Identification of the Changes in Extent of Loading the TM Joint on the Other Side Owing to the Implantation of Total Joint Replacement

An alloplastic total joint replacement (TJR) is an effective and reliable treatment option in non-salvageable end-stage temporomandibular joint (TMJ) disease. However, unilateral alloplastic TJR of the TMJ (TMJ TJR) could affect the other side natural joint because the physiologic action of both condyles is quite different during mandibular movement. In this study, we examined whether the unilaterally replaced alloplastic TMJ TJR affects the other side natural joint condition over long periods of time. Eight patients who received alloplastic TJR on one side were subjects in this study. All alloplastic TJR implants were stable in situ. The average maximum mouth opening was 37.5 mm (range 19–49 mm) pre-operatively and 44.1 mm (range 34–57 mm) post-operatively. This parameter gradually increased and reached the maximum at about twelve months after surgery. The post-operative change of pain level was significantly reduced from 3.5 to 0 on a pain scale of zero to ten. No significant complications in any joints were observed within the follow-up period. The shape of the natural joint sides showed slight changes but were functionally stable during the observation period. In this study, unilateral alloplastic TJR showed stable and reliable clinical results, either alloplastic TJR or healthy joint sides for quite long period of time.

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Piroxicam spares buprenorphine after total joint replacement

Acta Orthopaedica ◽

10.3109/17453679209169730 ◽

1992 ◽

Vol 63 (6) ◽

pp. 658-660

Author(s):

Michel Boeckstyns ◽

Marianne Backer ◽

Else Petersen ◽

Iben Høj ◽

Henrik Albrechtsen ◽

...

Keyword(s):

Joint Replacement ◽

Total Joint Replacement

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Faculty Opinions recommendation of Identification of serological biomarker profiles associated with total joint replacement in osteoarthritis patients.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.727237664.793533829 ◽

2017 ◽

Author(s):

Ali Mobasheri

Keyword(s):

Joint Replacement ◽

Total Joint Replacement

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Postoperative Anesthesia Of Elderly And Senile Patients With Total Joint Replacement Of The Lower Extremities

The American Journal of Medical Sciences and Pharmaceutical Research ◽

10.37547/tajmspr/volume02issue09-16 ◽

2020 ◽

Vol 2 (09) ◽

pp. 75-81

Author(s):

Gaziev Z.T. ◽

Avakov V.E. ◽

Shorustamov M.T. ◽

Bektemirova N.T.

Keyword(s):

Epidural Analgesia ◽

Postoperative Period ◽

Joint Replacement ◽

Total Joint Replacement ◽

Lower Extremities ◽

Multimodal Analgesia ◽

Control Group ◽

Patient Controlled Analgesia ◽

Physical Status ◽

Traumatic Injuries

Objective: To evaluate the efficacy and safety of patient-controlled analgesia through prolonged epidural analgesia after joint replacement of the lower extremities. Material and methods. We analyzed the postoperative period of 213 elderly and senile patients who were operated on for degenerative-dystrophic and traumatic injuries of the joints of the lower extremities. All patients underwent total joint replacement (164 - THA and 49 - TKA). The age of patients is from 65 to 90 years (average age was 78 ± 8 years) with a physical status of ASA 3 and above. All examined patients were divided into 2 groups. 63 patients comprised the main group, which in the postoperative period underwent patient-controlled analgesia (PCA) through prolonged epidural analgesia. The control group consisted of 150 patients, for the anesthesia of which in the postoperative period only standard systemic multimodal analgesia was used Conclusion. Patient-controlled analgesia is an alternative to traditional analgesic regimens. This method should be one of the main methods after surgical anesthesia for joint replacement of the lower limb in elderly and senile patients.

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Book ReviewComplications of Total Joint Replacement

New England Journal of Medicine ◽

10.1056/nejm198611203152125 ◽

1986 ◽

Vol 315 (21) ◽

pp. 1362-1362

Author(s):

Joseph P. Iannotti

Keyword(s):

Joint Replacement ◽

Total Joint Replacement

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COVID-19 (SARS-CoV-2) lymphocyte responses are associated with inflammatory biomarkers in total joint replacement surgery candidates pre-operatively

Journal of Orthopaedic Surgery and Research ◽

10.1186/s13018-021-02563-7 ◽

2021 ◽

Vol 16 (1) ◽

Author(s):

Marco S. Caicedo ◽

Vianey Flores ◽

Alicia Padilla ◽

Samelko Lauryn ◽

Joshua J. Jacobs ◽

...

Keyword(s):

Joint Replacement ◽

Total Joint Replacement ◽

Cross Reactivity ◽

Inflammatory Biomarkers ◽

Nucleocapsid Proteins ◽

Joint Replacement Surgery ◽

Replacement Surgery ◽

Operative Planning ◽

Lymphocyte Responses ◽

Reactive Lymphocytes

Abstract Background Recent studies indicate that, in addition to antibody production, lymphocyte responses to SARS-CoV-2 may play an important role in protective immunity to COVID-19 and a percentage of the general population may exhibit lymphocyte memory due to unknown/asymptomatic exposure to SARS-CoV-2 or cross-reactivity to other more common coronaviruses pre-vaccination. Total joint replacement (TJR) candidates returning to elective surgeries (median age 68 years) may exhibit similar lymphocyte and/or antibody protection to COVID-19 prior to vaccination Methods In this retrospective study, we analyzed antibody titters, lymphocyte memory, and inflammatory biomarkers specific for the Spike and Nucleocapsid proteins of the SARS-CoV-2 virus in a cohort of n=73 returning TJR candidates (knees and/or hips) pre-operatively. Results Peripheral blood serum of TJR candidate patients exhibited a positivity rate of 18.4% and 4% for IgG antibodies specific for SARS-CoV-2 nucleocapsid and spike proteins, respectively. 13.5% of TJR candidates exhibited positive lymphocyte reactivity (SI > 2) to the SARS-CoV-2 nucleocapsid protein and 38% to the spike protein. SARS-CoV-2 reactive lymphocytes exhibited a higher production of inflammatory biomarkers (i.e., IL-1β, IL-6, TNFα, and IL-1RA) compared to non-reactive lymphocytes. Conclusions A percentage of TJR candidates returning for elective surgeries exhibit pre-vaccination positive SARS-CoV-2 antibodies and T cell memory responses with associated pro-inflammatory biomarkers. This is an important parameter for understanding immunity, risk profiles, and may aid pre-operative planning. Trial registration Retrospectively registered.

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