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.

13,260 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

941. Pain sensitivity and torque used during measurement predicts change in range of motion at the knee Full Text available with Trip Pro

Pain sensitivity and torque used during measurement predicts change in range of motion at the knee To determine the extent to which changes in knee range of motion (ROM) after a stretching program are related to sensory factors at the time of testing and the amount of force used during the measurement of ROM, rather than changes in soft-tissue properties.Randomized, single-blind design. Participants were randomly assigned to a control or stretching group.Research laboratory.Forty-four healthy (...) volunteers (22.8±2.8 years of age; 23 men).The stretching group undertook static stretching twice a day for 8 weeks. The control group continued with routine activity, but was discouraged from starting a flexibility program.ROM and tissue extensibility was assessed using a Biodex3 dynamometer, and ratings of thermal pain were collected at baseline and at 4 and 8 weeks by an examiner blinded to group assignment. Multilevel modeling was used to examine predictors of ROM across time.The stretching group

2017 Journal of pain research Controlled trial quality: uncertain

942. Effects of periarticular injection on analgesic effects and NSAID use in total knee arthroplasty and total hip arthroplasty Full Text available with Trip Pro

Effects of periarticular injection on analgesic effects and NSAID use in total knee arthroplasty and total hip arthroplasty This study examined periarticular multimodal drug injection and the use of nonsteroidal anti-inflammatory drugs for an early analgesic effect after total knee arthroplasty and total hip arthroplasty. Patient satisfaction and benefits from the treatment were also assessed.A total of 110 patients who were scheduled to undergo total knee arthroplasty and 86 patients who were (...) scheduled to undergo total hip arthroplasty were divided into two groups, the study group and the control group. The study group received a periarticular multimodal drug injection during surgery. The control group received an equal volume of normal saline. All patients received an analgesia pump and a moderate dose of nonsteroidal anti-inflammatory drugs. Resting and motion Numeric Rating Scale scores, the Western Ontario and McMaster Universities Arthritis Index, knee or hip joint range of motion

2017 Clinics

943. Effects of Angelicae Pubescentis and Loranthi Decotion on repairing knee joint cartilages in rats Full Text available with Trip Pro

from each rat in groups B, C, and D was shown and cut off to establish the SIA model. After 6 weeks of the surgery, rats in group C or D were treated with APLD or GS, respectively, for 8 weeks. Bone X-ray examination, histological images, and determination of genes of collagen II and aggrecan were performed. At week 14, both knee joint gap and bone structure disappeared in rats of group B, but they were visible in rats of groups A, C, and D.Histological images revealed that the structure (...) Effects of Angelicae Pubescentis and Loranthi Decotion on repairing knee joint cartilages in rats Knee osteoarthritis (KOA) is a common orthopedics disease and its pathological changes at early stage are the damage and loss of articular cartilage. Traditional Chinese medicine (TCM) prescription contains multiple components and has the unique advantages of the diversity of targets.We compared the traditional Chinese medical formulae (Angelicae Pubescentis and Loranthi decotion, APLD, or Duhuo

2017 Journal of orthopaedic surgery and research

944. Association between ultrasound-detected synovitis and knee pain: a population-based case–control study with both cross-sectional and follow-up data Full Text available with Trip Pro

Association between ultrasound-detected synovitis and knee pain: a population-based case–control study with both cross-sectional and follow-up data An important role for synovial pathology in the initiation and progression of knee osteoarthritis has been emphasised recently. This study aimed to examine whether ultrasonography-detected synovial changes associate with knee pain (KP) in a community population.A case-control study was conducted to compare people with early KP (n = 298

2017 Arthritis research & therapy

945. Comparison of efficiency of elastic and non-elastic taping on induced quadriceps fatigue by knee extension exercise Full Text available with Trip Pro

