Osteoarthritis and cartilage
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Osteoarthr. Cartil. · Oct 2013
Multicenter StudyReturn to work and workplace activity limitations following total hip or knee replacement.
Total hip (THR) and knee (TKR) replacements increasingly are performed on younger people making return to work a salient outcome. This research evaluates characteristics of individuals with early and later return to work following THR and TKR. Additionally, at work limitations pre-surgery and upon returning to work, and factors associated with work limitations were evaluated. ⋯ The majority of individuals working prior to surgery return to work following hip or knee replacement for osteoarthritis (OA) and experience fewer limitations at work than pre-surgery. The changing workforce dynamics and trends toward surgery at younger ages mean that these are important outcomes for clinicians to assess. Additionally, this is important information for employers in understanding continued participation in employment for people with OA.
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Osteoarthr. Cartil. · Sep 2013
Multicenter Study Observational StudyThe relationship between quadriceps muscle weakness and worsening of knee pain in the MOST cohort: a 5-year longitudinal study.
To determine whether quadriceps weakness is associated with elevated risk of worsening knee pain over 5 years. ⋯ Quadriceps weakness was associated with an increased risk of worsening of knee pain over 5 years in women, but not in men.
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Osteoarthr. Cartil. · Sep 2013
Multicenter StudyAcute postoperative pain following hospital discharge after total knee arthroplasty.
The increasingly shorter hospitalization following total knee arthroplasty (TKA) requires patients to assume earlier responsibility to self-manage their pain. Poorly managed acute pain increases the risk of persistent pain, reduces quality of life and increases unnecessary healthcare utilization. This study aims to examine post-discharge pain intensity, pain management behaviors and potential barriers to optimal self-management of pain. ⋯ Effective pain relief after hospital discharge following TKA is a challenge. Many participants reported significant pain, sought further medical help for pain relief and had inadequate information at discharge to effectively self-manage their postoperative knee pain.
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Osteoarthr. Cartil. · Jun 2013
Multicenter StudyPhysical activity, alignment and knee osteoarthritis: data from MOST and the OAI.
To determine the effect of physical activity on knee osteoarthritis (OA) development in persons without knee injury and according to knee alignment. ⋯ Physical activity in the highest quartile did not affect the risk of developing OA.
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Osteoarthr. Cartil. · Jun 2012
Multicenter StudyDelineating the impact of obesity and its relationship on recovery after total joint arthroplasties.
The primary aim of this study was to determine the impact of obesity in predicting short and long-term pain relief and functional recovery in total joint arthroplasty (TJA) either as an independent risk factor or a factor mediated by two chronic conditions associated with obesity-cardiac disease and diabetes mellitus. ⋯ Severe obesity is an independent risk factor for slow recovery over 3 years for both hip and knee arthroplasties.