Latest & greatest articles for knee replacement

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Top results for knee replacement

21. Knee replacement in chronic post-traumatic cases

Knee replacement in chronic post-traumatic cases 28461950 2018 11 13 2058-5241 1 5 2016 May EFORT open reviews EFORT Open Rev Knee replacement in chronic post-traumatic cases. 211-218 10.1302/2058-5241.1.000025 Post-traumatic knee arthritis is a challenging condition. Prosthetic surgery is demanding and the risk of complications is relatively high.Planning is an essential element of this surgery; correct diagnosis (to exclude latent infection) and adequate considerations regarding approach (...) , axis, bone loss, choice of implant and level of constraint are indispensable.There are two main categories of post-traumatic arthritis: extra-articular deformities and articular deformities.Use of an algorithms can support the surgeon's choice of implant.Correct implant positioning and limb alignment restoration is associated with very good results, similar to those achieved with standard total knee arthroplasty. Cite this article: Benazzo F, Rossi SMP, Combi A, Meena S, Ghiara M. Knee replacement

EFORT open reviews2016 Full Text: Link to full Text with Trip Pro

22. Guided Imagery for Total Knee Replacement: A Randomized, Placebo-Controlled Pilot Study.

Guided Imagery for Total Knee Replacement: A Randomized, Placebo-Controlled Pilot Study. 27214055 2016 07 08 2017 02 21 2017 02 21 1557-7708 22 7 2016 Jul Journal of alternative and complementary medicine (New York, N.Y.) J Altern Complement Med Guided Imagery for Total Knee Replacement: A Randomized, Placebo-Controlled Pilot Study. 563-75 10.1089/acm.2016.0038 To determine the effect of guided imagery (GI) on functional outcomes of total knee replacement (TKR), explore psychological (...) surgery. The most frequent reason for noncompletion was protocol-driven exclusion at 6 months for having the contralateral knee replaced before the study endpoint (n = 15). With imaging ability as a moderator, gait velocity, but not WOMAC Function score, was significantly improved at 6 months in the GI group. Participants in the GI group, but not the control group, had lower WOMAC Pain scores at 3 weeks after surgery than at baseline. Hair cortisol concentration was significantly lower at 6 months

Journal of alternative and complementary medicine (New York, N.Y.)2016

23. A Randomized, Controlled Trial of Total Knee Replacement.

A Randomized, Controlled Trial of Total Knee Replacement. 26488691 2015 10 22 2015 10 27 2017 04 25 1533-4406 373 17 2015 Oct 22 The New England journal of medicine N. Engl. J. Med. A Randomized, Controlled Trial of Total Knee Replacement. 1597-606 10.1056/NEJMoa1505467 More than 670,000 total knee replacements are performed annually in the United States; however, high-quality evidence to support the effectiveness of the procedure, as compared with nonsurgical interventions, is lacking (...) . In this randomized, controlled trial, we enrolled 100 patients with moderate-to-severe knee osteoarthritis who were eligible for unilateral total knee replacement. Patients were randomly assigned to undergo total knee replacement followed by 12 weeks of nonsurgical treatment (total-knee-replacement group) or to receive only the 12 weeks of nonsurgical treatment (nonsurgical-treatment group), which was delivered by physiotherapists and dietitians and consisted of exercise, education, dietary advice, use

NEJM2015

26. Systematic review with meta-analysis: Review: femoral nerve block may be the most effective option for pain relief following total knee replacement

Systematic review with meta-analysis: Review: femoral nerve block may be the most effective option for pain relief following total knee replacement Review: femoral nerve block may be the most effective option for pain relief following total knee replacement | Evidence-Based Nursing This site uses cookies. By continuing to browse the site you are agreeing to our use of cookies. Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password (...) * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Review: femoral nerve block may be the most effective option for pain relief following total knee replacement Article Text Pain management Systematic review with meta-analysis Review: femoral nerve block may be the most effective option for pain

Evidence-Based Nursing (Requires free registration)2015

27. Adverse outcomes after total and unicompartmental knee replacement in 101 330 matched patients: a study of data from the National Joint Registry for England and Wales.

