Tka Case Studies

T.L.O. was a high school student at Piscataway in Middlesex County. She was caught smoking in the lavatory by a teacher, and was taken to the Assistant Vice Principal Theodore Choplick who searched her purse after he suspected cigarettes. Mr. Choplick discovered cigarettes, small amount of marijuana, and a list that contained students’ names who are owning her money. T.L.O was charged with possession of marijuana. Before the trial, T.L.O. moved to suppress the evidence found during the search, but the court denied her motion. The juvenile and domestic relations court of New Jersey found her guilty and sentenced her to one-year probation. On appeal, the Superior court of New Jersey, Appellate Division affirmed the denial of motion to suppress

In addition, regression analysis was used to determine independent variable among age, BMI, grip strength, sex and K/L grade for knee pain. The result indicated that the most significant variable was BMI correlated with the occurrence of knee pain. ORs of BMI (+5 kg/m2) was 1.54 and the risk was 0.60 which was significant. This implied that the ORs of K/L grade for knee pain can be overestimated due to the possibility of extremely low risk of K/L grade. In fact, the percentage of participants who suffered from knee pain with K/L (grade 2) and K/L (grade 3 and 4) was just 61.0% and 71.0% respectively. In other words, it will be about 40% of participants with K/L grade 2 and about a third of subjects with K/L grade 3 and 4 had no pain at the knee joint at follow-up.

Outcome measures: Pain will be assessed with Numeric Pain Rating Scale (NPRS), functional performance will be assessed with Kujala score, Patellofemoral Disability Index (PDI), and Lateral Step-up Test. Palpation meter (PALM) Inclinometer will be used to measure pelvic tilt angle, and the Baseline Bubble Inclinometer will be used to measure hip internal, external rotation and adduction. Global Rating of Change Scales (GROC) will be used to assess the overall

Atypical HUS is a rare, chronic, life- threatening, complement mediated systemic disease. The complement system is also what we refer to as the immune system; lymphatic system. There have been cases in which were frequently connected as a genetic component. Atypical HUS is caused by chronic uncontrolled complement activation, which is often characterized as Thrombotic Microangiopathy AKA TMA. Thrombotic Microangiopathy is a pattern of damage that occurs in the smallest blood vessels inside many of your vital organs effecting your kidneys and brain more commonly than other organs. Theoretically, if you were to perform a biopsy on a healthy patients blood cells you will notice that they are round shaped with a pink color to them, around the blood

The mean Lysholm score improved from 43 points to 72.7 points. Visual Analogue Scale and Lysholm scores at the latest follow-up were significantly worse in patients with a pre-operative BMI ≥26 kg/m2, HKA >5 degrees, grade 3 or 4 chondral lesion according to Outerbridge classification, degenerative changes in patellofemoral joint surfaces, and an ACL which was either partially ruptured or degenerative with increased laxity. Age at the time of surgery, pre-operative grade of medial joint space narrowing determined according to Kellgren-Lawrence classification, duration of symptoms until decision of the surgery, degenerative changes in the lateral meniscus, presence of a medial supra- or infra-patellar plica, and synovial hypertrophy and/or arthroscopic findings of synovitis had no effects on the clinical

Kavanagh D., Richards A., Atkinson J. Complement regulatory genes and hemolytic uremic syndromes. Annu Rev Med. 2008;59:293?309.

People undergo total knee replacement when arthritis or injury erodes the joint's natural cushioning to the point where it's hard to walk even short distances without severe pain.

Introduction: Robotic-assisted TKA has shown promise in recent years by sharpening the Orthopaedic surgeon’s armoury, allowing the surgeon to reproduce technical excellence via accurate component placement and restoration of the ideal hip-knee-ankle (HKA) mechanical axis consistently and safely. However, the lack of high quality long-term evidence demonstrating its efficacy, unnecessary preoperative radiation, longer operating times and questionable cost-effectiveness have stifled the adoption of robotic systems. In our previous study comparing robotic-assisted versus conventional total knee arthroplasty (TKA), no differences in short-term functional outcomes were observed, despite reduction of radiological outliers. Our patients have now been prospectively followed for two years postoperatively, providing us with an opportunity to evaluate the functional outcomes of robotic-assisted TKA.

A patient would get a TKA to relieve symptoms of extreme pain, discomfort, and stiffness that may be caused by arthritis, a destructive disease, or trauma. The prosthesis includes a metal shell that replaces the distal end of the femur and a plastic piece with a metal stem that replaces the proximal end of the tibia. Physical therapy is an essential part to getting the joint to optimal strength, range of motion, and function. Patients go through a series of exercises that work the new knee joint as well as the hip, ankle, and all of the associated leg

Self-reported physical activity (PA), sedentary behaviour (SB), functional performance and quality of life (QoL) evaluation tools have been developed to subjectively measure health outcomes following TKA. These measuring tools differ in their measurement techniques as well as in the number of domains they assess. The self-reported functional instruments (questionnaires) that have been used to study health outcomes of patients before and after TKA include: Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Medical Outcome Survey Short Form 36-Item (SF-36), Knee injury and Osteoarthritis Outcome Score (KOOS), Knee Society Score (KSS), Oxford Knee Score (OKS), International Physical Activity Questionnaire (IPAQ), Global Physical

Mechanically aligned total knee arthroplasty (TKA) strives to achieve a neutral mechanical alignment of the limb (00 hip-knee-ankle angle) and a varus-valgus angle of the tibial component perpendicular to the tibial mechanical axis. Conventionally, mechanically aligned TKA was assumed to lead to best implant survival.

We have added a paragraph reporting the difference in pre-operative KSS knee score, OKS and SF-36 physical component score (comparing severely obese group to control, overweight and obese

The kneeling ability after TKA affected by many factors including patients factors, RPC (Retropatellar Cartilage) extent of wears, the surgical technique, Post-operative AKP (Anterior Knee Pain) and the post-operative ROM (Range of Motion).

Conclusions: The knees with higher pre-op PTS tend to have higher MDA and vice-versa. Although most surgeons are able to achieve the desired PTS at the higher extreme of the widely accepted range of 0-7 degrees , patients with MDA above 19 degree tend to have post-op PTS significantly higher than the desired range making them vulnerable to complications. Hence , necessary modifications (like pre-operative templating, intra-operative extramedullary zig angle setting, using intra-medullary zigs etc ) shall be done in the current protocols to achieve desired PTS in patients with knees having MDA in the higher

The mean age of the patients was 36.5±8.4. The knee society score, WOMAC and SF36 quality of life scores had been significantly improved at 12 months post-surgery. The mean preoperative flexion contracture (27.6±11.2) was significantly corrected (14.2±6.2) at the end of the procedure (p<0.05). The largest part of the residual deformity improved within 6 months of surgery.