Clinical orthopaedics and related research
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Clin. Orthop. Relat. Res. · Jan 2017
Multicenter StudyWhat Is the Frequency of Noise Generation in Modern Knee Arthroplasty and Is It Associated With Residual Symptoms?
Prior investigations have recognized the presence of patient-perceived noise generation after total knee arthroplasty (TKA). However, questions remain regarding its overall frequency after both TKA and unicompartmental knee arthroplasty (UKA) as well as with respect to its association with demographic and prosthesis-related factors and its association with patient-reported outcomes. ⋯ Level III, therapeutic study.
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Clin. Orthop. Relat. Res. · Jan 2017
Is It Appropriate to Treat Sarcoma Metastases With Intramedullary Nailing?
Patients with primary bone and soft tissue sarcoma are at risk for skeletal metastases. Although uncommon, these metastases can result in impending or pathologic fractures. Intramedullary nailing traditionally has been an accepted form of palliative treatment for patients with metastatic carcinoma, but we could find no studies that report specifically on intramedullary nailing of metastatic sarcoma lesions. ⋯ Level IV, therapeutic study.
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Clin. Orthop. Relat. Res. · Jan 2017
Do Stemmed Tibial Components in Total Knee Arthroplasty Improve Outcomes in Patients With Obesity?
Recent clinical studies have reported that patients with higher body mass index (BMI) are more likely to experience premature failure of total knee arthroplasty (TKA), lower knee scores, and perhaps more pain in the prosthetic joint. However, it is not known whether certain implant design features such as tibial stems might be associated with differences in the frequency of tibial pain in patients with higher BMIs. ⋯ Level I, therapeutic study.