Adverse outcomes after total and unicompartmental knee replacement in 101 330 matched patients: a study of data from the National Joint Registry for England and Wales. BACKGROUND: Total knee replacement (TKR) or unicompartmental knee replacement (UKR) are options for end-stage osteoarthritis. However, comparisons between the two procedures are confounded by differences in baseline characteristics of patients undergoing either procedure and by insufficient reporting of endpoints other than

Lancet2014

28. 45-day mortality after 467 779 knee replacements for osteoarthritis from the National Joint Registry for England and Wales: an observational study.

45-day mortality after 467 779 knee replacements for osteoarthritis from the National Joint Registry for England and Wales: an observational study. BACKGROUND: Understanding the risk factors for early death after knee replacement could help to reduce the risk of mortality after this procedure. We assessed secular trends in death within 45 days of knee replacement for osteoarthritis in England and Wales, with the aim of investigating whether any change that we recorded could be explained (...) by alterations in modifiable perioperative factors. METHODS: We took data for knee replacements done for osteoarthritis in England and Wales between April 1, 2003, and Dec 31, 2011, from the National Joint Registry for England and Wales. Patient identifiers were used to link these data to the national mortality database and the Hospital Episode Statistics database to obtain details of death, sociodemographics, and comorbidity. We assessed mortality within 45 days by Kaplan-Meier analysis and assessed

Lancet2014

29. Aspirin for VTE prophylaxis in hip and knee replacement surgery

Aspirin for VTE prophylaxis in hip and knee replacement surgery Aspirin for VTE prophylaxis in hip and knee replacement surgery Aspirin for VTE prophylaxis in hip and knee replacement surgery Mitchell MD, Williams K Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation Mitchell MD, Williams K. Aspirin for VTE prophylaxis in hip and knee replacement surgery (...) . Philadelphia: Center for Evidence-based Practice (CEP). 2014 Final publication URL Indexing Status Subject indexing assigned by CRD MeSH Arthroplasty, Replacement, Hip; Arthroplasty, Replacement, Knee; Aspirins; Venous Thromboembolism Language Published English Country of organisation United States English summary An English language summary is available. Address for correspondence Center for Evidence-based Practice, University of Pennsylvania Health System, 3535 Market St. Suite 50, Philadelphia PA 19104

Health Technology Assessment (HTA) Database.2014

30. Update on Physiotherapy Rehabilitation After Total Knee or Hip Replacement

Update on Physiotherapy Rehabilitation After Total Knee or Hip Replacement Update on physiotherapy rehabilitation after total knee or hip replacement Update on physiotherapy rehabilitation after total knee or hip replacement Ontario Health Technology Advisory Committee Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Ontario Health (...) Technology Advisory Committee. Update on physiotherapy rehabilitation after total knee or hip replacement. Toronto: Health Quality Ontario (HQO). OHTAC Recommendation. 2014 Authors' conclusions OHTAC recommends the health system support the move towards community-based physiotherapy after primary total knee or hip replacement and discharge from acute care. In regards to location of physiotherapy within the community, the health system should allow for flexibility, depending on the local care context

Health Technology Assessment (HTA) Database.2014

31. Functional outcome and alignment in computer-assisted and conventionally operated total knee replacements: a multicentre parallel-group randomised controlled trial

Functional outcome and alignment in computer-assisted and conventionally operated total knee replacements: a multicentre parallel-group randomised controlled trial 24788494 2014 05 05 2014 06 17 2016 05 25 2049-4408 96-B 5 2014 May The bone & joint journal Bone Joint J Functional outcome and alignment in computer-assisted and conventionally operated total knee replacements: a multicentre parallel-group randomised controlled trial. 609-18 10.1302/0301-620X.96B5.32516 We performed a randomised (...) controlled trial comparing computer-assisted surgery (CAS) with conventional surgery (CONV) in total knee replacement (TKR). Between 2009 and 2011 a total of 192 patients with a mean age of 68 years (55 to 85) with osteoarthritis or arthritic disease of the knee were recruited from four Norwegian hospitals. At three months follow-up, functional results were marginally better for the CAS group. Mean differences (MD) in favour of CAS were found for the Knee Society function score (MD: 5.9, 95% confidence

