Latest & greatest articles for knee replacement

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Top results for knee replacement

61. Partial replacement of the meniscus of the knee using a biodegradable scaffold (IPG430)

Partial replacement of the meniscus of the knee using a biodegradable scaffold (IPG430) Partial replacement of the meniscus of the knee using a biodegradable scaffold | Guidance and guidelines | NICE Partial replacement of the meniscus of the knee using a biodegradable scaffold Interventional procedures guidance [IPG430] Published date: July 2012 Share Save Guidance W82.3 Endoscopic repair of semilunar cartilage Y36.2 Introduction of therapeutic implant into organ NOC Your responsibility

National Institute for Health and Clinical Excellence - Interventional Procedures2012

62. Joint line position correlates with function after primary total knee replacement: a randomised controlled trial comparing conventional and computer-assisted surgery

Joint line position correlates with function after primary total knee replacement: a randomised controlled trial comparing conventional and computer-assisted surgery 21911534 2011 09 13 2011 11 07 2016 11 25 0301-620X 93 9 2011 Sep The Journal of bone and joint surgery. British volume J Bone Joint Surg Br Joint line position correlates with function after primary total knee replacement: a randomised controlled trial comparing conventional and computer-assisted surgery. 1223-31 10.1302/0301-620X (...) .93B9.26950 The role of computer-assisted surgery in maintaining the level of the joint in primary knee joint replacement (TKR) has not been well defined. We undertook a blinded randomised controlled trial comparing joint-line maintenance, functional outcomes, and quality-of-life outcomes between patients undergoing computer-assisted and conventional TKR. A total of 115 patients were randomised (computer-assisted, n = 55; conventional, n = 60). Two years post-operatively no significant correlation

EvidenceUpdates2011

63. A randomised, controlled trial of circumpatellar electrocautery in total knee replacement without patellar resurfacing

A randomised, controlled trial of circumpatellar electrocautery in total knee replacement without patellar resurfacing 21768628 2011 07 19 2011 10 24 2011 12 09 0301-620X 93 8 2011 Aug The Journal of bone and joint surgery. British volume J Bone Joint Surg Br A randomised, controlled trial of circumpatellar electrocautery in total knee replacement without patellar resurfacing. 1054-9 10.1302/0301-620X.93B8.26560 The efficacy of circumpatellar electrocautery in reducing the incidence of post (...) -operative anterior knee pain is unknown. We conducted a single-centre, outcome-assessor and patient-blinded, parallel-group, randomised, controlled trial to compare circumpatellar electrocautery with no electrocautery in total knee replacement in the absence of patellar resurfacing. Patients requiring knee replacement for primary osteoarthritis were randomly assigned circumpatellar electrocautery (intervention group) or no electrocautery (control group). The primary outcome measure was the incidence

EvidenceUpdates2011

64. Inflammation related to synovectomy during total knee replacement in patients with primary osteoarthritis: a prospective, randomised study

Inflammation related to synovectomy during total knee replacement in patients with primary osteoarthritis: a prospective, randomised study 21768630 2011 07 19 2011 10 24 2011 12 09 0301-620X 93 8 2011 Aug The Journal of bone and joint surgery. British volume J Bone Joint Surg Br Inflammation related to synovectomy during total knee replacement in patients with primary osteoarthritis: a prospective, randomised study. 1065-70 10.1302/0301-620X.93B8.26719 We compared inflammation in the knee after (...) total knee replacement (TKR) for primary osteoarthritis between two groups of patients undergoing joint replacement with and without synovectomy. A total of 67 patients who underwent unilateral TKR were randomly divided into group I, TKR without synovectomy, and group II, TKR with synovectomy. Clinical outcomes, serial serum inflammatory markers (including interleukin-6 (IL-6), CRP and ESR) and the difference in temperature of the skin of the knee, compared with the contralateral side, were