Comparison of efficiency of elastic and non-elastic taping on induced quadriceps fatigue by knee extension exercise [Purpose] The purpose of this study is to examine the effects of elastic and non-elastic taping on induced quadriceps fatigue by knee extension exercise. [Subjects and Methods] Thirty healthy females were randomly assigned to an elastic tape group (ET, n=10), a non-elastic tape group (NET, n=10), or a no tape group (NT, n=10). Taping groups attached taping on quadriceps femoris (...) . Three groups are conducted knee extension exercise for 10 times and 3 sets during 10 minutes. Knee extension peak torque measured before and after knee extension exercise. One-way analysis of variance was used to assess the statistical significance of knee extension peak torque. [Results] No significant difference in changes in maximum muscle strength per unit weight from before to after the muscle fatigue exercise was found in the ET, NET, or NT groups (12.1 ± 4.2, 11.7 ± 7.1, and 6.7 ± 3.4 N/kg

2017 Journal of physical therapy science Controlled trial quality: uncertain

946. Midterm Results of a New Rotating Hinge Knee Implant: A 5-Year Follow-Up Full Text available with Trip Pro

Midterm Results of a New Rotating Hinge Knee Implant: A 5-Year Follow-Up In the current study, we investigated midterm results of a new rotating hinge total knee arthroplasty (EnduRo prosthesis), which uses a new bearing material (CFR PEEK).We prospectively analysed data of 50 patients with a minimum follow-up of 5 years. In 24 (48%) patients, a primary implantation was performed and 26 (52%) were revision cases. Clinical and radiographic examinations were performed preoperatively as well (...) as postoperatively after 3 and 12 months and annually thereafter. The Knee Society Score (KSS), WOMAC, Oxford Knee Score (OKS), and range of motion (ROM) were used for clinical assessment.KSS, WOMAC, OKS, and ROM significantly improved between the preoperative and the follow-up investigations. The overall survival rate with revision for any reason as an endpoint was 77.9% after five years. The number of complications was significantly higher in the revision group (p = 0.003).The EnduRo prosthesis provides highly

2017 BioMed research international

947. Influence of Hip Abductor Strength on Functional Outcomes Before and After Total Knee Arthroplasty: Post Hoc Analysis of a Randomized Controlled Trial. Full Text available with Trip Pro

Influence of Hip Abductor Strength on Functional Outcomes Before and After Total Knee Arthroplasty: Post Hoc Analysis of a Randomized Controlled Trial. Total knee arthroplasty (TKA) is associated with declines in hip abductor (HA) muscle strength; however, a longitudinal analysis demonstrating the influence of TKA on trajectories of HA strength change has not been conducted.The purpose of this study was to quantify changes in HA strength from pre-TKA through 3 months post-TKA (...) comparisons of HA strength. Multivariable regression was used to determine contributions of independent variables, HA and knee extensor strength, to the dependent variables of TUG, SCT, 6MWT, and walking speed at each time point.Hip abductor strength was significantly lower in the surgical limb pre-TKA (mean = 0.015; 95% CI = 0.010-0.020), 1 month post-TKA (0.028; 0.023-0.034), and 3 months post-TKA (0.02; 0.014-0.025) compared with the nonsurgical limb. Hip abductor strength declined from pre-TKA to 1

2017 Physical therapy Controlled trial quality: uncertain

948. Risk Factors for Repeat Debridement, Spacer Retention, Amputation, Arthrodesis, and Mortality After Removal of an Infected Total Knee Arthroplasty With Spacer Placement. (Abstract)

Risk Factors for Repeat Debridement, Spacer Retention, Amputation, Arthrodesis, and Mortality After Removal of an Infected Total Knee Arthroplasty With Spacer Placement. Chronic periprosthetic joint infection (PJI) after total knee arthroplasty (TKA) is most commonly addressed with a 2-stage exchange procedure. The purpose of this study is to examine the natural history of patients who have undergone prosthesis removal and spacer placement and evaluate risk factors for outcomes other than (...) reimplantation.Patients who underwent removal of an infected TKA and placement of an antibiotic spacer for PJI were identified in a Medicare database. Patients with a study outcome within 1 year were then identified: (1) in hospital mortality, (2) knee arthrodesis, (3) amputation, (4) repeat debridement procedure without reimplantation, and (5) reimplantation. Independent risk factors for these outcomes were evaluated with a multivariate logistic regression analysis.A total of 18,533 patients were included. Within 1

