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1. Total versus partial knee replacement in patients with medial compartment knee osteoarthritis: the TOPKAT RCT Full Text available with Trip Pro

Total versus partial knee replacement in patients with medial compartment knee osteoarthritis: the TOPKAT RCT Total versus partial knee replacement in patients with medial compartment knee osteoarthritis: the TOPKAT RCT Journals Library An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please choose a page from the navigation or try a website search above to find the information you (...) need. >> >> >> >> Issue {{metadata .Issue }} Toolkit 1)"> 0)"> 1)"> {{metadata.Title}} {{metadata.Headline}} Both total and partial knee replacement were effective and offered similar clinical outcomes at 5 years. {{author}} {{($index , , , , , , , , , , , , & . David J Beard 1, * , Loretta J Davies 1 , Jonathan A Cook 2 , Graeme MacLennan 2 , Andrew Price 1 , Seamus Kent 3 , Jemma Hudson 2 , Andrew Carr 1 , Jose Leal 3 , Helen Campbell 3 , Ray Fitzpatrick 3 , Nigel Arden 1 , David Murray 1

2020 NIHR HTA programme

2. The STAK tool for preventing and treating knee stiffness

The STAK tool for preventing and treating knee stiffness The STAK tool for preventing and treating knee stiffness Medtech innovation briefing Published: 9 February 2021 www.nice.org.uk/guidance/mib252 pathways Summary Summary • The technology technology described in this briefing is the STAK tool. It is for people who have had knee trauma or surgery, to prevent and treat knee stiffness (arthrofibrosis). • The innovative aspects innovative aspects are that it uses a person's own leverage (...) and gravity to achieve higher increases in the range of knee movement. • The intended place in therapy place in therapy would be after knee trauma or surgery as an alternative to physiotherapy in people who have had knee surgery or suffered from a knee trauma such as a fracture or dislocation. • The main points from the evidence main points from the evidence summarised in this briefing are from 1 block-randomised prospective observational study including 35 adults after knee surgery in an NHS trust

2021 National Institute for Health and Clinical Excellence - Advice

3. Joint replacement (primary): hip, knee and shoulder

Joint replacement (primary): hip, knee and shoulder Joint replacement (primary): hip, knee and shoulder NICE guideline Published: 4 June 2020 www.nice.org.uk/guidance/ng157 © NICE 2020. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of- rights).Your responsibility Your responsibility The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising (...) . Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. Joint replacement (primary): hip, knee and shoulder (NG157) © NICE 2020. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 2 of 39Contents Contents Overview 5 Who is it for? 5 Recommendations 6 1.1 Shared decision

2020 National Institute for Health and Clinical Excellence - Clinical Guidelines

4. Exercise interventions and patient beliefs for people with hip, knee or hip and knee osteoarthritis: a mixed methods review. Full Text available with Trip Pro

Exercise interventions and patient beliefs for people with hip, knee or hip and knee osteoarthritis: a mixed methods review. Chronic peripheral joint pain due to osteoarthritis (OA) is extremely prevalent and a major cause of physical dysfunction and psychosocial distress. Exercise is recommended to reduce joint pain and improve physical function, but the effect of exercise on psychosocial function (health beliefs, depression, anxiety and quality of life) in this population is unknown.To (...) of land- or water-based exercise programmes compared with a control group consisting of no treatment or non-exercise intervention (such as medication, patient education) that measured either pain or function and at least one psychosocial outcome (self-efficacy, depression, anxiety, quality of life). Participants had to be aged 45 years or older, with a clinical diagnosis of OA (as defined by the study) or self-reported chronic hip or knee (or both) pain (defined as more than six months' duration

