Rehab Centers: Critical Review of Minimally Invasive Approaches in Knee Arthroplasty.

Critical Review of Minimally Invasive Approaches in Knee Arthroplasty.

Filed under: Rehab Centers

J Knee Surg. 2012 May 15;
Costa CR, Johnson AJ, Harwin SF, Mont MA, Bonutti PM

Despite high survivorship for total knee arthroplasty, many reports have described low patient-satisfaction rates. Standard parapatellar approaches have been linked with decreased quadriceps muscle strength, which may in turn lead to prolonged rehabilitation and altered kinematics. Although technically demanding, minimally invasive techniques offer the potential for shorter recovery times and improved strength. Our purpose was to compare perioperative factors, the clinical and radiographic outcomes, complications, and survivorship of several minimally invasive approaches to each other and to the conventional medial parapatellar approach. A total of 23 level I or II studies were reviewed. There were no statistically significant differences in perioperative factors, clinical or radiographic outcomes, survivorship, or complication rates between patients the various minimally invasive approaches to a standard approach. The only significant difference observed was in recovery of quadriceps muscle function (shorter in patients who had a minimally invasive approach). The minimally invasive lateral approach had more complications than the other minimally invasive approaches. The mini-midvastus approach had the best clinical outcomes at 1 and 3 months when compared with other minimally invasive approaches and standard approaches. The mini-subvastus approach had the lowest rate of complications, overall. Further multicenter randomized trials are needed to determine the minimally invasive approach that best improves outcomes while minimizing complications.
HubMed – rehab

Symptomatic Bipartite Patella: Three Subtypes, Three Representative Cases.

Filed under: Rehab Centers

J Knee Surg. 2012 May 21;
Werner S, Durkan M, Jones J, Quilici S, Crawford D

Bipartite patella can be classified into three unique subtypes; type I, II, and III. The following case series describes three representative cases of each subtype and a spectrum of location-specific treatment options for surgical care of the symptomatic bipartite patella.
HubMed – rehab

Nonoperative Management of a Partial Patellar Tendon Rupture after Bone-Patellar Tendon-Bone Graft Harvest for ACL Reconstruction.

Filed under: Rehab Centers

J Knee Surg. 2012 Sep 21;
Benner RW, Shelbourne KD, Freeman H

This is a case report of a young athlete who sustained a partial tear of the patellar tendon after anterior cruciate ligament (ACL) reconstruction with a bone-patellar tendon-bone (BPTB) autograft. The injury, diagnostic workup, and decision-making process that lead to the choice of nonsurgical treatment are described. Furthermore, the rehabilitation process is described in detail. The patient returned to his previous level of sports activity and had a good clinical outcome as measured by range of motion, isokinetic quadriceps muscle strength testing, single leg hop testing, and the modified Noyes survey. In the absence of extensor mechanism incompetence or radiographic evidence of significant patella alta, partial ruptures of the patella tendon after ACL reconstruction using a BPTB autograft may be treated nonoperatively.
HubMed – rehab

Impact of Socio-Economic Status in Meeting the Needs of People with Mental Illness; Human Rights Perspective.

Filed under: Rehab Centers

Community Ment Health J. 2013 Jan 4;
Vijayalakshmi P, Ramachandra , Reddemma K, Math SB

The present descriptive study investigated the impact of socio-economic status in meeting the human rights needs among randomly selected recovered psychiatric patients (n = 100) at a tertiary care center. Data was collected through face to face interview, using structured Needs Assessment Questionnaire. The findings revealed that the participants from below poverty line were deprived of physical needs such as ‘electricity facilities’ (? (2) = 6.821, p < .009) 'safe drinking water' (? (2) = 13.506, p < .004) and purchasing medications (? (2) = 9.958, p < .019). Conversely, participants from above poverty line were dissatisfied in emotional needs dimension i.e. 'commenting on physical appearance (? (2) = 8.337, p < .040), afraid of family members (? (2) = 17.809, p < .000). Thus, there is an urgent need to implement mental illness awareness campaigns and government should take active steps for providing employment, disability pension, free housing, free treatment and free transportation service for people with mental illness to attend hospital or rehabilitation centres. HubMed – rehab

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