PURPOSE: The purpose of this study was to compare the clinical results between patellar resurfacing and patellar retention during total knee arthroplasties (TKA) in both sides of the knee from one patient. MATERIALS AND METHODS: A prospective randomized study was performed for 18 patients, who underwent only unilateral patellar resurfacing without any consideration for the condition of the patella cartilage, among the patients who had osteoarthritis and who underwent bilateral TKA from February 2004 to February 2008. The clinical results were compared using the American Knee Society clinical rating system, Feller's patellar score and the Kujala scoring system. RESULTS: The mean of the knee score and the function score were 94.3 and 73.7 postoperatively in the resurfaced patellar side and these values were 91.4 and 73.6, respectively, in the unresurfaced patella side (p=0.07, p=1.00). The Feller's patella scores were 26.5 and 25.3 for each side (p=0.219). The Kujala scores were 71.7 and 69.9, respectively (p=0.086). There was no statistically significant difference between both sides of the knee for all the parameters. CONCLUSION: There were no statistically significant differences between the resurfaced and non-resurfaced knees with comparing them according to the American Knee Society clinical rating system and the patellar evaluation systems. However, further studies are needed to observe whether these results are maintained in the long-term.
Arthroplasty ; Cartilage ; Humans ; Knee ; Osteoarthritis ; Patella ; Prospective Studies ; Retention (Psychology)

OBJECTIVE: To systematically review the effect of acupuncture on emotional disorder in the patients with migraine and knee osteoarthritis and its effect time limit. METHODS: The randomized controlled trials of acupuncture for migraine or knee osteoarthritis were retrieved from the databases, starting from the time of establishment through to December, 2018, i.e. the Cochrane Library, PubMed, EMbase, CNKI, SinoMed, VIP and Wanfang. The bias risk assessment tool of Cochrane Review Manual 5.1.0 was adopted to evaluate the quality of trials in methodology. RevMan 5.3 software was used for the Meta-analysis. RESULTS: A total of 12 articles were included, with 2450 cases. Regarding the immediate effect, the score of the emotional function subscale of migraine-specific quality-of-life questionnaire (MSQ) in the acupuncture group was higher than the control group (6.38[2.78,9.98], =25%). In view of the emotional function subscale of the short-form of health survey (SF-36/SF-12), and the scores of the mental function and negative mode scale in Spain's index of quality of life (PQLC), there were no significant differences in the scores between the acupuncture group and the control group. In 3 months of treatment, the score of the emotional function subscale of MSQ in the acupuncture group was higher than the control group (9.66 [3.06,16.25], =44%). The difference in the score of the mental health subscale of SF-36 and SF-12 was not significant between the acupuncture group and the control group. In 3 to 6 months of treatment, as well as in over 6 months of treatment, the score of every scale was not different statistically between the acupuncture group and the control group. CONCLUSION Acupuncture effectively maintains the healthy emotion in the patients with migraine and the effect is sustainable for 3 months after treatment. But the improvement of acupuncture is not remarkable in emotional disorder induced by knee osteoarthritis.
Acupuncture Therapy ; Chronic Pain ; psychology ; therapy ; Emotions ; Humans ; Migraine Disorders ; psychology ; therapy ; Osteoarthritis, Knee ; psychology ; therapy ; Quality of Life ; Treatment Outcome

PURPOSE: The purpose of this study was to examine the relationship among fear of falling, pain, anxiety and depression, and to identify influencing factors in elderly women patients with degenerative arthritis living in the community. METHOD: The subjects of this study were 297 elderly women patients with degenerative arthritis. Data was collected by personal interviews using questionnaires. Data was analyzed by the SPSS(version 12.0) computer program, and it included descriptive statistics, one-way ANOVA, Pearson correlation coefficient, and Stepwise multiple regression. RESULTS: There was a significant difference (p= .000) in fear of falling according to the level of pain, anxiety, and depression. There was a significant positive correlation among fear of falling, pain, anxiety and depression. Depression, pain, number of medication, age, and anxiety showed significant predictors (43.5%) for fear of falling. CONCLUSION: This study suggested that thoroughly assessing predictors making an impact on fear of falling in the initial nursing assessment is the most important for falls prevention of elderly women patients with degenerative arthritis in the community.
*Accidental Falls/prevention & control ; Aged ; Aged, 80 and over ; Anxiety/psychology ; Depression/psychology ; *Fear ; Female ; Frail Elderly/psychology ; Humans ; Interviews as Topic ; Osteoarthritis/*psychology

