An evaluation of the influence of force- and weight bearing (a)symmetry on patient reported outcomes after total knee arthroplasty / Anton Borgers in Acta Orthopaedica Belgica, Vol. 86/2 (Juin 2020)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 294-302 Titre : An evaluation of the influence of force- and weight bearing (a)symmetry on patient reported outcomes after total knee arthroplasty Type de document : texte imprimé Auteurs : Anton Borgers, Auteur Année de publication : 2020 Article en page(s) : p. 294-302 Langues : Anglais (eng) Résumé : It has been reported that balance impairments and asymmetrical movement patterns occur in patients after total kne arthroplasty (TKA). The purpose of this study was to evaluate if force- and weight-bearing asymmetry correlate with patient-reported outcomes (PROMs). Twenty patients were prospectively analysed up to 6 months after TKA. Quadriceps- and hamstring force were measured using a hand-held dynamometer. Vertical ground reaction forces during sit-to-stand, stair descending and squatting were assessed by force plates. Patients were asked to complete the KOOS, OKS and 2011 KSS. The symmetry-ratios during sit-to-stand, squat and stair-descent improved significantly. Preopera-tive quadriceps-force was positively correlated with KOOS-Symptoms (r=0.583, p=0.037). The pre-operative load-symmetry ratio during STS was negatively correlated with improvement in KOOS Pain (r=-0.675, p=0.011) and Symptoms (r=-0.674, p=0.008). In deep flexion, preoperative bodyweight ratio was positively correlated with postoperative OKS (r=0.601, p=0.039), KSS-Satisfaction (r=0.675, p=0.011) and improvement in KSS-Satisfaction (r=0.684, p=0.029). Weight bearing and force asymmetry do exist before TKA and take up to at least 6-months to fully recover. The more symmetry in muscle-force and weight-bearing is found preoperatively, the better the PROMs will be at 6 months after surgery. Permalink : ./index.php?lvl=notice_display&id=91992 [article] An evaluation of the influence of force- and weight bearing (a)symmetry on patient reported outcomes after total knee arthroplasty [texte imprimé] / Anton Borgers, Auteur . - 2020 . - p. 294-302. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 294-302 Résumé : It has been reported that balance impairments and asymmetrical movement patterns occur in patients after total kne arthroplasty (TKA). The purpose of this study was to evaluate if force- and weight-bearing asymmetry correlate with patient-reported outcomes (PROMs). Twenty patients were prospectively analysed up to 6 months after TKA. Quadriceps- and hamstring force were measured using a hand-held dynamometer. Vertical ground reaction forces during sit-to-stand, stair descending and squatting were assessed by force plates. Patients were asked to complete the KOOS, OKS and 2011 KSS. The symmetry-ratios during sit-to-stand, squat and stair-descent improved significantly. Preopera-tive quadriceps-force was positively correlated with KOOS-Symptoms (r=0.583, p=0.037). The pre-operative load-symmetry ratio during STS was negatively correlated with improvement in KOOS Pain (r=-0.675, p=0.011) and Symptoms (r=-0.674, p=0.008). In deep flexion, preoperative bodyweight ratio was positively correlated with postoperative OKS (r=0.601, p=0.039), KSS-Satisfaction (r=0.675, p=0.011) and improvement in KSS-Satisfaction (r=0.684, p=0.029). Weight bearing and force asymmetry do exist before TKA and take up to at least 6-months to fully recover. The more symmetry in muscle-force and weight-bearing is found preoperatively, the better the PROMs will be at 6 months after surgery. Permalink : ./index.php?lvl=notice_display&id=91992

