Mcguirehedegaard7306

3.

A reduction in opioids prescribed after arthroscopic meniscectomy was not associated with any difference in patient satisfaction with pain management, as measured by the Press-Ganey survey. LOE 3.

Elliptical trainers are a popular cardiovascular exercise for individuals with injuries or those post-operation. There is currently limited data on the impacts of direction while on elliptical trainers for knee joint kinematic risk factors. This study compared lower extremity kinematics between the forward and reverse direction at varying inclines on an elliptical trainer modified with converging footpath and reduced inter-pedal distance.

Twenty-four college age participants exercised on the modified elliptical in both directions at four ramp inclines 6°, 12°, 25°, and 35°. Three-dimensional kinematics were collected for each direction and ramp incline. A 2×4 (direction×incline) repeated measures analysis of variance was run with an alpha of 0.05. Simple effects analysis was run with Bonferroni correction for significant interaction or main effect of ramp incline.

The reverse direction had significantly greater peak knee valgus at 6° incline (mean difference [MD]=1.35°, p<0.014, d=0.31) and 12° (MD=2.41°, p<0.001, d=0.55), peak hip abduction at 6° (MD=2.86°, p=0.002, d=0.49) and 12° (MD=2.91°, p<0.001, d=0.51), but decreased peak knee flexion angles (p=0.032) at all inclines.

Individuals with knee pathologies such as knee osteoarthritis or anterior knee pain should exercise in the reverse direction at lower inclines. However, switching to the forward direction and/or increasing incline may increase quadriceps strength during a safe activity such as elliptical trainers.

Individuals with knee pathologies such as knee osteoarthritis or anterior knee pain should exercise in the reverse direction at lower inclines. However, switching to the forward direction and/or increasing incline may increase quadriceps strength during a safe activity such as elliptical trainers.

Total knee arthroplasty (TKA) is a successful treatment for patients with late stage osteoarthritis, yet arthrofibrosis remains a consistent cause of TKA failure. Dupuytren's, Ledderhose and Peyronie's Diseases are related conditions of increased fibroblast proliferation. The aim of this study was to identify whether an association exists between these conditions and arthrofibrosis following TKA.

Patient records were queried from 2010 to 2016 using an administrative claims database to compare the rates of arthrofibrosis, manipulation under anesthesia (MUA), lysis of adhesions (LOA), and revision TKA in patients with independent chart diagnoses of Dupuytren's Contracture, Ledderhose, or Peyronie's Diseases versus those without. Subasumstat Complications were queried and compared using multivariate logistic regression.

Patients with Dupuytren's (n=5,232) and Ledderhose (n=50,716) had a significantly higher rate of ankylosis following TKA 30-days (OR, 1.54; OR, 1.23), 90-days (OR, 1.20; OR, 1.24), 6-months (OR, 1.23; OR, 1.23), and 1-year (OR, 1.28; OR, 1.23), while patients with Peyronie's (n=1,186) had a higher rate of diagnosis at 6-months (OR, 1.37) and 1-year (OR, 1.35). Patients with diagnoses of any of the fibroproliferative diseases had a statistically higher risk of MUA at 90-days, 6-month, and 1-year following primary TKA. These cohorts did not have a significantly higher rate of revision TKA.

There is an increased odds risk of arthrofibrosis and MUA in patients who have undergone TKA and have a diagnosis of Dupuytren's Contracture, Ledderhose, or Peyronie's Diseases. Improvements to frequency and application of post-operative treatment should be considered in these cohorts to improve outcomes.

There is an increased odds risk of arthrofibrosis and MUA in patients who have undergone TKA and have a diagnosis of Dupuytren's Contracture, Ledderhose, or Peyronie's Diseases. Improvements to frequency and application of post-operative treatment should be considered in these cohorts to improve outcomes.

The purpose of this study was to clarify the in vivo kinematics of a newly updated posterior-stabilised (PS) mobile-bearing total knee arthroplasty during high-flexion activities in weight-bearing (WB) and non-weight-bearing (NWB) conditions. The hypothesis was that the kinematics would differ between the WB and NWB conditions, and the kinematics would be affected by the WB condition.

The kinematics of 19 knees were investigated under fluoroscopy during squatting (WB) and active-assisted knee flexion (NWB) with two- and three-dimensional registration technique. Accordingly, the range of motion, anteroposterior (AP) translation of the medial and lateral contact points, axial rotation of the femoral component relative to the tibial component, and kinematic pathway were evaluated.

There was no difference in the knee's range of motion between the WB and NWB conditions. The medial AP translation of the femur did not differ in each flexion angle between WB and NWB conditions except for flexions of 70°. There was no difference in the lateral AP translation of the femur at all tested flexion angles between the WB and NWB conditions. The external femoral rotation and the medial pivot motion were observed throughout all flexion angles in WB conditions. The clinical relevance is that this implant could produce ideal medial AP stability and medial pivot motion.

The medial AP translation of the femur was stable for AP direction when it was in both WB and NWB conditions. In WB conditions, the medial pivot motion was observed throughout all flexion angles.

III.

III.Apelin is an endogenous ligand of G protein-coupled receptor APJ. In recent years, many studies have shown that the apelin/APJ system has neuroprotective properties, such as anti-inflammatory, anti-oxidative stress, anti-apoptosis, and regulating autophagy, blocking excitatory toxicity. Apelin/APJ system has been proven to play a role in various neurological diseases and may be a promising therapeutic target for nervous system diseases. In this paper, the neuroprotective properties of the apelin/APJ system and its role in neurologic disorders are reviewed. Further understanding of the pathophysiological effect and mechanism of the apelin/APJ system in the nervous system will help develop new therapeutic interventions for various neurological diseases.