RESUMO
INTRODUCTION: The effect of primary total knee replacement on the employment status of 56 patients under 60 years of age was examined at a mean follow-up of 64 months. PATIENTS AND METHODS: A total of 56 primary total knee replacements performed on patients under the age of 60 years by two surgeons between 1996 and 2003 were retrospectively assessed by postal questionnaire. Patients were selected from databases held at Holly House and Newham Hospital NHS Trust. RESULTS: Overall, 97.5% of patients who were employed before their operation, returned to their previous work. However, in patients not working prior to total knee replacement none were employed after their operation. CONCLUSIONS: Total knee replacement may be a valuable tool to help some patients to continue working but may not affect patients who are already unemployed.
Assuntos
Artroplastia do Joelho/estatística & dados numéricos , Emprego/estatística & dados numéricos , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Satisfação do Paciente , Qualidade de VidaRESUMO
The fabella (little bean) is a sesamoid bone found in the lateral head of the gastrocnemius muscle. Its incidence varies from 10% to 30%, and when present, usually occurs bilaterally. The fabella can lead to posterolateral knee pain either due to cartilage softening (chondromalacia fabellae) or other osteoarthritic changes on its articular surface. We present two patients with symptoms in the posterolateral aspect of the knee who underwent an arthroscopic excision of the fabella. We report on the technique used and the clinical outcome.
Assuntos
Artroscopia/métodos , Joelho/cirurgia , Músculo Esquelético , Dor/etiologia , Ossos Sesamoides/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Manejo da Dor , Resultado do TratamentoRESUMO
The aetiology of tunnel enlargement following anterior cruciate reconstruction is still not fully understood. We studied, with particular reference to the tibial tunnel appearances, a group of 28 patients 1 year from anterior cruciate reconstruction by a four-strand hamstring technique. Fourteen underwent accelerated rehabilitation and 14 were immobilised post-operatively for 2 weeks following reconstruction. Tunnel enlargement was significantly greater in the immobilised group. There was no significant correlation between tunnel enlargement and the clinical result at 1-year post-reconstruction.
