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Query: UMLS:C0030201 (Postoperative pain)
 1,085 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

68 consecutive patients who had primary knee arthroplasties because of arthrosis were randomized to postoperative continuous passive motion (CPM) or active physical therapy (APT). Rehabilitation in both groups was initiated on the first postoperative day. The CPM group sustained less postoperative knee swelling with more rapid initial improvement in knee flexion than did the APT group, but there were no differences between the groups in knee flexion at discharge. Postoperative pain rating and hospitalization times were similar in the two groups.
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PMID:Continuous passive motion compared to active physical therapy after knee arthroplasty: similar hospitalization times in a randomized study of 68 patients. 861 8

Scapular notching remains a concern with both medialized and lateralized reverse shoulder arthroplasty (RSA) designs. Few studies have directly compared the rate of notching among various designs. The purpose of this study was to compare a single surgeon's rate of scapular notching in relation to RSA design. A total of 156 primary RSAs were performed for cuff tear arthropathy or osteo-arthritis with rotator cuff insufficiency by a single surgeon. Follow-up was controlled to between 3 and 5 years. Shoulders were grouped according to implant design: medialized center of rotation (CoR; n=17), lateralized CoR (n=14), and lateralized humerus (n=125). Objective clinical outcomes, patient-reported outcomes, and radiographic outcomes were compared. Scapular notching occurred more frequently with medialized CoR (82%) and lateralized CoR (57%) designs compared with a lateralized humerus design (22%; P<.001). Mean notching grade was also lower in the lateralized humerus design (0.2) compared with the medialized CoR (2.1; P<.001) and lateralized CoR (1.1; P=.01) designs. Postoperative pain, range of motion, and patient-reported outcomes were not significantly different among groups. A low rate of reoperation was seen in all groups. The lateralized humeral RSA design showed less frequent and less severe scapular notching compared with medialized CoR and lateralized CoR designs. There were no observed differences in range of motion or patient-reported outcomes between different implant designs. [Orthopedics. 2020;43(6):e585-e591.].
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PMID:Effect of Reverse Shoulder Arthroplasty Lateralization Design on Scapular Notching: A Single-Surgeon Experience. 3281 86