Search Results
Search for other papers by Tiago P Barbosa in
Google Scholar
PubMed
Search for other papers by Ana Rita Raposo in
Google Scholar
PubMed
Search for other papers by Paulo Diogo Cunha in
Google Scholar
PubMed
Search for other papers by Nuno Cruz Oliveira in
Google Scholar
PubMed
Search for other papers by Armanda Lobarinhas in
Google Scholar
PubMed
Search for other papers by Pedro Varanda in
Google Scholar
PubMed
Search for other papers by Bruno Direito-Santos in
Google Scholar
PubMed
). However, regardless of the pathology and surgical technique used, there is a variable percentage of patients who remain symptomatic and with functional disability ( 2 , 4 , 5 ). Following spine surgery, postoperative rehabilitation is considered
Steadman Clinic and United States Coalition for the Prevention of Illness and Injury in Sport, Vail, Colorado, USA
Search for other papers by Joseph J Ruzbarsky in
Google Scholar
PubMed
Search for other papers by Rui W Soares in
Google Scholar
PubMed
Search for other papers by Spencer M Comfort in
Google Scholar
PubMed
Search for other papers by Justin W Arner in
Google Scholar
PubMed
Steadman Clinic and United States Coalition for the Prevention of Illness and Injury in Sport, Vail, Colorado, USA
Search for other papers by Marc J Philippon in
Google Scholar
PubMed
postoperative rehabilitation as in addition to the underlying differences in joint health, those patients undergoing microfracture also had a distinct postoperative rehabilitation protocol ( 10 ). In their cohort the differences in rehabilitation protocol in
Search for other papers by Mark F Siemensma in
Google Scholar
PubMed
Search for other papers by Anna E van der Windt in
Google Scholar
PubMed
Search for other papers by Eline M van Es in
Google Scholar
PubMed
Search for other papers by Joost W Colaris in
Google Scholar
PubMed
Search for other papers by Denise Eygendaal in
Google Scholar
PubMed
both as a conservative treatment modality and during postoperative rehabilitation. The goal of conservative treatment is to improve the ROM, whereas postoperative rehabilitation is used to maintain the achieved ROM during surgery. Best results of
Search for other papers by Louis Dagneaux in
Google Scholar
PubMed
Search for other papers by Julien Bourlez in
Google Scholar
PubMed
Search for other papers by Benjamin Degeorge in
Google Scholar
PubMed
Search for other papers by François Canovas in
Google Scholar
PubMed
. Return to sport in practice: which patients? Every TKA patient will eventually resume physical activity. 6 Postoperative rehabilitation must be sufficient in terms of muscular strengthening and proprioception. Some activities require the patient to
Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China
Search for other papers by Xun Wang in
Google Scholar
PubMed
Search for other papers by Aiqi Zhang in
Google Scholar
PubMed
Search for other papers by Wenchao Yao in
Google Scholar
PubMed
Search for other papers by Haiyan Qiu in
Google Scholar
PubMed
Search for other papers by Fabo Feng in
Google Scholar
PubMed
thus favoring patients’ postoperative rehabilitation. In recent years, the number of TLIF procedures has significantly increased globally, which may be attributed to the development of TLIF driven by advances in surgical techniques and medical devices
Search for other papers by Sebastian Siebenlist in
Google Scholar
PubMed
Search for other papers by Arne Buchholz in
Google Scholar
PubMed
Search for other papers by Karl F. Braun in
Google Scholar
PubMed
-
Fractures of the proximal ulna range from simple olecranon fractures to complex Monteggia fractures or Monteggia-like lesions involving damage to stabilizing key structures of the elbow (i.e. coronoid process, radial head, collateral ligament complex).
-
In complex fracture patterns a computerized tomography scan is essential to properly assess the injury severity.
-
Exact preoperative planning for the surgical approach is vital to adequately address all fracture parts (base coronoid fragments first).
-
The management of olecranon fractures primarily comprises tension-band wiring in simple fractures as a valid treatment option, but modern plate techniques, especially in comminuted or osteoporotic fracture types, can reduce implant failure and potential implant-related soft tissue irritation.
-
For Monteggia injuries, the accurate anatomical restoration of ulnar alignment and dimensions is crucial to adjust the radiocapitellar joint.
