Clinical orthopaedics and related research
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Clin. Orthop. Relat. Res. · Aug 2015
Review Meta AnalysisWhat Host Factors Affect Aseptic Loosening After THA and TKA?
Aseptic loosening is the most common cause for revisions after lower-extremity total joint arthroplasties, however studies differ regarding the degree to which host factors influence loosening. ⋯ Level IV, therapeutic study.
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Clin. Orthop. Relat. Res. · Aug 2015
Review Meta AnalysisWhat Host Factors Affect Aseptic Loosening After THA and TKA?
Aseptic loosening is the most common cause for revisions after lower-extremity total joint arthroplasties, however studies differ regarding the degree to which host factors influence loosening. ⋯ Level IV, therapeutic study.
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Clin. Orthop. Relat. Res. · Aug 2015
ReviewDo Psychological Factors Predict Poor Outcome in Patients Undergoing TKA? A Systematic Review.
A subgroup of patients undergoing TKA is unhappy with the outcome of surgery and preoperative psychological factors may play a role in their dissatisfaction. ⋯ The preoperative psychological state of a patient may affect the outcome after a TKA. A comprehensive psychological assessment of patients is required to examine the long-term effect of such psychological factors on the eventual outcomes of TKA once the recovery phase is complete and to assess the effect that treatment for these psychological conditions may have on decreasing the dissatisfaction rate with TKA in this population.
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Clin. Orthop. Relat. Res. · Jun 2015
ReviewOutcomes of Lumbar Discectomy in Elite Athletes: The Need for High-level Evidence.
Although lumbar discectomy for treatment of lumbar disc herniation in the general population generally improves patients' pain, function, and validated outcomes scores, results of treatment in elite athletes may differ because of the unique performance demands required of competitive athletes. ⋯ A high proportion of elite athletes undergoing lumbar discectomy return to play with variable performance scores on return. Future prospective studies are needed to compare the recovery time, career longevity, and performance for athletes undergoing lumbar discectomy versus nonoperative treatment for lumbar disc herniation.