2017 Journal of Arthroplasty

949. Preoperative Diagnosis Can Predict Conversion Total Knee Arthroplasty Outcomes. (Abstract)

between April 2012 and 2016 were examined. Twenty-seven (37.5%) cases had a preoperative site-specific diagnosis such as fracture of the proximal tibia, distal femur, or patella whereas 45 (62.5%) cases had a preoperative diagnosis of significant soft-tissue trauma. These 2 groups were compared in terms of total implant cost, length of stay, complications, and readmission and reoperation rates. A subanalysis was conducted to evaluate the effects of previous knee surgery on surgical outcomes.The (...) Preoperative Diagnosis Can Predict Conversion Total Knee Arthroplasty Outcomes. Compared to total knee arthroplasty (TKA) for primary osteoarthritis, conversion TKAs in the post-traumatic setting are associated with increased operative times, infection rates, and readmissions. We aim at determining how post-traumatic osteoarthritis and previous knee surgery influence postoperative outcomes in conversion TKA.Seventy-two conversion TKA procedures with prior knee trauma at a single institution

2017 Journal of Arthroplasty

950. Use of a Tourniquet in Total Knee Arthroplasty Causes a Paradoxical Increase in Total Blood Loss. (Abstract)

administration was commenced. The purpose of this study was to examine total perioperative blood loss with tourniquet use, with tourniquet use and routine use of tranexamic acid, and with tranexamic acid use alone without tourniquet.A retrospective cohort study of 132 patients in 3 groups was performed. The first group underwent total knee arthroplasty with limited tourniquet use only during cementing, the second group had the same protocol but with tranexamic acid administered, and the third group had (...) Use of a Tourniquet in Total Knee Arthroplasty Causes a Paradoxical Increase in Total Blood Loss. A tourniquet in total knee arthroplasty has been used in an attempt to decrease perioperative blood loss; however, questions exist regarding safety and efficacy. Tranexamic acid has also been used to decrease blood loss by stabilizing clot formation. Because of these concerns, routine tourniquet use for total knee arthroplasty was discontinued by the senior author and routine tranexamic acid

2017 The Journal of Bone and Joint Surgery. American Volume

951. Are Allogeneic Transfusions Decreasing in Total Knee Arthroplasty Patients? National Inpatient Sample 2009-2013. (Abstract)

Are Allogeneic Transfusions Decreasing in Total Knee Arthroplasty Patients? National Inpatient Sample 2009-2013. Allogeneic transfusions are commonly used for substantial blood loss in total knee arthroplasty (TKA), but have been associated with adverse effects and increased costs. The purpose of this study is to provide a detailed description of (1) trends of allogeneic blood transfusion; (2) risk factors and adverse events; and (3) discharge disposition, length-of-stay (LOS), and cost/charge (...) was a significant decline in use of allogeneic transfusion from 2009-2013 incidence (13.9%-7.3%; P < .001). All comorbidities examined were associated with significantly increased risk of receiving allogeneic transfusion with exception of patients with AIDS, metastatic cancer, and peptic ulcer disease. Allogeneic transfusion was associated with worse outcomes during hospitalization. Patients also had a greater likelihood of discharge to short-term care, greater LOS, and greater median costs/charges. Among TKA

2017 Journal of Arthroplasty

952. Posterior Cruciate Ligament Injuries of the Knee at the National Football League Combine: An Imaging and Epidemiology Study. (Abstract)

Posterior Cruciate Ligament Injuries of the Knee at the National Football League Combine: An Imaging and Epidemiology Study. To determine the epidemiology by player position, examination, imaging findings, and associated injuries of posterior cruciate ligament (PCL) injuries in players participating in the National Football League (NFL) Combine.All PCL injuries identified at the NFL Combine (2009-2015) were reviewed. Data were obtained from the database organized by the NFL medical personnel (...) for the compilation of the medical and physical performance examination results of NFL Draftees participating in the NFL Combine from 2009 to 2015. Inclusion criteria were any player with clinical findings or a previous surgery consistent with a PCL injury who participated in the NFL Combine.Of the 2,285 players who participated in the NFL Combine between 2009 and 2015, 69 (3%) had evidence of a PCL injury, of which 11 players (15.9%) were managed surgically. On physical examination, 35 players (52%) had a grade

2017 Arthroscopy

953. Stability and alignment do not improve by using patient-specific instrumentation in total knee arthroplasty: a randomized controlled trial. (Abstract)

