocol for a randomised trial evaluating the comparative effectiveness of strategies to promote shared decision making for hip and knee osteoarthritis (DECIDE-OA study). (Abstract)

Protocol for a randomised trial evaluating the comparative effectiveness of strategies to promote shared decision making for hip and knee osteoarthritis (DECIDE-OA study). There are several different interventions available to promote shared decision making (SDM); however, little is known about the comparative effectiveness of different approaches.To examine the impact of patient-directed and physician-directed decision support strategies on the quality of treatment decisions for hip and knee (...) osteoarthritis (OA).A 2×2 factorial randomised controlled trial.One academic medical centre, one community hospital and one orthopaedic specialty hospital.The enrolment targets were 8 surgeons and 1120 patients diagnosed with hip or knee OA. Patients were randomly assigned to receive one of two different decision aids (DAs) stratified by site. The DAs varied in length, content and the level of detail regarding treatment options. Both DAs were available by paper or online.Surgeons were randomly assigned

2019 BMJ open Controlled trial quality: predicted high

397. The projected burden of primary total knee and hip replacement for osteoarthritis in Australia to the year 2030. Full Text available with Trip Pro

The projected burden of primary total knee and hip replacement for osteoarthritis in Australia to the year 2030. Comprehensive national joint replacement registries with well-validated data offer unique opportunities for examining the potential future burden of hip and knee osteoarthritis (OA) at a population level. This study aimed to forecast the burden of primary total knee (TKR) and hip replacements (THR) performed for OA in Australia to the year 2030, and to model the impact of contrasting

2019 BMC Musculoskeletal Disorders

398. Gender and Preoperative Function Predict Physical Activity Levels After Revision Total Knee Arthroplasty. (Abstract)

Gender and Preoperative Function Predict Physical Activity Levels After Revision Total Knee Arthroplasty. The incidence of revision total knee arthroplasty (TKA) is projected to increase 6-fold worldwide by 2030. As the number of younger, physically active revision TKA patients increases in future, understanding factors influencing postoperative function will be increasingly important to help counsel patients. The primary aim of this study was to examine factors influencing return to physical (...) activity following revision TKA.Patients who had undergone tibiofemoral revision between 2003 and 2013 at a single UK teaching hospital were retrospectively identified from a prospectively collected arthroplasty database. Preoperative activity level (University of California, Los Angeles [UCLA] score), patient demographics, indication, implant used, and Oxford Knee Scores (OKSs) were recorded in the database. At a mean follow-up of 3.9 years (standard deviation, 2.2), UCLA score, OKS, EuroQol-5

2019 Journal of Arthroplasty

399. The Effect of Surgeon Preference for Selective Patellar Resurfacing on Revision Risk in Total Knee Replacement: An Instrumental Variable Analysis of 136,116 Procedures from the Australian Orthopaedic Association National Joint Replacement Registry. (Abstract)

The Effect of Surgeon Preference for Selective Patellar Resurfacing on Revision Risk in Total Knee Replacement: An Instrumental Variable Analysis of 136,116 Procedures from the Australian Orthopaedic Association National Joint Replacement Registry. The optimum strategy regarding resurfacing the patella in total knee replacement (TKR) remains debated, with wide national and international variability. To minimize the confounders of a direct comparison of cases with or without resurfacing, we (...) performed an instrumental variable analysis examining revision risk on the basis of surgeon preference for patellar resurfacing in TKR, specifically examining the subsequent patellar revision risk and all-cause revision risk among cases of surgeons preferring to perform resurfacing on a selective basis compared with those whose preference is to routinely resurface or who infrequently perform resurfacing.Data from the Australian Orthopaedic Association National Joint Replacement Registry from 1999

2019 The Journal of Bone and Joint Surgery. American Volume

400. Peritoneal Dialysis Does Not Carry the Same Risk as Hemodialysis in Patients Undergoing Hip or Knee Arthroplasty. (Abstract)

Peritoneal Dialysis Does Not Carry the Same Risk as Hemodialysis in Patients Undergoing Hip or Knee Arthroplasty. Dialysis has been associated with increased complication rates following total hip arthroplasty (THA) and total knee arthroplasty (TKA). The current literature on this issue is limited and does not distinguish between hemodialysis and peritoneal dialysis. The purpose of this study was to determine (1) the differences in the infection and other complication rates after THA or TKA (...) were not receiving either form of dialysis. Multivariate regression analysis was performed to examine several adverse events, including the prevalence of infection at 1 year and hospital readmission at 30 days.The infection rates at 1 year after THA were significantly lower in the peritoneal dialysis group than in the hemodialysis group: 1.57% (95% confidence interval [CI] = 0.7% to 3.0%) and 4.20% (95% CI = 2.7% to 6.2%), respectively, with an odds ratio (OR) of 0.30 (95% CI = 0.12 to 0.71

2019 The Journal of Bone and Joint Surgery. American Volume

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