Latest & greatest articles for knee replacement

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Top results for knee replacement

41. 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

42. 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

43. 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

44. 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

45. Cryotherapy Machines versus Ice Packs for the Post-Operative Management of Anterior Cruciate Ligament Replacement Surgery or Total Knee Arthroplasty: Clinical Evidence and Guidelines

Cryotherapy Machines versus Ice Packs for the Post-Operative Management of Anterior Cruciate Ligament Replacement Surgery or Total Knee Arthroplasty: Clinical Evidence and Guidelines

Canadian Agency for Drugs and Technologies in Health - Rapid Review2013

46. Quantitative study?other: Movement pain, resting pain and depression prior to total knee replacement predict postoperative pain

Quantitative study?other: Movement pain, resting pain and depression prior to total knee replacement predict postoperative pain Movement pain, resting pain and depression prior to total knee replacement predict postoperative pain | Evidence-Based Nursing This site uses cookies. By continuing to browse the site you are agreeing to our use of cookies. Log in via your Society 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 via your Society 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 Movement pain, resting pain and depression prior to total knee replacement predict postoperative pain Article Text Pain management Quantitative study—other Movement pain, resting pain and depression prior to total knee replacement

Evidence-Based Nursing (Requires free registration)2013

48. Does a mobile-bearing, high-flexion design increase knee flexion after total knee replacement?

Does a mobile-bearing, high-flexion design increase knee flexion after total knee replacement? 22844045 2012 07 30 2012 10 23 2012 07 30 0301-620X 94 8 2012 Aug The Journal of bone and joint surgery. British volume J Bone Joint Surg Br Does a mobile-bearing, high-flexion design increase knee flexion after total knee replacement? 1051-7 10.1302/0301-620X.94B8.28828 This prospective randomised controlled double-blind trial compared two types of PFC Sigma total knee replacement (TKR), differing (...) activities of daily living and reported more pain one year after surgery. Nutton R W RW Royal Infirmary Edinburgh, Orthopaedics Department, 51 Little France Crescent, Edinburgh EH16 4SA, UK. Wade F A FA Coutts F J FJ van der Linden M L ML eng Journal Article Randomized Controlled Trial England J Bone Joint Surg Br 0375355 0301-620X AIM IM Activities of Daily Living Adult Aged Aged, 80 and over Arthroplasty, Replacement, Knee instrumentation methods rehabilitation Double-Blind Method Female Humans Knee

EvidenceUpdates2012

49. Rationing of total knee replacement: a cost-effectiveness analysis on a large trial data set

Rationing of total knee replacement: a cost-effectiveness analysis on a large trial data set Rationing of total knee replacement: a cost-effectiveness analysis on a large trial data set Rationing of total knee replacement: a cost-effectiveness analysis on a large trial data set Dakin H, Gray A, Fitzpatrick R, MacLennan G, Murray D, KAT Trial Group 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 The objective was to assess the cost-effectiveness of total knee replacement, in patient subgroups, defined by their Oxford Knee Score (OKS). The authors concluded that total knee replacement was highly cost-effective for most patients, and limiting surgery to those with more severe symptoms was unnecessary. The methods were good and well

NHS Economic Evaluation Database.2012

50. The blood-saving effect of tranexamic acid in minimally invasive total knee replacement: Is an additional pre-operative injection effective?

The blood-saving effect of tranexamic acid in minimally invasive total knee replacement: Is an additional pre-operative injection effective? 22733948 2012 06 26 2012 09 14 2014 11 20 0301-620X 94 7 2012 Jul The Journal of bone and joint surgery. British volume J Bone Joint Surg Br The blood-saving effect of tranexamic acid in minimally invasive total knee replacement: is an additional pre-operative injection effective? 932-6 10.1302/0301-620X.94B7.28386 Tranexamic acid (TEA), an inhibitor (...) of fibrinolysis, reduces blood loss after routine total knee replacement (TKR). However, controversy persists regarding the dosage and timing of administration of this drug during surgery. We performed a prospective randomised controlled study to examine the optimum blood-saving effect of TEA in minimally invasive TKR. We randomly assigned 151 patients who underwent unilateral minimally invasive TKR to three groups: 1) a placebo group (50 patients); 2) a one-dose TEA group (52 patients), who received one