PURPOSE: To present radiographic characteristics and report the clinical results of the operative treatment of Muller-Weiss disease. MATERIALS AND METHODS: This is a retrospective study including 13 patients, 14 feet who had been operated for Muller-Weiss disease between April 2006 and December 2011. Osteoarthritis of the peri-navicular joints were radiographically evaluated. Various range of peri-navicular fusion and joint-preserving surgeries according to patients' symptoms and radiographic findings were done. The clinical results were evaluated by American Orthopaedics Foot and Ankle Society (AOFAS) midfoot scale and visual analogue scale (VAS). RESULTS: On radiographs, osteoarthritic changes were presented at talonavicular joint in 11 cases, calcaneocuboid joint in 7 cases, subtalar joint in 6 cases, naviculo-cuneiform joint in 1 case. The mean anteroposterior talocalcaneal angle was 16.6 degrees. On hindfoot alignment view, 6 cases were varus, 5 cases were neutral and 3 cases were valgus alignment. Fusion comprised 6 cases in triple fusion, 1 case in talonavicular-cuneiform fusion, 2 cases in talonavicualr fusion and 1 case in talonavicular & calcaneocuboid fusion. Joint-preserving surgeries were bony fragment excision of the lateral part of navicular & medial displacement calcaneal osteotomy in 1 case, bony spur excision of talonavicular joint in 1 case and medial displacement calcaneal osteotomy in 2 cases. The postoperative AOFAS and VAS score were improved significantly (p=0.000, p=0.000). CONCLUSION: In cases of Muller-Weiss disease without osteoarthritic changes at peri-navicular joints, fragment excision of navicular, bony spur excision with or without medial displacement calcaneal osteotomy were effective operative treatments.
Animals ; Ankle ; Displacement (Psychology) ; Foot ; Humans ; Joints ; Osteoarthritis ; Osteotomy ; Retrospective Studies ; Subtalar Joint

The goal of an osteotomy around the hip joint for treating hip dysplasia is to delay or prevent osteoarthritis by reducing the stress to the hip joint. This can be archived with anterolateral displacement of the acetabulum and an osteotomy around the hip joint is indicated for the young and active patients, besides performing total hip arthroplasty. As the osteotomy site is close to the hip joint, we can obtain more correction with performing this type of surgery than is possible with other types of pelvic osteotomies and we can get excellent radiological and clinical outcomes. But periacetabular rotational osteotomy is a rather difficult procedure, there may be complications and a long learning curve is needed to learn the surgical technique. A dual approach for periacetabular rotational osteotomy is easier with direct exposure of the osteotomy site and there are fewer complications than that with performing a Berneses periacetabular rotational osteotomy, as described by Ganz. Therefore, it is recommended for beginners. The osteotomy site of the proximal femur is usually around the lesser trochanter, but femoral neck osteotomy may be performed in rare cases. The preoperative planning for obtaining a correction angle of the osteotomy site is the most important factor, and excellent results can be archived by performing an accurate procedure.
Acetabulum ; Arthroplasty ; Displacement (Psychology) ; Femur ; Femur Neck ; Hip ; Hip Joint ; Humans ; Learning Curve ; Osteoarthritis ; Osteotomy

osteoarthritis changes in rabbit TMJ following surgical induction of ADD up to 10-week period.]]>
Alcian Blue ; Cartilage, Articular ; Collagen ; Displacement (Psychology) ; Glycosaminoglycans ; Osteoarthritis ; Rabbits ; Temporomandibular Joint

BACKGROUNDAn increasingly aging population implies an increasing prevalence of osteoarthritis (OA) of hip or knee. It has been ascertained that unspecific hydrotherapy of OA according to Sebastian Kneipp not only improves the range of mobility but also reduces pain significantly and increases the quality of life of the patients affected.

OBJECTIVEThe main aim of this pilot study was to determine the effects of hydrotherapy in comparison to conventional physiotherapy, and to analyze the feasibility of the study design under clinical circumstances.

DESIGN, SETTING, PARTICIPANTS AND INTERVENTIONSThe study design is a prospective randomized controlled three-arm clinical pilot trial, carried out at a specialist clinic for integrative medicine. Thirty patients diagnosed with symptomatic OA of hip or knee and radiologic findings were randomly assigned to one of two intervention groups and a control group: hydrotherapy (group 1), physiotherapy (group 2), and both physiotherapy and hydrotherapy (group 3, control group) of the affected joint.

MAIN OUTCOME MEASURES

PRIMARY OUTCOMEpain intensity of the affected joint in the course of inpatient treatment; secondary outcome: health-related quality of life, joint-specific pain and mobility in the course of the study.

RESULTSConcerning the main outcome, intervention group 1 showed most beneficial effects in the course of inpatient treatment, followed by groups 3 and 2, and also the indirect flexion ability of hip or knee together with the general patient mobility through the "timed up and go" test were mainly improved within group 1 followed by groups 3 and 2.

CONCLUSIONThe results of this pilot study demonstrate beneficial effects of hydrotherapy. The study design is feasible. For statistically significant evidence and a robust conclusion of efficacy of Kneipp's hydrotherapy, a larger sample size is necessary.

