Latest & greatest articles for knee replacement

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Top results for knee replacement

121. Pre-operative injections of epoetin-{alpha} versus post-operative retransfusion of autologous shed blood in total hip and knee replacement Full Text available with Trip Pro

Pre-operative injections of epoetin-{alpha} versus post-operative retransfusion of autologous shed blood in total hip and knee replacement This prospective randomised clinical trial evaluated the effect of alternatives for allogeneic blood transfusions after total hip replacement and total knee replacement in patients with pre-operative haemoglobin levels between 10.0 g/dl and 13.0 g/dl. A total of 100 patients were randomly allocated to the Eprex (pre-operative injections of epoetin (...) ) and 30% (nine of 30 patients) (p = 0.047) respectively, whereas in total knee replacement, the percentages were 0% (0 of 20 patients) and 25% (five of 20 patients) respectively (p = 0.042). Pre-operative epoetin injections are more effective but more costly in reducing the need for allogeneic blood transfusions in mildly anaemic patients than post-operative retransfusion of autologous blood.

2008 EvidenceUpdates Controlled trial quality: uncertain

122. Computer-assisted and conventional total knee replacement Full Text available with Trip Pro

Computer-assisted and conventional total knee replacement After obtaining informed consent, 80 patients were randomised to undergo a navigated or conventional total knee replacement. All received a cemented, unconstrained, cruciate-retaining implant with a rotating platform. Full-length standing and lateral radiographs and CT scans of the hip, knee and ankle joint were carried out five to seven days after operation. No notable differences were found between computer-assisted navigation

2008 EvidenceUpdates Controlled trial quality: uncertain

123. Inpatient compared with home-based rehabilitation following primary unilateral total hip or knee replacement: a randomized controlled trial Full Text available with Trip Pro

Inpatient compared with home-based rehabilitation following primary unilateral total hip or knee replacement: a randomized controlled trial Home-based rehabilitation is increasingly utilized to reduce health-care costs; however, with a shorter hospital stay, the possibility arises for an increase in adverse clinical outcomes. We evaluated the effectiveness and cost of care of home-based compared with inpatient rehabilitation following primary total hip or knee joint replacement.We randomized (...) elective primary total hip or knee replacement as it is the more cost-effective strategy.

2008 EvidenceUpdates Controlled trial quality: predicted high

124. Total knee replacement performed with either a mini-midvastus or a standard approach Full Text available with Trip Pro

Total knee replacement performed with either a mini-midvastus or a standard approach We report the clinical and radiological results of a two- to three-year prospective randomised study which was designed to compare a minimally-invasive technique with a standard technique in total knee replacement and was undertaken between January 2004 and May 2007. The mini-midvastus approach was used on 50 patients (group A) and a standard approach on 50 patients (group B). The mean follow-up in both groups (...) difference in the mean maximum flexion between the groups (p = 0.08). Technical errors were identified in six patients from group A (12%) on radiological evaluation. Based on these results, the authors currently use minimally-invasive techniques in total knee replacement in selected cases only.

2008 EvidenceUpdates Controlled trial quality: uncertain

125. Accelerated perioperative care and rehabilitation intervention for hip and knee replacement is effective: a randomized clinical trial involving 87 patients with 3 months of follow-up Full Text available with Trip Pro

Accelerated perioperative care and rehabilitation intervention for hip and knee replacement is effective: a randomized clinical trial involving 87 patients with 3 months of follow-up Approximately 12,000 hip and knee replacements were performed in Denmark in 2005. Accelerated perioperative interventions are currently implemented, but there is conflicting evidence regarding the effect. We therefore performed an efficacy study of an accelerated perioperative care and rehabilitation intervention (...) in patients receiving primary total hip replacement, and both total and unicompartmental knee replacement.A randomized clinical trial was undertaken in which 87 patients were randomized to either a control group receiving the current perioperative procedure, or an intervention group receiving a new accelerated perioperative care and rehabilitation procedure. Outcome measures were length of stay (LOS) in hospital, and gain in quality of life (QOL) using EQ-5D from baseline to 3-month follow-up.Mean LOS