EvidenceUpdates2011

65. Thromboprophylactic treatment with rivaroxaban or dabigatran compared with enoxaparin or dalteparin in patients undergoing elective hip- or knee replacement surgery

Thromboprophylactic treatment with rivaroxaban or dabigatran compared with enoxaparin or dalteparin in patients undergoing elective hip- or knee replacement surgery Thromboprophylactic treatment with rivaroxaban or dabigatran compared with enoxaparin or dalteparin in patients undergoing elective hip- or knee replacement surgery Thromboprophylactic treatment with rivaroxaban or dabigatran compared with enoxaparin or dalteparin in patients undergoing elective hip- or knee replacement surgery (...) Ringerike T, Hamidi V, Hagen G, Reikvam A, Klemp M 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 Ringerike T, Hamidi V, Hagen G, Reikvam A, Klemp M. Thromboprophylactic treatment with rivaroxaban or dabigatran compared with enoxaparin or dalteparin in patients undergoing elective hip- or knee replacement surgery. Oslo: Norwegian Knowledge Centre

Health Technology Assessment (HTA) Database.2011

66. Cost-effectiveness of total hip and knee replacements for the Australian population with osteoarthritis: discrete-event simulation model

Cost-effectiveness of total hip and knee replacements for the Australian population with osteoarthritis: discrete-event simulation model Cost-effectiveness of total hip and knee replacements for the Australian population with osteoarthritis: discrete-event simulation model Cost-effectiveness of total hip and knee replacements for the Australian population with osteoarthritis: discrete-event simulation model Higashi H, Barendregt JJ 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 evaluate the cost-effectiveness of total hip or knee replacements, in Australia, accounting for left and right joint replacements in each patient. The authors concluded that both hip and knee replacements were cost-effective

NHS Economic Evaluation Database.2011

67. Equity in access to total joint replacement of the hip and knee in England: cross sectional study.

Equity in access to total joint replacement of the hip and knee in England: cross sectional study. OBJECTIVE: To explore geographical and sociodemographic factors associated with variation in equity in access to total hip and knee replacement surgery. DESIGN: Combining small area estimates of need and provision to explore equity in access to care. SETTING: English census wards. SUBJECTS: Patients throughout England who needed total hip or knee replacement and numbers who received surgery. MAIN (...) ;or=85 received less total hip replacement (adjusted rate ratio 0.68, 95% confidence interval 0.65 to 0.72) and less total knee replacement (0.87, 0.82 to 0.93). Compared with women, men received more provision relative to need for total hip replacement (1.08, 1.05 to 1.10) and total knee replacement (1.31, 1.28 to 1.34). Compared with the least deprived, residents in the most deprived areas got less provision relative to need for total hip replacement (0.31, 0.30 to 0.33) and total knee replacement

BMJ2010 Full Text: Link to full Text with Trip Pro

68. Effects of aquatic resistance training on mobility limitation and lower-limb impairments after knee replacement

Effects of aquatic resistance training on mobility limitation and lower-limb impairments after knee replacement 20510971 2010 05 31 2010 07 15 2016 11 25 1532-821X 91 6 2010 Jun Archives of physical medicine and rehabilitation Arch Phys Med Rehabil Effects of aquatic resistance training on mobility limitation and lower-limb impairments after knee replacement. 833-9 10.1016/j.apmr.2010.03.002 To study the effects of aquatic resistance training on mobility, muscle power, and cross-sectional area (...) . Randomized controlled trial. Research laboratory and hospital rehabilitation pool. Population-based sample (N=50) of eligible women and men 55 to 75 years old 4 to 18 months after unilateral knee replacement with no contraindications who were willing to participate in the trial. Twelve-week progressive aquatic resistance training (n=26) or no intervention (n=24). Mobility limitation assessed by walking speed and stair ascending time, and self-reported physical functional difficulty, pain, and stiffness

EvidenceUpdates2010

69. Measurement of joint effusion and haematoma formation by ultrasound in assessing the effectiveness of drains after total knee replacement: A prospective randomised study