EvidenceUpdates2012

51. Review: Factor Xa inhibitors reduce DVT more than LMWH in total knee or hip replacement.

Review: Factor Xa inhibitors reduce DVT more than LMWH in total knee or hip replacement. ACP Journal Club: review: factor Xa inhibitors reduce DVT more than LMWH in total knee or hip replacement. - PubMed - NCBI Warning: The NCBI web site requires JavaScript to function. Search database Search term Search Result Filters Format Summary Summary (text) Abstract Abstract (text) MEDLINE XML PMID List Apply Choose Destination File Clipboard Collections E-mail Order My Bibliography Citation manager (...) Format Create File 1 selected item: 22910959 Format MeSH and Other Data E-mail Subject Additional text E-mail Add to Clipboard Add to Collections Order articles Add to My Bibliography Generate a file for use with external citation management software. Create File 2012 Aug 21;157(4):JC2-5. doi: 10.7326/0003-4819-157-4-201208210-02005. ACP Journal Club: review: factor Xa inhibitors reduce DVT more than LMWH in total knee or hip replacement. 1 . 1 Frank H. Netter School of Medicine at Quinnipiac

Annals of Internal Medicine2012

52. Dabigatran, rivaroxaban, or apixaban versus enoxaparin for thromboprophylaxis after total hip or knee replacement: systematic review, meta-analysis, and indirect treatment comparisons

Dabigatran, rivaroxaban, or apixaban versus enoxaparin for thromboprophylaxis after total hip or knee replacement: systematic review, meta-analysis, and indirect treatment comparisons Dabigatran, rivaroxaban, or apixaban versus enoxaparin for thromboprophylaxis after total hip or knee replacement: systematic review, meta-analysis, and indirect treatment comparisons Dabigatran, rivaroxaban, or apixaban versus enoxaparin for thromboprophylaxis after total hip or knee replacement: systematic (...) review, meta-analysis, and indirect treatment comparisons Gomez-Outes A, Terleira-Fernandez AI, Suarez-Gea L, Vargas-Castrillon E CRD summary This generally well-conducted review concluded that higher efficacy in prevention of symptomatic venous thromboembolism in new anticoagulants following total knee or hip replacement was associated with a higher risk of bleeding. This conclusion accurately reflects the evidence and is likely to be reliable. Authors' objectives To assess clinical outcomes

DARE.2012

53. Cognitive stimulation during hospitalization improves global cognition of older Taiwanese undergoing elective total knee and hip replacement surgery

Cognitive stimulation during hospitalization improves global cognition of older Taiwanese undergoing elective total knee and hip replacement surgery 21988083 2012 04 26 2012 08 06 2015 11 19 1365-2648 68 6 2012 Jun Journal of advanced nursing J Adv Nurs Cognitive stimulation during hospitalization improves global cognition of older Taiwanese undergoing elective total knee and hip replacement surgery. 1322-9 10.1111/j.1365-2648.2011.05842.x This article is a report on a pilot study conducted (...) to determine the effects of cognitively stimulating activities in older patients undergoing elective hip and/or knee replacement. Cognitive decline occurs in 16-35·5% of older hospitalized patients. In-hospital interventions, such as cognitively stimulating activities, might combat cognitive decline. However, evidence supporting such interventions is limited. For this randomized pilot trial, 50 older patients (90% women with a mean age of 72·8 years) were recruited in 2008 from a tertiary medical centre

EvidenceUpdates2012

54. Do we need a gender-specific total knee replacement? A randomised controlled trial comparing a high-flex and a gender-specific posterior design

Do we need a gender-specific total knee replacement? A randomised controlled trial comparing a high-flex and a gender-specific posterior design 22628593 2012 05 25 2012 08 13 2013 04 05 2044-5377 94 6 2012 Jun The Journal of bone and joint surgery. British volume J Bone Joint Surg Br Do we need a gender-specific total knee replacement? A randomised controlled trial comparing a high-flex and a gender-specific posterior design. 787-92 10.1302/0301-620X.94B6.28781 The purpose of this study (...) was to investigate whether a gender-specific high-flexion posterior-stabilised (PS) total knee replacement (TKR) would offer advantages over a high-flex PS TKR regarding range of movement (ROM), 'feel' of the knee, pain and satisfaction, as well as during activity. A total of 24 female patients with bilateral osteoarthritis entered this prospective, blind randomised trial in which they received a high-flex PS TKR in one knee and a gender-specific high-flexion PS TKR in the other knee. At follow-up, patients were