2008 EvidenceUpdates Controlled trial quality: uncertain

126. Multidisciplinary rehabilitation programmes following joint replacement at the hip and knee in chronic arthropathy. (Abstract)

Multidisciplinary rehabilitation programmes following joint replacement at the hip and knee in chronic arthropathy. Joint replacements are common procedures and treatment of choice for those with intractable joint pain and disability arising from arthropathy of the hip or knee. Multidisciplinary rehabilitation is considered integral to the outcome of joint replacement.To assess the evidence for effectiveness of multidisciplinary rehabilitation on activity and participation in adults following (...) hip or knee joint replacement for chronic arthropathy.We searched the Cochrane Musculoskeletal Group Trials Register, the Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE and CINAHL up to September 2006.Randomised controlled trials (RCTs) that compared organised multidisciplinary rehabilitation with routine services following hip or knee replacement, and included outcome measures of activity and participation in accordance with the International Classification of Functioning, Health

2008 Cochrane

127. Total knee replacement with and without patellar resurfacing: A Prospective, randomised trial using the profix total knee system Full Text available with Trip Pro

Total knee replacement with and without patellar resurfacing: A Prospective, randomised trial using the profix total knee system We have examined the differences in clinical outcome of total knee replacement (TKR) with and without patellar resurfacing in a prospective, randomised study of 181 osteoarthritic knees in 142 patients using the Profix total knee system which has a femoral component with features considered to be anatomical and a domed patellar implant. The procedures were carried out (...) between February 1998 and November 2002. A total of 159 TKRs in 142 patients were available for review at a mean of four years (3 to 7). The patients and the clinical evaluator were blinded in this prospective study. Evaluation was undertaken annually by an independent observer using the knee pain scale and the Knee Society clinical rating system. Specific evaluation of anterior knee pain, stair-climbing and rising from a seated to a standing position was also undertaken. No benefit was shown of TKR

2008 EvidenceUpdates Controlled trial quality: uncertain

128. A prospective randomised double-blind study of functional outcome and range of flexion following total knee replacement with the NexGen standard and high flexion components Full Text available with Trip Pro

A prospective randomised double-blind study of functional outcome and range of flexion following total knee replacement with the NexGen standard and high flexion components Modifications in the design of knee replacements have been proposed in order to maximise flexion. We performed a prospective double-blind randomised controlled trial to compare the functional outcome, including maximum knee flexion, in patients receiving either a standard or a high flexion version of the NexGen legacy (...) posterior stabilised total knee replacement. A total of 56 patients, half of whom received each design, were assessed pre-operatively and at one year after operation using knee scores and analysis of range of movement using electrogoniometry. For both implant designs there was a significant improvement in the function component of the knee scores (p < 0.001) and the maximum range of flexion when walking on the level, ascending and descending a slope or stairs (all p < 0.001), squatting (p = 0.020

2008 EvidenceUpdates Controlled trial quality: uncertain

129. Dabigatran etexilate for the prevention of venous thromboembolism after hip or knee replacement surgery in adults (TA157)

Dabigatran etexilate for the prevention of venous thromboembolism after hip or knee replacement surgery in adults (TA157) Overview | Dabigatran etexilate for the prevention of venous thromboembolism after hip or knee replacement surgery in adults | Guidance | NICE Dabigatran etexilate for the prevention of venous thromboembolism after hip or knee replacement surgery in adults Technology appraisal guidance [TA157] Published date: 24 September 2008 Share Guidance on dabigatran etexilate (Pradaxa (...) ) for preventing venous thromboembolism after hip or knee replacement surgery in adults. Guidance development process Is this guidance up to date? . We found nothing new that affects the recommendations in this guidance. Next review : This guidance will be reviewed if there is new evidence that is likely to change the recommendations. Your responsibility The recommendations in this guidance represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising

