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- and postoperative x-rays or advanced imaging; (iii) TKA performed for osteoarthritis; (iv) reported subjective and/or objective patient outcomes in relation to PFJ overstuffing; (v) patient follow-up of at least 1 year; (vi) prosthetic implant that is
Department of Orthopaedic Surgery, University of Cape Town, South Africa
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outcomes or have an impact on survivorship of the TKA remains unknown. In this systematic review, we will present and critique the current clinical evidence to determine whether, compared to MA, KA (1) translates to improvement in subjective patient-reported
Newcastle University, Newcastle upon Tyne, UK
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University of York, York, UK
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The Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK
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University of York, York, UK
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been associated with a range of adverse post-operative outcomes ( 3 ), and there is a high incidence of deficiency reported in patients undergoing total hip (THR) or knee (TKR) arthroplasty ( 4 ). Previous systematic reviews ( 4 , 5 , 6 , 7 ) have
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clinicians to rely on reports from outpatient physical therapy or subjective methods such as patient-reported outcomes measures (PROMs) to measure recovery ( 4 ). However, previous studies have outlined concerns over the standardization of PROMs as the only
National Institute for Health Research Bristol Biomedical Research Centre, University Hospitals Bristol NHS Foundation Trust and University of Bristol, UK
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National Institute for Health Research Bristol Biomedical Research Centre, University Hospitals Bristol NHS Foundation Trust and University of Bristol, UK
North Bristol NHS Trust, Southmead Hospital, Bristol, UK
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. 15 Therefore, kneeling difficulty is the most prevalent poor patient-reported outcome after TKR. Table 1. Overview of prevalence of kneeling difficulties after total knee replacement from cohort studies Study and country Numbers
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influenced the final functional score. 23 Deepening trochleoplasty In one of a few long-term studies, Rouanet et al reported the outcomes of 34 patients at a mean follow-up of 15 years after sulcus deepening trochleoplasty. 24 Seventeen
Academic Department of Trauma and Orthopaedics, LGI, University of Leeds, Leeds, UK
Leeds Teaching Hospitals Trust, UK
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The Lister Hospital, Chelsea Bridge, London, UK
Centre de l’Arthrose - Clinique du Sport, Bordeaux-Mérignac, France
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Leeds Teaching Hospitals Trust, UK
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are the clinical outcomes of KA from the literature? In a telephone survey of 661 patients taken at, on average, 2.6 years post-surgery, KA patients were three times more likely to report their knee felt normal compared to MA patients. 49 All
National Institute for Health Research Bristol Biomedical Research Centre, University Hospitals Bristol NHS Foundation Trust and University of Bristol, UK.
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National Institute for Health Research Bristol Biomedical Research Centre, University Hospitals Bristol NHS Foundation Trust and University of Bristol, UK.
North Bristol NHS Trust, Southmead Hospital, Bristol, UK.
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review of prospective studies of patients undergoing TKA, 10% to 34% of patients reported unfavourable pain outcomes at between three months and five years after surgery 16 ( Fig. 1 ). In a high-quality study in multiple centres with low losses to
Department of Orthopaedics, University Hospital of Ghent, Ghent, Belgium
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Department of Electromechanics, InViLab research group, University of Antwerp, Antwerp, Belgium
Department of Trauma and Orthopedics, Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
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concomitant clinical and/or radiographic and/or biomechanical ankle/hindfoot investigations; (iii) patient reported outcome measures and/or angular measurements and/or pressure measurements; (iv) follow-up time of at least 3 months in case of clinical studies
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with recurrent instability. However, the outcomes of conservative treatment were not as good as expected. A 3-year follow-up of 111 patients treated conservatively found that although 73% did not have another episode of instability, many still reported