-
Caution is advised if the anteromedial facet (anatomical insertion of the medial collateral ligament) of the coronoid process is affected, to avoid posteromedial instability.
-
Radial head reconstruction or replacement is essential in Monteggia-like lesions to restore normal elbow function.
-
The postoperative rehabilitation programme should involve active elbow motion exercises without limitations as early as possible following surgery to avoid joint stiffness.
Cite this article: EFORT Open Rev 2019;4:1-9. DOI: 10.1302/2058-5241.4.180022.
Search for other papers by Chengxin Xie in
Google Scholar
PubMed
Search for other papers by Wenjun Pan in
Google Scholar
PubMed
Search for other papers by Shouli Wang in
Google Scholar
PubMed
Search for other papers by Xueli Yan in
Google Scholar
PubMed
Search for other papers by Hua Luo in
Google Scholar
PubMed
Purpose
-
Knee arthroplasty is an effective treatment for severe knee degeneration; however, periprosthetic joint infection (PJI) is one of its serious complications. Single- and two-stage revision are common treatments, but few studies have compared single- and two-stage revision for PJI after knee arthroplasty. This study aimed to compare the reinfection and reoperation rates of single- and two-stage revision through meta-analysis.
Methods
-
The review process was conducted according to the PRISMA guidelines. We searched the PubMed, Medline, Embase and Cochrane Central Register of Controlled Trials databases for trials comparing single- and two-stage revision for PJI after knee arthroplasty from the respective inception dates to April 2023. Two researchers individually screened the studies, performed the literature quality evaluation and data extraction and used Stata 17 software for data analysis.
Results
-
The meta-analysis showed that the reinfection rate was significantly lower in the single-stage revision group than in the two-stage revision group. While the reoperation rates demonstrated no statistically significant difference between the two groups. We presented descriptive results because the discrepancies in the knee function scores and data reported in the studies meant that these data could not be combined in the meta-analysis.
Conclusion
-
Based on the available research, single-stage revision is a reliable option for PJI after knee arthroplasty. However, when developing the best treatment strategy, it is still necessary to consider the individual circumstances and needs of the patient, as well as the risks of postoperative rehabilitation and complications.
Search for other papers by Felix Kurt Massen in
Google Scholar
PubMed
Search for other papers by Seth Shoap in
Google Scholar
PubMed
Search for other papers by J Turner Vosseller in
Google Scholar
PubMed
Search for other papers by Weija Fan in
Google Scholar
PubMed
Search for other papers by John Usseglio in
Google Scholar
PubMed
Search for other papers by Wolfgang Boecker in
Google Scholar
PubMed
Search for other papers by Sebastian Felix Baumbach in
Google Scholar
PubMed
Search for other papers by Hans Polzer in
Google Scholar
PubMed
( 7 ). Still, even surgically treated patients face a prolonged recovery, and all too often fail to reach pre-injury functional levels even if they do not suffer a re-rupture or complication first ( 8 , 9 , 10 ). Postoperative rehabilitation
Search for other papers by Fahima A. Begum in
Google Scholar
PubMed
Search for other papers by Babar Kayani in
Google Scholar
PubMed
Search for other papers by Justin S. Chang in
Google Scholar
PubMed
Search for other papers by Rosamond J. Tansey in
Google Scholar
PubMed
Search for other papers by Fares S. Haddad in
Google Scholar
PubMed
injuries, pooled outcomes for low- and high-grade injuries, mixed varying preoperative imaging modalities, and undertaken operative intervention with heterogeneity in the surgical techniques and postoperative rehabilitation protocols. 4 , 6 – 11
Osteoarticular Surgery Research, Hospital La Paz Institute for Health Research – IdiPAZ (La Paz University Hospital – Autonomous University of Madrid), Madrid, Spain
Search for other papers by E. Carlos Rodríguez-Merchán in
Google Scholar
PubMed
Search for other papers by Hortensia De la Corte-Rodríguez in
Google Scholar
PubMed
Search for other papers by Carlos A. Encinas-Ullán in
Google Scholar
PubMed
Search for other papers by Primitivo Gómez-Cardero in
Google Scholar
PubMed
reconstruction of an injured ligament * Use of a structurally weak graft * Non-anatomic placement of ligamentous grafts * Inadequate fixation of grafts Inadequate postoperative rehabilitation protocol Possible additional traumatic events