EvidenceUpdates2014

32. Increased risk of revision for high flexion total knee replacement with thicker tibial liners

Increased risk of revision for high flexion total knee replacement with thicker tibial liners 24493187 2014 02 04 2014 04 01 2016 05 25 2049-4408 96-B 2 2014 Feb The bone & joint journal Bone Joint J Increased risk of revision for high flexion total knee replacement with thicker tibial liners. 217-23 10.1302/0301-620X.96B2.32625 The outcome of total knee replacement (TKR) using components designed to increase the range of flexion is not fully understood. The short- to mid-term risk of aseptic (...) ) 1.48 to 3.50)), an effect that was magnified when a thicker tibial insert was used (HR 8.10 (95% CI 4.41 to 14.89)). Surgeons should be cautious when choosing high flexion TKRs, particularly when thicker tibial liners might be required. Namba R S RS Kaiser Permanente, 6670 Alton Parkway, Irvine, California 92618, USA. Inacio M C S MC Cafri G G eng Comparative Study Journal Article England Bone Joint J 101599229 2049-4394 AIM IM Aged Arthroplasty, Replacement, Knee methods Bone Transplantation

EvidenceUpdates2014

34. Computer assisted surgery for unicondylar and total knee replacement

Computer assisted surgery for unicondylar and total knee replacement Computer assisted surgery for unicondylar and total knee replacement Computer assisted surgery for unicondylar and total knee replacement Malaysian Health Technology Assessment (MaHTAS) Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Malaysian Health Technology (...) Assessment (MaHTAS). Computer assisted surgery for unicondylar and total knee replacement. Putrajaya: Malaysian Health Technology Assessment (MaHTAS). 2014 Authors' objectives To review evidence on the effectiveness, safety and costeffectiveness of computer assisted surgery for unicondylar and total knee replacement in patients with osteoarthritis. Authors' conclusions Computer assisted surgery or computer image-based navigation or robotic-assisted procedure has the potential to be used as alternative

Health Technology Assessment (HTA) Database.2014

35. Improved fixation in cementless unicompartmental knee replacement: five-year results of a randomized controlled trial

Improved fixation in cementless unicompartmental knee replacement: five-year results of a randomized controlled trial 23925740 2013 08 08 2013 11 01 2016 05 12 1535-1386 95 15 2013 Aug 07 The Journal of bone and joint surgery. American volume J Bone Joint Surg Am Improved fixation in cementless unicompartmental knee replacement: five-year results of a randomized controlled trial. 1365-72 10.2106/JBJS.L.01005 When used for appropriate indications, unicompartmental knee replacement is associated (...) with fewer complications, faster recovery, and better function than total knee replacement. However, joint registries demonstrate a higher revision rate for unicompartmental knee replacement. Currently, most unicompartmental knee replacements are cemented; common reasons for revision include aseptic loosening and pain. These problems could potentially be addressed by using cementless implants, with coatings designed to improve fixation. The objectives of this study were to compare the quality of fixation

EvidenceUpdates2013

36. Do modern total knee replacements offer better value for money? A health economic analysis

Do modern total knee replacements offer better value for money? A health economic analysis Do modern total knee replacements offer better value for money? A health economic analysis Do modern total knee replacements offer better value for money? A health economic analysis Hamilton DF, Clement ND, Burnett R, Patton JT, Moran M, Howie CR, Simpson AH, Gaston P Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract (...) contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. CRD summary This study evaluated the cost-effectiveness of the new Triathlon implant, compared with the usual implant, for total knee arthroplasty. The authors concluded that different implants did not affect the cost-effectiveness of arthroplasty, and any new more expensive implant would have to be justified by substantial

NHS Economic Evaluation Database.2013

37. Analgesia after total knee replacement: local infiltration versus epidural combined with a femoral nerve blockade: a prospective, randomised pragmatic trial

