Knee
Emad Kouhestani; Reza Minaei; Farshad Safdari; Muntadhar Alshohaib
Abstract
Background: Postoperative pain following total hip arthroplasty (THA) impacts patients' rehabilitation and quality of life. Although gabapentin has been widely used for pain control, its effectiveness in hip arthroplasty is not well established. The aim of our systematic review is to evaluate the effect ...
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Background: Postoperative pain following total hip arthroplasty (THA) impacts patients' rehabilitation and quality of life. Although gabapentin has been widely used for pain control, its effectiveness in hip arthroplasty is not well established. The aim of our systematic review is to evaluate the effect of gabapentin on postoperative pain after THA.Methods: A systematic search was conducted in three databases: MEDLINE, PsycINFO, and Embase, through OVID, using the keywords gabapentin, pain, and hip arthroplasty, with no restrictions on language or publication date. To evaluate the quality of the articles, the Cochrane Collaboration tool was used.Results: Five studies, including 728 patients, were included in our systematic review. Gabapentin 600 mg was used in three and 1200 mg in two studies. The results of these studies showed that gabapentin had no significant effect on pain or morphine consumption after THA. Besides, gabapentin use was associated with side effects such as rash, nausea, headache, vomiting, and pruritus.Conclusion: Gabapentin does not decrease pain or morphine consumption after THA. However, future studies with a larger sample size and longer follow-up period are required.
Knee
Elsiddig Elhadi Mahmoud; Mohamedalmontazar Moawia Malik; Khalid Elfadil Husein
Abstract
Background: Acquiring knowledge about anatomic and geometric measurement of bone is among the most vital parameters in knee arthroplasty and has a significant effect on the subsequent outcomes. The aim of this study is to obtain anthropometric measurements of the distal femur of adult Sudanese Population ...
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Background: Acquiring knowledge about anatomic and geometric measurement of bone is among the most vital parameters in knee arthroplasty and has a significant effect on the subsequent outcomes. The aim of this study is to obtain anthropometric measurements of the distal femur of adult Sudanese Population and to compare the results with other populations.Methods: This descriptive study conducted at Alamal hospital in Khartoum, Sudan, between Sep. 2020 and Feb. 2021, included all adult patients attending the radiology clinic for CT scan with normal knees. The Femoral medio-lateral (ML) and anteroposterior (AP) dimensions of the distal femora were measured. The collected data was analysed using statistical package for social science (SPSS).Results: 385 adult Sudanese were studied. The mean age was 59.1±18.5 years (Range 20-86 years). 69.9% were male and 30.1% female. 45% were left knees and 55% right. The mean ML diameter was 76.6±6.0mm (rang 66.7-88.2mm), and the mean of AP was 45.640±4.9 mm (range 37.2-54mm). The anthropometric measurements of the distal femur of Sudanese people fall between Greek and Korean.Conclusion: There were differences in mean ML and AP dimensions between the Sudanese population and other ethnic groups which should be kept in mind when designing Total Knee Arthroplasty implants.
Knee
Mehran Soleymanha; Sohrab Keyhani; Kamran Asadi; Amin Moradi
Abstract
Background: The tourniquet commonly uses in knee replacement surgery, but there is no consensus on the release time of the tourniquet. The aim of this study was the evaluation of tourniquet release time, on postoperative hemoglobin level in knee arthroplasty patients. Material and Methods: During one ...
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Background: The tourniquet commonly uses in knee replacement surgery, but there is no consensus on the release time of the tourniquet. The aim of this study was the evaluation of tourniquet release time, on postoperative hemoglobin level in knee arthroplasty patients. Material and Methods: During one year, patients undergoing complete knee arthroplasty were randomly divided into two groups according to the inclusion criteria, the early release tourniquet group (opening tourniquet after cementation) and the late release tourniquet group (opening tourniquet after wound dressing). Hemoglobin levels were measured and compared at preoperative, 24 hours and one week after surgery. Also, Duration of surgery, blood transfusion requirements and early wound complications were evaluated in two groups.Results: The mean duration of surgery was 82 ± 11.2 minutes in the early release group and 73 ± 14 minutes in the late release group (P <0.001). Decrease of hemoglobin level at 24 hours and one week after surgery was 1.8±0.82 and 1.1±0.71 respectively in the first group, and 1.4 ±0.94 and 0.6 ±0.82 in the second group. In this study, the requirements for blood transfusion was more in the early release of the tourniquet group (4 cases in the first group and 2 cases in the second group), but this difference was not significant.Conclusion: Late tourniquet release after wound dressing can reduce surgery time and reduction of hemoglobin level in total knee arthroplasty.
Knee
mohamad sheibani; mahmoud karimi.mobarake; moslem moslem
Abstract
Introduction: Knee arthroplasty is one of the most successful orthopedic surgeries, and many studies have been done on Eproch and the timing of surgery, but few studies have been performed on the outcomes and complications of knee arthroplasty and its comparison 48 hours later. Therefore, we decided ...