EvidenceUpdates2012

55. Long-Term Comparison of Fixed-Bearing and Mobile-Bearing Total Knee Replacements in Patients Younger Than Fifty-one Years of Age with Osteoarthritis

Long-Term Comparison of Fixed-Bearing and Mobile-Bearing Total Knee Replacements in Patients Younger Than Fifty-one Years of Age with Osteoarthritis 22617913 2012 05 23 2012 07 19 2016 11 25 1535-1386 94 10 2012 May 16 The Journal of bone and joint surgery. American volume J Bone Joint Surg Am Long-term comparison of fixed-bearing and mobile-bearing total knee replacements in patients younger than fifty-one years of age with osteoarthritis. 866-73 10.2106/JBJS.K.00884 There is limited (...) information comparing the results of fixed-bearing total knee replacement and mobile-bearing total knee replacement in patients with osteoarthritis who are younger than fifty-one years and who have a fixed-bearing implant in one knee and a mobile-bearing implant in the other. The purpose of this study was to compare our long-term clinical and radiographic results of fixed-bearing total knee replacement and mobile-bearing total knee replacement in a group of patients from this population. We prospectively

EvidenceUpdates2012

56. Oral direct factor Xa inhibitors versus low-molecular-weight heparin to prevent venous thromboembolism in patients undergoing total hip or knee replacement: a systematic review and meta-analysis

Oral direct factor Xa inhibitors versus low-molecular-weight heparin to prevent venous thromboembolism in patients undergoing total hip or knee replacement: a systematic review and meta-analysis Oral direct factor Xa inhibitors versus low-molecular-weight heparin to prevent venous thromboembolism in patients undergoing total hip or knee replacement: a systematic review and meta-analysis Oral direct factor Xa inhibitors versus low-molecular-weight heparin to prevent venous thromboembolism (...) in patients undergoing total hip or knee replacement: a systematic review and meta-analysis Neumann I, Rada G, Claro JC, Carrasco-Labra A, Thorlund K, Akl EA, Bates SM, Guyatt GH CRD summary This review concluded that compared with low-molecular-weight heparin, low doses of oral factor Xa inhibitors achieved a small absolute reduction in symptomatic deep vein thrombosis without the increase in bleeding associated with high doses. Despite problems with missing data these conclusions appear likely

DARE.2012

57. Knee replacement.

Knee replacement. Knee-replacement surgery is frequently done and highly successful. It relieves pain and improves knee function in people with advanced arthritis of the joint. The most common indication for the procedure is osteoarthritis. We review the epidemiology of and risk factors for knee replacement. Because replacement is increasingly considered for patients younger than 55 years, improved decision making about whether a patient should undergo the procedure is needed. We discuss (...) assessment of surgery outcomes based on data for revision surgery from national joint-replacement registries and on patient-reported outcome measures. Widespread surveillance of existing implants is urgently needed alongside the carefully monitored introduction of new implant designs. Developments for the future are improved delivery of care and training for surgeons and clinical teams. In an increasingly ageing society, the demand for knee-replacement surgery will probably rise further, and we predict

Lancet2012

59. Cohart Study: The efficacy of psychosocial factors in predicting pain and functional outcomes following knee replacement surgery

Cohart Study: The efficacy of psychosocial factors in predicting pain and functional outcomes following knee replacement surgery The efficacy of psychosocial factors in predicting pain and functional outcomes following knee replacement surgery | Evidence-Based Nursing This site uses cookies. By continuing to browse the site you are agreeing to our use of cookies. Log in via your Society 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 via your Society 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 The efficacy of psychosocial factors in predicting pain and functional outcomes following knee replacement surgery Article Text Care of the older person Cohart Study The efficacy of psychosocial factors in predicting pain

Evidence-Based Nursing (Requires free registration)2012

60. Apixaban for the prevention of venous thromboembolism after total hip or knee replacement in adults (TA245)

Apixaban for the prevention of venous thromboembolism after total hip or knee replacement in adults (TA245) Apixaban for the prevention of venous thromboembolism after total hip or knee replacement in adults | Guidance and guidelines | NICE Apixaban for the prevention of venous thromboembolism after total hip or knee replacement in adults Technology appraisal guidance [TA245] Published date: 25 January 2012 Share Guidance wherever possible. Explore Guidance app Copyright © 2017 National

National Institute for Health and Clinical Excellence - Technology Appraisals2012