2018 Cochrane

5. Platelet-rich plasma injections for knee osteoarthritis

Platelet-rich plasma injections for knee osteoarthritis Platelet-rich plasma injections for knee Platelet-rich plasma injections for knee osteoarthritis osteoarthritis Interventional procedures guidance Published: 23 January 2019 nice.org.uk/guidance/ipg637 Y Y our responsibility our responsibility This guidance represents the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, healthcare professionals are expected to take (...) #notice-of-rights). Page 1 of 41 1 Recommendations Recommendations 1.1 Current evidence on platelet-rich plasma injections for knee osteoarthritis raises no major safety concerns. However, the evidence on efficacy is limited in quality. Therefore, this procedure should only be used with special arrangements for clinical governance, consent, and audit or research. 1.2 Clinicians wishing to give platelet-rich plasma injections for knee osteoarthritis should: Inform the clinical governance leads

2019 National Institute for Health and Clinical Excellence - Interventional Procedures

6. The impact of the enhanced recovery pathway and other factors on outcomes and costs following hip and knee replacement: routine data study Full Text available with Trip Pro

The impact of the enhanced recovery pathway and other factors on outcomes and costs following hip and knee replacement: routine data study The impact of the enhanced recovery pathway and other factors on outcomes and costs following hip and knee replacement: routine data study Journals Library An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please choose a page from the navigation (...) or try a website search above to find the information you need. >> >> >> >> Issue {{metadata .Issue }} Toolkit 1)"> 0)"> 1)"> {{metadata.Title}} {{metadata.Headline}} Improved outcomes after hip and knee replacement had begun before the implementation of the enhanced recovery pathway and successful implementation of this pathway depends on several aspects. {{author}} {{($index , , , , , , , , , , , , , , , & . Andrew Judge 1, 2, 3, 4, * , Andrew Carr 1 , Andrew Price 1 , Cesar Garriga 1, 4 , Cyrus

2020 NIHR HTA programme

7. Outpatient physiotherapy versus home-based rehabilitation for patients at risk of poor outcomes after knee arthroplasty: CORKA RCT Full Text available with Trip Pro

Outpatient physiotherapy versus home-based rehabilitation for patients at risk of poor outcomes after knee arthroplasty: CORKA RCT Outpatient physiotherapy versus home-based rehabilitation for patients at risk of poor outcomes after knee arthroplasty: CORKA RCT Journals Library An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please choose a page from the navigation or try a website (...) search above to find the information you need. >> >> >> >> Issue {{metadata .Issue }} Toolkit 1)"> 0)"> 1)"> {{metadata.Title}} {{metadata.Headline}} This trial found that a package of home-based, assistant-delivered rehabilitation following knee arthroplasty delivered similar outcomes to traditional outpatient physiotherapy rehabilitation. {{author}} {{($index , , , , , , , , , , , , , , & . Karen L Barker 1, 2, * , Jon Room 1, 2 , Ruth Knight 3 , Susan J Dutton 3 , Fran Toye 2 , Jose Leal 4

2020 NIHR HTA programme

8. The Arthroplasty Candidacy Help Engine tool to select candidates for hip and knee replacement surgery: development and economic modelling Full Text available with Trip Pro

The Arthroplasty Candidacy Help Engine tool to select candidates for hip and knee replacement surgery: development and economic modelling The Arthroplasty Candidacy Help Engine tool to select candidates for hip and knee replacement surgery: development and economic modelling Journals Library An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please choose a page from the navigation (...) or try a website search above to find the information you need. >> >> >> >> Issue {{metadata .Issue }} Toolkit 1)"> 0)"> 1)"> {{metadata.Title}} {{metadata.Headline}} The Oxford hip and knee scores can be used to assess individuals' suitability for surgery, and this study showed that surgery nearly always costs less than £20,000 per QALY. {{author}} {{($index , , , , , , , , , , , , , , , , , , , , , , , , & . Andrew Price 1, * , James Smith 1 , Helen Dakin 2 , Sujin Kang 1 , Peter Eibich 2