Stability and alignment do not improve by using patient-specific instrumentation in total knee arthroplasty: a randomized controlled trial. The primary aim of the study was to examine stability and alignment after total knee arthroplasty (TKA) using patient-specific instrumentation (PSI) and conventional instrumentation (CI). The hypothesis was that stability and alignment would be better using PSI than CI, 12 months postoperatively. The secondary aim included the evaluation of clinical (...) outcomes after TKA.In this prospective randomized controlled trial, 42 patients with knee osteoarthritis received a Genesis II PS prosthesis with either PSI or CI. Patients visited the hospital preoperatively and postoperatively after 6 weeks and 3 and 12 months. To evaluate stability, varus-valgus laxity was determined in extension and flexion using stress radiographs 12 months postoperatively. Three months postoperatively, a long-leg radiograph and CT scan were obtained to measure hip-knee-ankle (HKA

2017 Knee Surgery, Sports Traumatology, Arthroscopy Controlled trial quality: uncertain

954. Femoral Component Axial Rotation in the Gap-Balancing Approach to Total Knee Arthroplasty: Measurement by Computed Tomography. (Abstract)

Femoral Component Axial Rotation in the Gap-Balancing Approach to Total Knee Arthroplasty: Measurement by Computed Tomography. Rotational malalignment of total knee arthroplasty (TKA) is a potential cause for revision surgery; therefore, it is important to have valid criteria for evaluation of normal component rotational alignment. Because computed tomography (CT) is considered the most accurate method to assess the rotational alignment of prosthetic components, the objectives in this study (...) were define the femoral component (FC) rotation by measuring the posterior condylar angle (PCA) and the condylar twist angle (CTA) in a patient population that underwent gap-balancing TKA; determine the reliability of the FC rotation by using these measurements; evaluate the inter-relationship between the PCA and CTA; and finally evaluate the frequency and agreement in identification of the medial epicondyle sulcus (MES).In this retrospective study, 2 radiologists examined 50 CT scans. Mean PCA

2017 Journal of Arthroplasty

955. Longitudinal Relationship Between Knee Pain Status and Incident Frailty: Data from the Osteoarthritis Initiative. Full Text available with Trip Pro

Longitudinal Relationship Between Knee Pain Status and Incident Frailty: Data from the Osteoarthritis Initiative. Examine the longitudinal association between knee pain and prefrailty/frailty.Longitudinal study.Five clinical centers across the United States.Data from 3,053 nonfrail participants aged 45-79 years at baseline from the Osteoarthritis Initiative.According to self-reported knee pain at baseline, the participants were placed into three groups: no knee pain (N = 1,600), unilateral knee (...) pain (N = 822), and bilateral knee pain (N = 631). Frailty status was assessed over time using the five frailty indicators (unintentional weight loss, exhaustion, weak energy, slow gait speed, and little physical activity). Based on the number of frailty indicators present, prefrailty (1-2) and frailty (≥3) were diagnosed. Generalized estimating equations logistic regression analyses were conducted to examine the relationship between knee pain status and prefrailty/frailty.After adjusting for age

2017 Pain Medicine

956. Knee pain and related health in the community study (KPIC): a cohort study protocol. Full Text available with Trip Pro

Knee pain and related health in the community study (KPIC): a cohort study protocol. The incidence, progression and related risk factors for recent-onset knee pain (KP) remain uncertain. This study aims to examine the natural history of KP including incidence and progression and to identify possible phenotypes and their associated risk factors.A prospective community-based cohort of men and women aged 40 years or over within the East Midlands region (UK) will be recruited via a postal (...) questionnaire from their general practices. The questionnaire will enquire about: presence and onset of KP; pain severity (0–10 numerical rating scale (NRS)); pain catastrophizing and neuropathic-like pain (NP) using the painDETECT questionnaires (definite NP scores ≥19–38); risk factors for KP and/ or osteoarthritis (OA) (age, body mass index, constitutional knee alignment, nodal OA, index: ring finger length (2D4D) ratio); quality of life (SF12); and mental health (Hospital Anxiety and Depression Scale

2017 BMC Musculoskeletal Disorders

957. Editorial Commentary: Hamstring Autograft With Preserved Insertions Versus Free Hamstring Autograft in Knee Anterior Cruciate Ligament Reconstruction: Clinically the Same but Statistically Different. Full Text available with Trip Pro