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Etiology of knee pain in elite cyclists: A 14-month consecutive case series / Anton Borgers in Acta Orthopaedica Belgica, Vol. 86/2 (Juin 2020)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 262-271 Titre : Etiology of knee pain in elite cyclists: A 14-month consecutive case series Type de document : texte imprimé Auteurs : Anton Borgers, Auteur Année de publication : 2020 Article en page(s) : p. 262-271 Langues : Anglais (eng) Résumé : Overuse injuries of the knee are a common cause of missed training and competition days in elite cyclists, however the underlying conditions causing this knee pain are not well defined. We conducted a diagnostic study, investigating a consecutive series of 53 high level cyclists with non-traumatic knee pain over a 14 month period. Demographic data on the participants’ cycling specialty and training level was noted. Clinical information concerning knee pain intensity, location and occurrence were collected using a questionnaire. Our results show 7 different overuse injuries were identified. The prepatellar friction syndrome accounted for the majority of these overuse injuries (46%), while medial plica syndrome (15%), biceps femoris tendinopathy (7.5%), patellar tendinopathy (9.4%), infrapatellar plica friction syndrome (7.5%), infrapatellar fat pad impingement (5.7%) and iliotibial band syndrome (3.7%) were other causes of knee pain in these athletes. In contrast to current belief, our results show that instead of patellofemoral cartilage overload, friction related overuse injuries are the most frequent and underestimated cause of knee pain in high level cyclists. Permalink : ./index.php?lvl=notice_display&id=91988 [article] Etiology of knee pain in elite cyclists: A 14-month consecutive case series [texte imprimé] / Anton Borgers, Auteur . - 2020 . - p. 262-271. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 262-271 Résumé : Overuse injuries of the knee are a common cause of missed training and competition days in elite cyclists, however the underlying conditions causing this knee pain are not well defined. We conducted a diagnostic study, investigating a consecutive series of 53 high level cyclists with non-traumatic knee pain over a 14 month period. Demographic data on the participants’ cycling specialty and training level was noted. Clinical information concerning knee pain intensity, location and occurrence were collected using a questionnaire. Our results show 7 different overuse injuries were identified. The prepatellar friction syndrome accounted for the majority of these overuse injuries (46%), while medial plica syndrome (15%), biceps femoris tendinopathy (7.5%), patellar tendinopathy (9.4%), infrapatellar plica friction syndrome (7.5%), infrapatellar fat pad impingement (5.7%) and iliotibial band syndrome (3.7%) were other causes of knee pain in these athletes. In contrast to current belief, our results show that instead of patellofemoral cartilage overload, friction related overuse injuries are the most frequent and underestimated cause of knee pain in high level cyclists. Permalink : ./index.php?lvl=notice_display&id=91988

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A prospective comparative study between a cooling device and manual cooling after total knee arthroplasty / Anton Borgers in Acta Orthopaedica Belgica, Vol. 86/2 (Juin 2020)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 287-293 Titre : A prospective comparative study between a cooling device and manual cooling after total knee arthroplasty Type de document : texte imprimé Auteurs : Anton Borgers, Auteur Année de publication : 2020 Article en page(s) : p. 287-293 Langues : Anglais (eng) Résumé : Studies have shown that the use of cryotherapy after a total knee arthroplasty can have beneficial effect on blood loss, pain and medication usage. In this study, the effect of the applied cryotherapy procedure is investigated. 52 patients underwent a total knee arthroplasty. The test group received continuous cooling, whereas the control group received manual conventional cooling with ice dressing. The knee circumference and range of motion, medication use, satisfaction and pain were investigated. There is no statistical significant difference in pain and medication usage. A significant difference is observed in the swelling of the knee on the first postoperative day, the range of motion on the 7 th , 10 th , 11 th and 12 th postoperative day, and the satisfaction rate. This study shows that continuous cooling has a positive effect on the swelling and range of motion of the knee, and on the satisfaction of the treatment. Permalink : ./index.php?lvl=notice_display&id=91991 [article] A prospective comparative study between a cooling device and manual cooling after total knee arthroplasty [texte imprimé] / Anton Borgers, Auteur . - 2020 . - p. 287-293. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 287-293 Résumé : Studies have shown that the use of cryotherapy after a total knee arthroplasty can have beneficial effect on blood loss, pain and medication usage. In this study, the effect of the applied cryotherapy procedure is investigated. 52 patients underwent a total knee arthroplasty. The test group received continuous cooling, whereas the control group received manual conventional cooling with ice dressing. The knee circumference and range of motion, medication use, satisfaction and pain were investigated. There is no statistical significant difference in pain and medication usage. A significant difference is observed in the swelling of the knee on the first postoperative day, the range of motion on the 7 th , 10 th , 11 th and 12 th postoperative day, and the satisfaction rate. This study shows that continuous cooling has a positive effect on the swelling and range of motion of the knee, and on the satisfaction of the treatment. Permalink : ./index.php?lvl=notice_display&id=91991

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