2019 NIHR HTA programme

9. Interventions for preventing venous thromboembolism in adults undergoing knee arthroscopy. (Abstract)

Interventions for preventing venous thromboembolism in adults undergoing knee arthroscopy. Knee arthroscopy (KA) is a routine orthopedic procedure recommended to repair cruciate ligaments and meniscus injuries and in eligible patients, to assist the diagnosis of persistent knee pain. KA is associated with a small risk of thromboembolic events. This systematic review aims to assess if pharmacological or non-pharmacological interventions may reduce this risk. This review is the second update

2020 Cochrane

10. Total joint replacement surgery for knee osteoarthritis and other non-traumatic diseases: a network meta-analysis Full Text available with Trip Pro

Total joint replacement surgery for knee osteoarthritis and other non-traumatic diseases: a network meta-analysis Total joint replacement surgery for knee osteoarthritis and other non‐traumatic diseases: a network meta‐analysis - Singh, JA - 2019 | Cochrane Library Cookies Our site uses cookies to improve your experience. You can find out more about our use of cookies in About Cookies, including instructions on how to turn off cookies if you wish to do so. By continuing to browse this site you (...) Content Language Banner Portlet Scolaris Content Language Banner Portlet Scolaris Content Display Scolaris Content Display Read comments on this Protocol(0) Cochrane Clinical Answers Editorials Podcasts Special Collections Overview - Protocol Total joint replacement surgery for knee osteoarthritis and other non‐traumatic diseases: a network meta‐analysis Version published: 24 September 2019 This protocol has been withdrawn Collapse all Expand all Reason for withdrawal from publication This protocol

2019 Cochrane Database of Systematic Reviews

11. Pharmacological interventions for the prevention of bleeding in people undergoing elective hip or knee surgery: a systematic review and network meta-analysis Full Text available with Trip Pro

Pharmacological interventions for the prevention of bleeding in people undergoing elective hip or knee surgery: a systematic review and network meta-analysis Pharmacological interventions for the prevention of bleeding in people undergoing elective hip or knee surgery: a systematic review and network meta‐analysis - Gibbs, VN - 2019 | Cochrane Library Cookies Our site uses cookies to improve your experience. You can find out more about our use of cookies in About Cookies, including instructions (...) language Select your preferred language for the Cochrane Library website. Cancel Scolaris Content Language Banner Portlet Scolaris Content Language Banner Portlet Scolaris Content Display Scolaris Content Display Read comments on this Protocol(0) Cochrane Clinical Answers Editorials Podcasts Special Collections Intervention - Protocol Pharmacological interventions for the prevention of bleeding in people undergoing elective hip or knee surgery: a systematic review and network meta‐analysis Version

2019 Cochrane Database of Systematic Reviews

12. Mosaicplasty for symptomatic articular cartilage defects of the knee

Mosaicplasty for symptomatic articular cartilage defects of the knee Mosaicplasty for symptomatic articular cartilage Mosaicplasty for symptomatic articular cartilage defects of the knee defects of the knee Interventional procedures guidance Published: 14 March 2018 nice.org.uk/guidance/ipg607 Y Y our responsibility our responsibility This guidance represents the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, healthcare (...) ://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 1 of 41 1 Recommendations Recommendations 1.1 Current evidence on the safety and efficacy of mosaicplasty for knee cartilage defects is adequate to support the use of this procedure provided that standard arrangements are in place for clinical governance, consent and audit. 1.2 The procedure should only be done by surgeons experienced in cartilage surgery and with specific training in mosaicplasty for knee cartilage defects. 1.3 Clinicians should

2018 National Institute for Health and Clinical Excellence - Interventional Procedures

13. Patellar Denervation Reduces Postoperative Anterior Knee Pain After Patellar Resurfacing Total Knee Arthroplasty: A Randomized Controlled Trial