Editorial Commentary: Hamstring Autograft With Preserved Insertions Versus Free Hamstring Autograft in Knee Anterior Cruciate Ligament Reconstruction: Clinically the Same but Statistically Different. There is considerable debate over the ideal graft for anterior cruciate ligament (ACL) reconstruction in athletes. The use of a hamstring autograft with preserved insertions is an approach to ACL reconstruction that may lead to earlier healing and less morbidity in comparison to a free hamstring (...) autograft. When compared in a randomized trial, statistically significant but clinically irrelevant differences in clinical outcome and instrumented laxity were observed. These contradictory findings highlight the importance of examining the results from many vantage points and further demonstrate the misleading conclusions that may result from reliance on P values.Copyright © 2017 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

2017 Arthroscopy Controlled trial quality: uncertain

958. Clinical Efficacy and Safety of Benjakul Remedy Extract for Treating Primary Osteoarthritis of Knee Compared with Diclofenac: Double Blind, Randomized Controlled Trial. Full Text available with Trip Pro

Clinical Efficacy and Safety of Benjakul Remedy Extract for Treating Primary Osteoarthritis of Knee Compared with Diclofenac: Double Blind, Randomized Controlled Trial. The purpose of this study was to investigate the clinical efficacy and safety of Benjakul (BJK) extract for treating primary osteoarthritis (OA) of the knee compared with diclofenac.A phase 2, double blind, randomized, and controlled study was conducted. The BJK group received 300 mg of BJK extract per day, while another group (...) received 75 mg of diclofenac per day. All patients were followed up at 14 and 28 days. The changing of visual analogue scale (VAS) for pain, 100-meter walking times, the modified Thai WOMAC index scores, and the global assessment were evaluated for efficacy. For safety issue, clinical signs and symptoms, complete physical examination, and renal and liver function were evaluated.39 and 38 patients for BJK extract group and diclofenac group were evaluated. For efficacy, all patients from both groups

2017 Evidence-based Complementary and Alternative Medicine (eCAM) Controlled trial quality: predicted high

959. Early Experience with Bilateral Continuous Femoral Nerve Block and Single-Injection Spinal Anesthesia for Bilateral Total Knee Arthroplasty: A Case Series. Full Text available with Trip Pro

Early Experience with Bilateral Continuous Femoral Nerve Block and Single-Injection Spinal Anesthesia for Bilateral Total Knee Arthroplasty: A Case Series. Total knee arthroplasty (TKA) is a commonly performed surgery in the United States, with demand for unilateral and simultaneous bilateral TKAs (BTKAs) expected to increase significantly over the coming decades. This study reports the authors' early experience in a consecutive series of simultaneous BTKAs performed under regional anesthesia (...) and mild sedation.In this retrospective case series, the authors examined all simultaneous BTKAs performed over two years by a single surgeon. Only patients receiving bilateral continuous femoral nerve blockade (CFNB) and single-injection sciatic nerve blockade in combination with single-injection subarachnoid block were included in the study. Of the 32 patients who underwent BTKAs during this period, 25 met the inclusion criteria. The patient's anesthesia records, physician notes, nursing notes

2017 Pain Medicine

960. Toward classification criteria for early osteoarthritis of the knee. Full Text available with Trip Pro

presentations followed by breakout sessions, consensus discussions, and consolidation into a consensus document.Three classes of criteria were agreed: (1) Pain, symptoms/signs, self-reported function, and quality of life using tools such as KOOS: scoring ≤85% in at least 2 out of these 4 categories; (2) Clinical examination: at least 1 present out of joint line tenderness or crepitus; (3) Knee radiographs: Kellgren & Lawrence (KL) grade of 0 or 1. MRI is at present not recommended as an aid to identify (...) Toward classification criteria for early osteoarthritis of the knee. To propose draft classification criteria for early stage osteoarthritis (OA) of the knee for use in a primary care setting.A group of basic scientists, physician-scientists, rheumatologists, orthopedic surgeons, and physiotherapists in a workshop setting discussed potential classification criteria for early osteoarthritis of the knee. The workshop was divided into sessions around relevant topics with short state of the art

2017 Seminars in arthritis and rheumatism

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