TRIAL REGISTRATION NUMBERNCT 00950326.

Aged ; Aged, 80 and over ; Female ; Humans ; Hydrotherapy ; Male ; Middle Aged ; Osteoarthritis, Hip ; physiopathology ; psychology ; therapy ; Osteoarthritis, Knee ; physiopathology ; psychology ; therapy ; Physical Therapy Modalities ; Pilot Projects ; Prospective Studies ; Quality of Life ; Range of Motion, Articular ; Treatment Outcome

PURPOSE: The purpose of this study was to identify predictors of depression and quality of life among older adults with osteoarthritis. The predictors included in the model were the client's characteristics(age, pain, disease duration, ADLs), personal resources(hardiness, self-care agency and family support), and depression. METHOD: 150 subjects who were older than 65 years and had diagnosis of osteoarthritis participated in the study. To answer the research questions, descriptive analysis, Pearson correlation, and hierarchical multiple regression were utilized using SPSS WIN program. RESULT: Older adults who were younger and had lower levels of pain and dependency on ADLs, and higher levels of self care agency and hardiness reported lower levels of depression(R2=0.517). Older adults who had lower levels of depression, pain, and dependency on ADLs, higher levels of family support and hardiness, and who are younger reported higher levels of quality of life(R2=0.804). CONCLUSION: Based on the findings of this study, development of nursing intervention program including pain reduction, enhancing ADL abilities and personal resources (hardiness, family support) can be suggested. Further study is needed to increase the ability of generalization of the study findings to the broader population.
Activities of Daily Living ; Adult* ; Depression* ; Diagnosis ; Generalization (Psychology) ; Humans ; Nursing ; Osteoarthritis* ; Quality of Life* ; Self Care ; Surveys and Questionnaires

PURPOSE: This study evaluated the results of acetabular medial wall osteotomy to reconstruct the acetabulum in dysplastic hip during total hip arthroplasty. MATERIALS AND METHODS: We clinically and radiologically evaluated 30 hips of 30 patients with secondary hip osteoarthritis caused by congenital hip dislocation or acetabular dysplasia who underwent total hip arthroplasty (THA) between March 1999 and October 2002. The average age of subjects was 46.5 years(17 to 73 years), and the mean follow-up period was 5 years(5.3 to 8.7 years). In 26 cases, a cementless hemispherical acetabular cup was inserted in the true acetabulum; in 4 cases a reinforced ring was inserted. Only 2 hips needed structural bone grafting. RESULTS: The average Harris hip score improved from 56.3 points preoperatively to 93.2 points at the last follow up. Radiographic analysis revealed no aseptic loosening or radiolucent line, and showed stable bony fixation at the true acetabulum. The mean thickness of the medial acetabular wall postoperative was 20.5 mm(10 to 36 mm). Bone union of the medial wall was observed at a mean of four months postoperatively. CONCLUSION: Acetabular medial wall osteotomy can maintain the integrity of the acetabular medial wall while achieving enhanced acetabular coverage and more normal hip biomechanics.
Acetabulum ; Arthroplasty ; Biomechanics ; Bone Transplantation ; Displacement (Psychology) ; Follow-Up Studies ; Hip ; Hip Dislocation, Congenital ; Humans ; Osteoarthritis, Hip ; Osteotomy

PURPOSE: This study was to determine whether the Sun-style 24 forms of Tai Chi exercise improve pain, stiffness, disability, knee joint motion, mobility, balance or falling. METHOD: Forty-six community-dwelling elderly subjects (mean age, 75.46+/-6.28) voluntarily participated in an intervention group of either 24 forms of Sun-style Tai Chi for 60 min, 2 times per week for 12 weeks or a control group. A non-equivalent pretest-posttest design was used. Independent t-test and ANCOVA were used to examine group differences by using SPSS12.0. RESULT: The experimental group had significantly less pain (F=7.60, p=.008) and stiffness (t=-3.19, p=.003) than the control group. Also there were significant improvements in knee joint motion on the right knee (t=2.44, p=.019), left knee (t=2.30, p=.026), rising time (F=8.03, p=.07), balance on the left single leg test (t=2.20, p=.033), and fear of falling (t=-2.33, p=.024) in the Tai Chi exercise group. No significant group differences were found in disability and falls efficacy. CONCLUSION: The Sun-style 24 forms Tai Chi exercise is effective in decreasing pain, stiffness, fear of falling and it improves balance, rising time, and knee joint motion. We suggest a continuing long term intervention to decrease disability and increase efficacy concerning falls.
Accidental Falls/prevention & control ; Aged ; Aged, 80 and over ; Fear/psychology ; Female ; Humans ; Knee Joint ; Male ; Movement ; Osteoarthritis, Knee/*therapy ; Range of Motion, Articular ; *Tai Ji