Patellar Denervation Reduces Postoperative Anterior Knee Pain After Patellar Resurfacing Total Knee Arthroplasty: A Randomized Controlled Trial Patellar Denervation Reduces Postoperative Anterior Knee Pain After Patellar Resurfacing Total Knee Arthroplasty: A Randomized Controlled Trial - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily (...) (20)31145-1. doi: 10.1016/j.arth.2020.10.046. Online ahead of print. Patellar Denervation Reduces Postoperative Anterior Knee Pain After Patellar Resurfacing Total Knee Arthroplasty: A Randomized Controlled Trial , , , Affiliations Expand Affiliation 1 Department of Orthopaedics, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Dusit, Bangkok, Thailand. PMID: 33214014 DOI: Item in Clipboard Patellar Denervation Reduces Postoperative Anterior Knee Pain After Patellar Resurfacing

2021 EvidenceUpdates

14. Intra-articular hyaluronic acid injection for knee osteoarthritis: efficacy and adverse effects underestimated?

Intra-articular hyaluronic acid injection for knee osteoarthritis: efficacy and adverse effects underestimated? Prescrire IN ENGLISH - Spotlight ''Intra-articular hyaluronic acid injection for knee osteoarthritis: efficacy and adverse effects underestimated?'', 1 July 2020 {1} {1} {1} | | > > > Intra-articular hyaluronic acid injection for knee osteoarthritis: efficacy and adverse effects underestimated? Spotlight Every month, the subjects in Prescrire’s Spotlight. 100 most recent :  |  (...)  |   |   |   |   |   |   |   |  Spotlight Intra-articular hyaluronic acid injection for knee osteoarthritis: efficacy and adverse effects underestimated? Queries and Comments Prescrire concluded in 2016 that the harm-benefit balance of hyaluronic acid by intra-articular injection seemed unfavourable. Several readers have since expressed their profound disagreement, citing the effects noted in their daily practice. How can

2020 Prescrire

15. Knee pain - assessment: Scenario: Management of knee pain

Knee pain - assessment: Scenario: Management of knee pain Scenario: Management | Management | Knee pain - assessment | CKS | NICE Search CKS… Menu Scenario: Management Knee pain - assessment: Scenario: Management of knee pain Last revised in July 2017 Scenario: Management of knee pain From age 6 years onwards. When do I arrange admission for a person with knee pain? Admit or refer for immediate specialist assessment : If septic arthritis is suspected or cannot be excluded. If a slipped capital (...) tissue injury with gross instability. Discuss with a specialist as there may be an appropriate alternative available locally (see below). Consider admission or referral for immediate assessment: If a child presents with a limp, depending on clinical features - see the CKS topic for detailed guidance. If Henoch-Schönlein purpura is suspected - seek specialist advice. Depending on local arrangements, refer to an accident and emergency department, fracture clinic or acute knee clinic : If a significant

2018 NICE Clinical Knowledge Summaries

16. Knee pain - assessment: How should I examine a person with knee pain?

Knee pain - assessment: How should I examine a person with knee pain? Examination | Diagnosis | Knee pain - assessment | CKS | NICE Search CKS… Menu Examination Knee pain - assessment: How should I examine a person with knee pain? Last revised in July 2017 How should I examine a person with knee pain? Examine and compare both knees and surrounding structures. Inspect for wounds, erythema, deformity, muscle atrophy and swelling. Palpate for warmth, swelling (including bony swelling, effusion (...) and bursal or other soft tissue swelling) and tenderness. Move the knee s by extending and flexing as far as possible. The normal range is zero degrees of extension to 135 degrees of flexion. Examine the hips, ankles and spine for other joint pathology causing referred pain to the knee, particularly in children. Assess gait and ability to weight bear. Assess for signs of septic arthritis, particularly if the person has any risk factors - see . If there is a history of trauma, as well as the above: Use

