This study aims to evaluate a new home medical stretching device called the Self Treatment Assisted Knee (STAK) tool to treat knee arthrofibrosis. 35 patients post-major knee surgery with arthrofibrosis and mean range of movement (ROM) of 68° were recruited. Both the STAK intervention and control group received standard physiotherapy for eight weeks, with the intervention group additionally using the STAK at home. The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and Oxford Knee Scores (OKS) were collected at all timepoints. An acceptability and home exercise questionnaire capturing adherence was recorded after each of the interventions.Aims
Methods
This study investigated the effects of transcatheter arterial embolization (TAE) on pain, function, and quality of life in people with early-stage symptomatic knee osteoarthritis (OA) compared to a sham procedure. A total of 59 participants with symptomatic Kellgren-Lawrence grade 2 knee OA were randomly allocated to TAE or a sham procedure. The intervention group underwent TAE of one or more genicular arteries. The control group received a blinded sham procedure. The primary outcome was knee pain at 12 months according to the Knee injury and Osteoarthritis Outcome Score (KOOS) pain scale. Secondary outcomes included self-reported function and quality of life (KOOS, EuroQol five-dimension five-level questionnaire (EQ-5D-5L)), self-reported Global Change, six-minute walk test, 30-second chair stand test, and adverse events. Subgroup analyses compared participants who received complete embolization of all genicular arteries (as distinct from embolization of some arteries) (n = 17) with the control group (n = 29) for KOOS and Global Change scores at 12 months. Continuous variables were analyzed with quantile regression, adjusting for baseline scores. Dichotomized variables were analyzed with chi-squared tests.Aims
Methods
Purpose: The Bankart procedure is widely studied in the literature. The general lack of postoperative complications is well recognised. The purpose of this work was to study patient comfort after Bankart procedures performed in the outpatient setting in order to validate the feasibility of this approach. Material and methods: Thirty patients underwent Bankart procedure from June 2001 to 2002 performed by the same surgeon in an outpatient clinic. There were 28 men and two women, mean age 28 years. Pain was assessed with a visual analogue scale (VAS) at entry into the recovery room (P0), when leaving the recovery room (P1), on day 1 by telephone (P2), and on day 7 at consultation (P3). On day 1 and day 7, the patient was also asked if he/she preferred staying in hospital one night. The general anaesthesia protocol was the same for all patients. Intraopeartive analgesia was 20 mg nefopam (Acupan(r)) in a half-hour infusion, 2g propacetamol (Prodafalgan(r)) or paracetamol (Perfalgan(r)), and 100 mg ketoprofen (Profenid(r)) if there were no contraindications. In the recovery room, 3 mg morphine was delivered in by iv bolus until the VAS was less than 4/10 followed by oral paracetamol-codeine combination.