Analgesia after total knee replacement: local infiltration versus epidural combined with a femoral nerve blockade: a prospective, randomised pragmatic trial 23632672 2013 05 01 2013 06 24 2016 10 19 2049-4408 95-B 5 2013 May The bone & joint journal Bone Joint J Analgesia after total knee replacement: local infiltration versus epidural combined with a femoral nerve blockade: a prospective, randomised pragmatic trial. 629-35 10.1302/0301-620X.95B5.30406 In a randomised controlled pragmatic trial (...) we investigated whether local infiltration analgesia would result in earlier readiness for discharge from hospital after total knee replacement (TKR) than patient-controlled epidural analgesia (PCEA) plus femoral nerve block. A total of 45 patients with a mean age of 65 years (49 to 81) received a local infiltration with a peri-articular injection of bupivacaine, morphine and methylprednisolone, as well as adjuvant analgesics. In 45 PCEA+femoral nerve blockade patients with a mean age of 67 years

EvidenceUpdates2013 Full Text: Link to full Text with Trip Pro

38. Does exercise reduce pain and improve physical function before hip or knee replacement surgery? A systematic review and meta-analysis of randomized controlled trials

Does exercise reduce pain and improve physical function before hip or knee replacement surgery? A systematic review and meta-analysis of randomized controlled trials Does exercise reduce pain and improve physical function before hip or knee replacement surgery? A systematic review and meta-analysis of randomized controlled trials Does exercise reduce pain and improve physical function before hip or knee replacement surgery? A systematic review and meta-analysis of randomized controlled trials (...) Gill SD, McBurney H CRD summary The review concluded that exercise-based interventions can reduce pain and improve physical function for people awaiting hip replacement surgery but not knee replacement surgery. A lack of evidence regarding sustained preoperative improvements, coupled with some review limitations, means the authors' conclusions appear somewhat over-optimistic. Authors' objectives To investigate the effect of exercise-based interventions on pain and physical function prior to joint

DARE.2013

39. Five-year results of a randomised controlled trial comparing mobile and fixed bearings in total knee replacement

Five-year results of a randomised controlled trial comparing mobile and fixed bearings in total knee replacement 23539700 2013 03 29 2013 05 20 2016 05 25 2049-4408 95-B 4 2013 Apr The bone & joint journal Bone Joint J Five-year results of a randomised controlled trial comparing mobile and fixed bearings in total knee replacement. 486-92 10.1302/0301-620X.95B4.29454 There is conflicting evidence about the merits of mobile bearings in total knee replacement, partly because most randomised (...) controlled trials (RCTs) have not been adequately powered. We report the results of a multicentre RCT of mobile versus fixed bearings. This was part of the knee arthroplasty trial (KAT), where 539 patients were randomly allocated to mobile or fixed bearings and analysed on an intention-to-treat basis. The primary outcome measure was the Oxford Knee Score (OKS) plus secondary measures including Short Form-12, EuroQol EQ-5D, costs, cost-effectiveness and need for further surgery. There was no significant

EvidenceUpdates2013

40. Steroid modulation of cytokine release and desmosine levels in bilateral total knee replacement: a prospective, double-blind, randomized controlled trial

Steroid modulation of cytokine release and desmosine levels in bilateral total knee replacement: a prospective, double-blind, randomized controlled trial 23097096 2013 01 24 2013 02 07 2016 05 12 1535-1386 94 23 2012 Dec 05 The Journal of bone and joint surgery. American volume J Bone Joint Surg Am Steroid modulation of cytokine release and desmosine levels in bilateral total knee replacement: a prospective, double-blind, randomized controlled trial. 2120-7 The perioperative inflammatory (...) response as measured by elevated levels of interleukin-6 (IL-6) has been linked to acute respiratory distress syndrome, postoperative confusion, and fever. Because of the extent of surgery,patients undergoing bilateral total knee arthroplasty may be at high risk of complications. We had found a significant decrease in IL-6 in patients having bilateral total knee replacement who received two doses of 100 mg of hydrocortisone eight hours apart; however, by twenty-four hours, IL-6 levels were equal

EvidenceUpdates2013