Measurement of joint effusion and haematoma formation by ultrasound in assessing the effectiveness of drains after total knee replacement: A prospective randomised study 20044678 2010 01 01 2010 01 28 2016 11 25 2044-5377 92 1 2010 Jan The Journal of bone and joint surgery. British volume J Bone Joint Surg Br Measurement of joint effusion and haematoma formation by ultrasound in assessing the effectiveness of drains after total knee replacement: A prospective randomised study. 51-5 10.1302/0301 (...) -620X.92B1.22121 We prospectively randomised 78 patients into two groups, 'drains' or 'no drains' to assess the effectiveness of suction drains in reducing haematoma and effusion in the joint and its effect on wound healing after total knee replacement. Ultrasound was used to measure the formation of haematoma and effusion on the fourth post-operative day. This was a semi-quantitative assessment of volume estimation. There was no difference in the mean effusion between the groups (5.91 mm

EvidenceUpdates2010

70. Surface neuromuscular electrical stimulation for quadriceps strengthening pre and post total knee replacement.

Surface neuromuscular electrical stimulation for quadriceps strengthening pre and post total knee replacement. BACKGROUND: Total knee replacement has been demonstrated to be one of the most successful procedures in the treatment of osteoarthritis. However quadriceps weakness and reductions in function are commonly reported following surgery. Recently Neuromuscular Electrical Stimulation (NMES) has been used as an adjunct to traditional strengthening programmes. This review considers (...) the effectiveness of NMES as a means of increasing quadriceps strength in patients before and after total knee replacement. OBJECTIVES: To assess the effectiveness of NMES as a means of improving quadriceps strength before and after total knee replacement. SEARCH STRATEGY: We searched The Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE (1950 to January week 1 2008), EMBASE (1980 to 2008 week 2), Cumulative Index to Nursing and Allied Health Literature (CINAHL)(1982 to 2007/11), AMED (1985

Cochrane2010

71. Clinical and radiological outcomes of fixed- versus mobile-bearing total knee replacement: a meta-analysis

Clinical and radiological outcomes of fixed- versus mobile-bearing total knee replacement: a meta-analysis Clinical and radiological outcomes of fixed- versus mobile-bearing total knee replacement: a meta-analysis Clinical and radiological outcomes of fixed- versus mobile-bearing total knee replacement: a meta-analysis Smith TO, Ejtehadi F, Nichols R, Davies L, Donell ST, Hing CB CRD summary This review found no significant difference in clinical or radiological outcomes and complication rates (...) between fixed-bearing and mobile-bearing knee replacements. The review was generally well conducted, but the authors' conclusions should be interpreted with caution because of the variable study quality. Authors' objectives To compare fixed-bearing with mobile-bearing total knee replacements in terms of clinical and radiological outcomes. Searching The authors searched MEDLINE, EMBASE, CINAHL and AMED for relevant studies published from inception to June 2009. Unpublished material was searched

DARE.2010

72. Economic evaluation of dabigatran etexilate for the prevention of venous thromboembolism in patients aged over 75 years or with moderate renal impairment undergoing total knee or hip replacement

Economic evaluation of dabigatran etexilate for the prevention of venous thromboembolism in patients aged over 75 years or with moderate renal impairment undergoing total knee or hip replacement Economic evaluation of dabigatran etexilate for the prevention of venous thromboembolism in patients aged over 75 years or with moderate renal impairment undergoing total knee or hip replacement Economic evaluation of dabigatran etexilate for the prevention of venous thromboembolism in patients aged (...) over 75 years or with moderate renal impairment undergoing total knee or hip replacement Wolowacz SE, Roskell NS, Plumb JM, Clemens A, Noack H, Robinson PA, Dolan G, Brenkel IJ 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

NHS Economic Evaluation Database.2010

73. Is longer waiting time for total knee replacement associated with health outcomes and medication costs? Randomized clinical trial