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Introduction: Knee arthroplasty is one of the most successful orthopedic surgeries, and many studies have been done on Eproch and the timing of surgery, but few studies have been performed on the outcomes and complications of knee arthroplasty and its comparison 48 hours later. Therefore, we decided to conduct a study to determine the clinical outcomes and complications of two knee joint replacements and to compare them within 48 hours.Methods: This study was a cohort study, the first group consisted of patients undergoing concurrent arthroplasty and the second group were patients undergoing 48 knee arthroplasty within 48 hours then postoperative complications, duration Time of hospitalization, clinical outcome two weeks after surgery, one month after surgery and three months after surgery were evaluated.Result: None of the criteria evaluated by lysholm questionnaire were significantly different in the studied patients. Postoperative complications were also evaluated in both case and control groups, with no significant difference in either group. (P> 0.05).Discussion: Overall, there was no significant difference in pain rate, knee function, and surgical complications during the study after both treatments.
Knee
Alireza Naseri; Abbasali Dehghani; Mohammad Reza Moharrami
Abstract
Introduction: Deep vein thrombosis (DVT) is accompanied by adverse effects after surgery and the prevalence of this complication is unknown following knee replacement surgery in patients with a history of chemotherapy. Therefore, the present study aimed to investigate the frequency of DVT after knee ...
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Introduction: Deep vein thrombosis (DVT) is accompanied by adverse effects after surgery and the prevalence of this complication is unknown following knee replacement surgery in patients with a history of chemotherapy. Therefore, the present study aimed to investigate the frequency of DVT after knee replacement surgery in patients with a history of chemotherapy.Methods: This descriptive-analytical study was performed on 189 candidates for knee replacement surgery who had a history of chemotherapy during 36 months ending in March 2016 and referred to Shohada and Imam Reza hospitals affiliated to Tabriz University of Medical Sciences, Tabriz, Iran. After surgery, patients were evaluated for the incidence of DVT and the factors, influecing it based on the instrument of determining DVT and Doppler ultrasound. Statistical analysis was completed by Spearman’s correlation and regression tests.Results: The mean standard deviation of DVT score was 43.49 ± 6.66, which indicates that after knee replacement surgery, patients with a history of chemotherapy are at high risk for DVT. The prevalence of DVT was 25.92% (N=49) and the number of chemotherapy sessions (P=0.001) correlated with the occurrence of DVT.Conclusion: The prevalence of DVT following knee replacement surgery in people with a history of chemotherapy is above the normal mean reported in the literature. Consequently, further therapeutic and preventive measures are required.
Knee
amir salari; Mehran Soleymanha; zahra ahmadnia; arsalan salari; tolou hasandokht
Abstract
Introduction: According to the literature, cardiovascular diseases are highly prevalent globally, while there is an increased risk of cardiovascular-related death in osteoarthritic patients. Therefore, the present study intended to investigate the cardiovascular risk factor prevalence in osteoarthritic ...
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Introduction: According to the literature, cardiovascular diseases are highly prevalent globally, while there is an increased risk of cardiovascular-related death in osteoarthritic patients. Therefore, the present study intended to investigate the cardiovascular risk factor prevalence in osteoarthritic patients.Methods: This cross-sectional, descriptive study was performed at the orthopedics clinics of the Guilan University of Medical Sciences in 2017. The inclusion criteria were the 40-75-year-old patients who were selected using the convenience sampling method. They were diagnosed with osteoarthritis, and gave informed consent for participation. The study data included demographics, cardiovascular risk factors, medical history, and anthropometric measurements. After a qualitative analysis, the data were analyzed using the SPSS software version 16.Results: A total of 100 patients with knee osteoarthritis, including 79 female and 21 male patients with the mean age of 53.9±11.9 years, were included in the study. The prevalence of diabetes, hypertension, obesity, metabolic syndrome, and smoking in the participants was 31%, 33%, 45%, 51%, and 9%, respectively. 12% reported a history of previous heart attacks. Moreover, the prevalence of diabetes, obesity, hypertension, and metabolic syndrome was higher in women than men. Also, the mean age of the male patients was significantly higher than women (P = 0.03).Conclusion: Given the high prevalence of cardiovascular risk factors in osteoarthritis patients, it is essential to notice the early cardiovascular disease detection in patients with knee osteoarthritis, especially in female patients.
Knee
mohamad sheibani; mahmoud karimi.mobarake; hamid karimifard
Abstract
Introduction: The most common cause of knee pain is knee osteoarthritis, many surgical and non-surgical treatments have been proposed but the preferred treatment remains unknown. One of the non-surgical treatments was PRP (plasma reach platate) injection in these patients. Various studies have shown ...
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Introduction: The most common cause of knee pain is knee osteoarthritis, many surgical and non-surgical treatments have been proposed but the preferred treatment remains unknown. One of the non-surgical treatments was PRP (plasma reach platate) injection in these patients. Various studies have shown the improvement of the effect of PRP injection with substances such as calcium gluconate, so the aim of this study was to evaluate the effectof PRP with and without calcium gluconate on the clinical results of intra-articular injection of this substance in patients with knee osteoarthritis.Methods: This was a cohort study in which patients were divided into two groups: PRP injection and PRP injection with calcium gluconate. The results of the study were evaluated by KOOS questionnaire and pain by VAS. A significance level of 0.05 was considered.Result: Generally, during the study, the pain level in patients after receiving both treatments significantly decreased during the six-month period, while the pain in the case group significantly decreased. (P Value <0.05).Discussion: From the results of this study, it can be concluded that simultaneous injection of PRP and calcium gluconate can further improve the results of injection.