2018 NICE Clinical Knowledge Summaries

17. Knee pain - assessment: How do I exclude fracture using the Ottawa knee rule?

Knee pain - assessment: How do I exclude fracture using the Ottawa knee rule? Excluding fracture (Ottawa knee rule) | Diagnosis | Knee pain - assessment | CKS | NICE Search CKS… Menu Excluding fracture (Ottawa knee rule) Knee pain - assessment: How do I exclude fracture using the Ottawa knee rule? Last revised in July 2017 How do I exclude fracture using the Ottawa knee rule? Use the Ottawa knee rule to determine whether an X-ray is needed in people over 2 years with suspected knee fractures (...) to exclude a fracture. According to the Ottawa knee rule, knee X-ray is only required after a knee injury for people with any of these findings: Inability to weight bear both immediately and during the consultation for four steps (inability to transfer weight twice onto each lower limb regardless of limping). Inability to flex the knee to 90 degrees. Tenderness of the head of the fibula. Isolated tenderness of the patella (no bone tenderness of the knee other than the patella). Age 55 years or older

2018 NICE Clinical Knowledge Summaries

18. Knee pain - assessment: How should I assessment a person with knee pain?

Knee pain - assessment: How should I assessment a person with knee pain? History | Diagnosis | Knee pain - assessment | CKS | NICE Search CKS… Menu History Knee pain - assessment: How should I assessment a person with knee pain? Last revised in July 2017 How should I assessment a person with knee pain? Consider likely causes based on the person's age — see . Important aspects in the history include: History of trauma. Whether one or both knees are affected, and whether any other joints (...) fracture, ligament rupture (usually the anterior cruciate ligament) or patellar dislocation. Slower onset (24-36 hours) of a mild to moderate effusion is consistent with meniscal injury or ligament sprain. Joint stiffness, and variation throughout the day. History of locking or giving way. Ripping or tearing sensations. Crepitus, snapping, or clicking are of limited value in identifying the cause of knee pain. History of previous injuries, surgery, or medical conditions (for example gout, pseudogout

2018 NICE Clinical Knowledge Summaries

19. Gamechanger? The Effect of Intra-articular Triamcinolone vs Saline on Knee Cartilage Volume and Pain in Patients with Knee Osteoarthritis ? A Randomized Clinical Trial

Gamechanger? The Effect of Intra-articular Triamcinolone vs Saline on Knee Cartilage Volume and Pain in Patients with Knee Osteoarthritis ? A Randomized Clinical Trial Gamechanger? The Effect of Intra-articular Triamcinolone vs Saline on Knee Cartilage Volume and Pain in Patients with Knee Osteoarthritis – A Randomized Clinical Trial – Clinical Correlations Search Gamechanger? The Effect of Intra-articular Triamcinolone vs Saline on Knee Cartilage Volume and Pain in Patients with Knee (...) that promote synovitis, as well as the up-regulation of [1]. Based on this proposed pathogenesis, the suppression of inflammatory mechanisms by intra-articular corticosteroids might theoretically reduce the progression of knee OA, with accompanying reduction in pain. This is an important area of study, as the pain associated with OA is the most prominent feature of the disease and is often undertreated. What did we know before? Though intra-articular corticosteroids have long been used to manage

2018 Clinical Correlations

20. Motor-driven continuous passive motion (CPM) devices after interventions on the knee and shoulder joint

Motor-driven continuous passive motion (CPM) devices after interventions on the knee and shoulder joint 1 Translation of the key statement of the final report N16-03 Einsatz von motorbetriebenen Bewegungsschienen (CPM) nach Interventionen am Knie- oder am Schultergelenk (Version 1.1; Status: 23 July 2018). Please note: This document was translated by an external translator and is provided as a service by IQWiG to English-language readers. However, solely the German original text is absolutely (...) authoritative and legally binding. Extract IQWiG Reports – Commission No. N16-03 Motor-driven continuous passive motion (CPM) devices after interventions in the knee and shoulder joint 1 Extract of final report N16-03 Version 1.1 CPM devices after interventions in the knee and shoulder joint 23 July 2018 Institute for Quality and Efficiency in Health Care (IQWiG) - i - Publishing details Publisher: Institute for Quality and Efficiency in Health Care Topic: Motor-driven continuous passive motion (CPM

2019 Institute for Quality and Efficiency in Healthcare (IQWiG)

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