Is longer waiting time for total knee replacement associated with health outcomes and medication costs? Randomized clinical trial Is longer waiting time for total knee replacement associated with health outcomes and medication costs? Randomized clinical trial Is longer waiting time for total knee replacement associated with health outcomes and medication costs? Randomized clinical trial Tuominen U, Sintonen H, Hirvonen J, Seitsalo S, Paavolainen P, Lehto M, Hietaniemi K, Blom M 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 aimed to identify the effects of waiting time on adult patients, aged 16 years or older, with osteoarthritis, who were undergoing a total knee replacement. The authors found that the waiting time did

NHS Economic Evaluation Database.2010

74. Is a tourniquet beneficial in total knee replacement surgery? A meta-analysis and systematic review

Is a tourniquet beneficial in total knee replacement surgery? A meta-analysis and systematic review Is a tourniquet beneficial in total knee replacement surgery? A meta-analysis and systematic review Is a tourniquet beneficial in total knee replacement surgery? A meta-analysis and systematic review Smith TO, Hing CB CRD summary This review concluded that there was no advantage to using a tourniquet during total knee replacement surgery for the reduction of transfusion requirements compared (...) with non tourniquet-assisted procedures. In light of the poor quality of included studies and some concerns with the review methods, the authors' conclusions may be not reliable. Authors' objectives To compare the effectiveness of tourniquet assisted surgery with non-tourniquet assisted surgery during total knee replacement procedures. Searching The following databases were searched, with no language restrictions, from 1950 to December 2008: MEDLINE, EMBASE, CINAHL and AMED. Search terms were reported

DARE.2010

75. Apixaban versus enoxaparin for thromboprophylaxis after knee replacement (ADVANCE-2): a randomised double-blind trial.

Apixaban versus enoxaparin for thromboprophylaxis after knee replacement (ADVANCE-2): a randomised double-blind trial. 20206776 2010 03 08 2010 03 23 2015 06 16 1474-547X 375 9717 2010 Mar 06 Lancet (London, England) Lancet Apixaban versus enoxaparin for thromboprophylaxis after knee replacement (ADVANCE-2): a randomised double-blind trial. 807-15 10.1016/S0140-6736(09)62125-5 Low-molecular-weight heparins such as enoxaparin are preferred for prevention of venous thromboembolism after major (...) joint replacement. Apixaban, an orally active factor Xa inhibitor, might be as effective, have lower bleeding risk, and be easier to use than is enoxaparin. We assessed efficacy and safety of these drugs after elective total knee replacement. In ADVANCE-2, a multicentre, randomised, double-blind phase 3 study, patients undergoing elective unilateral or bilateral total knee replacement were randomly allocated through an interactive central telephone system to receive oral apixaban 2.5 mg twice daily

Lancet2010

76. Mini-incision surgery for total knee replacement (IPG345)

Mini-incision surgery for total knee replacement (IPG345) Mini-incision surgery for total knee replacement | Guidance and guidelines | NICE Mini-incision surgery for total knee replacement Interventional procedures guidance [IPG345] Published date: May 2010 Share Save Guidance W40.- Total prosthetic replacement of knee joint using cement or W41.- Total prosthetic replacement of knee joint not using cement or W42.- Other total prosthetic replacement of knee joint The NHS Classifications Service

National Institute for Health and Clinical Excellence - Interventional Procedures2010

77. Postoperative analgesia and early rehabilitation after total knee replacement: a comparison of continuous low-dose intravenous ketamine versus nefopam

Postoperative analgesia and early rehabilitation after total knee replacement: a comparison of continuous low-dose intravenous ketamine versus nefopam 18793861 2009 06 09 2009 08 12 2013 11 21 1532-2149 13 6 2009 Jul European journal of pain (London, England) Eur J Pain Postoperative analgesia and early rehabilitation after total knee replacement: a comparison of continuous low-dose intravenous ketamine versus nefopam. 613-9 10.1016/j.ejpain.2008.08.003 The effects of nefopam and ketamine (...) on pain control and rehabilitation after total knee replacement were compared in a prospective, double blinded study. Seventy-five patients were randomly assigned to receive a 0.2mg kg(-1) bolus of nefopam or ketamine, followed by a 120microg kg(-1) h(-1) continuous infusion until the end of surgery, and 60microg kg(-1) h(-1) until the second postoperative day, or an equal volume of saline considered as placebo. Pain scores measured on a visual analog scale at rest and on mobilization, and patient

EvidenceUpdates2009

78. Oral rivaroxaban for the prevention of symptomatic venous thromboembolism after elective hip and knee replacement

Oral rivaroxaban for the prevention of symptomatic venous thromboembolism after elective hip and knee replacement 19407299 2009 05 01 2009 06 01 2015 11 19 2044-5377 91 5 2009 May The Journal of bone and joint surgery. British volume J Bone Joint Surg Br Oral rivaroxaban for the prevention of symptomatic venous thromboembolism after elective hip and knee replacement. 636-44 10.1302/0301-620X.91B5.21691 A once-daily dose of rivaroxaban 10 mg, an oral, direct Factor Xa inhibitor, was compared (...) with enoxaparin 40 mg subcutaneously once daily for prevention of venous thromboembolism in three studies of patients undergoing elective hip and knee replacement (RECORD programme). A pooled analysis of data from these studies (n = 9581) showed that rivaroxaban was more effective than enoxaparin in reducing the incidence of the composite of symptomatic venous thromboembolism and all-cause mortality at two weeks (0.4% vs 0.8%, respectively, odds ratio 0.44; 95% confidence interval 0.23 to 0.79; p = 0.005

EvidenceUpdates2009

79. A specific inpatient aquatic physiotherapy program improves strength after total hip or knee replacement surgery: a randomized controlled trial

A specific inpatient aquatic physiotherapy program improves strength after total hip or knee replacement surgery: a randomized controlled trial 19406293 2009 05 01 2009 06 12 2009 05 01 1532-821X 90 5 2009 May Archives of physical medicine and rehabilitation Arch Phys Med Rehabil A specific inpatient aquatic physiotherapy program improves strength after total hip or knee replacement surgery: a randomized controlled trial. 745-55 10.1016/j.apmr.2008.12.011 To evaluate the effect of inpatient (...) aquatic physiotherapy in addition to usual ward physiotherapy on the recovery of strength, function, and gait speed after total hip or knee replacement surgery. Pragmatic randomized controlled trial with blinded 6-month follow-up. Acute-care private hospital. People (n=65) undergoing primary hip or knee arthroplasty (average age, 69.6+/-8.2y; 30 men). Participants were randomly assigned to receive supplementary inpatient physiotherapy, beginning on day 4: aquatic physiotherapy, nonspecific water

EvidenceUpdates2009

80. Land-based versus water-based rehabilitation following total knee replacement: A randomized, single-blind trial

Land-based versus water-based rehabilitation following total knee replacement: A randomized, single-blind trial 19177536 2009 02 09 2009 04 14 2009 02 09 0004-3591 61 2 2009 Feb 15 Arthritis and rheumatism Arthritis Rheum. Land-based versus water-based rehabilitation following total knee replacement: a randomized, single-blind trial. 184-91 10.1002/art.24420 To compare outcomes between land-based and water-based exercise programs delivered in the early subacute phase up to 6 months after total (...) knee replacement (TKR). Two weeks after surgery (baseline), 102 patients were randomized to participate in either land-based (n = 49) or water-based (n = 53) exercise classes. Treatment parameters were guided by current clinical practice protocols. Therefore, each study arm involved 1-hour sessions twice a week for 6 weeks, with patient-determined exercise intensity. Session attendance was recorded. Outcomes were measured at baseline and at 8 and 26 weeks postsurgery. Outcomes included distance

EvidenceUpdates2009