2008 National Institute for Health and Clinical Excellence - Technology Appraisals

130. Costs and outcomes of total hip and knee joint replacement for rheumatoid arthritis

Costs and outcomes of total hip and knee joint replacement for rheumatoid arthritis Costs and outcomes of total hip and knee joint replacement for rheumatoid arthritis Costs and outcomes of total hip and knee joint replacement for rheumatoid arthritis March L M, Barcenilla A L, Cross M J, Lapsley H M, Parker D, Brooks P 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 examined the clinical and economic impact of primary unilateral total knee replacement (TKR) and total hip replacement (THR) in patients with rheumatoid arthritis. The authors concluded that surgery reduced the post-operative costs from the perspective of the patient and the health care system, and improved the health outcomes for both THR and TKR

2008 NHS Economic Evaluation Database.

131. A prospective randomised controlled trial of autologous retransfusion in total knee replacement Full Text available with Trip Pro

A prospective randomised controlled trial of autologous retransfusion in total knee replacement We undertook a prospective randomised controlled trial to investigate the efficacy of autologous retransfusion drains in reducing the need for allogenic blood requirement after unilateral total knee replacement. We also monitored the incidence of post-operative complications. There were 86 patients in the control group, receiving standard care with a vacuum drain, and 92 who received an autologous (...) on this study, the cost-effectiveness and continued use of autologous drains in total knee replacement should be questioned.

2008 EvidenceUpdates Controlled trial quality: uncertain

132. Impact of hospital volume on the economic value of computer navigation for total knee replacement Full Text available with Trip Pro

Impact of hospital volume on the economic value of computer navigation for total knee replacement Impact of hospital volume on the economic value of computer navigation for total knee replacement Impact of hospital volume on the economic value of computer navigation for total knee replacement Slover JD, Tosteson AN, Bozic KJ, Rubash HE, Malchau H 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 aim was to examine the impact of hospital volume on the cost-effectiveness of computer-assisted surgery (CAS) in elderly patients with end-stage arthritis of the knee, requiring total knee replacement. The authors concluded that CAS was cost-effective for centres with a high volume of joint replacements. Overall, the reporting

2008 NHS Economic Evaluation Database.

133. Navigated total knee replacement. A meta-analysis. (Abstract)

Navigated total knee replacement. A meta-analysis. BACKGROUND: Proponents of navigated knee arthroplasty stress its potential to increase the precision of component placement. We conducted a systematic review and meta-analysis to substantiate the validity and relevance of this contention. METHODS: We searched major medical and publishers' databases for randomized trials and any other studies comparing navigated with conventional knee arthroplasty. Major periodicals were searched manually. We (...) interval, -0.2 degrees to 0.5 degrees). Patients managed with navigated surgery had a lower risk of malalignment at critical thresholds of >3 degrees (risk ratio, 0.79; 95% confidence interval, 0.71 to 0.87) and >2 degrees (risk ratio, 0.76; 95% confidence interval, 0.71 to 0.82). No conclusive inferences could be drawn on functional outcomes or complication rates. Navigation lengthened the mean duration of surgery by 23%. CONCLUSIONS: Navigated knee replacement provides few advantages over

2007 EvidenceUpdates

134. The use of image-free computer-assisted systems in total knee replacement surgeries

The use of image-free computer-assisted systems in total knee replacement surgeries The use of image-free computer-assisted systems in total knee replacement surgeries The use of image-free computer-assisted systems in total knee replacement surgeries Brophy J 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 Brophy J. The use of image-free (...) computer-assisted systems in total knee replacement surgeries. Montreal: Technology Assessment Unit of the McGill University Health Centre (MUHC). Report #28. 2007 Authors' objectives This report evaluated the use of image-free computer-assisted systems in total knee replacement surgeries to reduce postoperative malalignment. Authors' conclusions There is no convincing evidence that demonstrates improved clinical outcomes with the computer assisted navigation systems in total knee replacement surgery

2007 Health Technology Assessment (HTA) Database.

135. Waiting times at CHUM 1: diagnostic imaging, hip and knee replacements,cardiac surgery, cancer care and sight restoration

Waiting times at CHUM 1: diagnostic imaging, hip and knee replacements,cardiac surgery, cancer care and sight restoration Waiting times at CHUM 1: diagnostic imaging, hip and knee replacements,cardiac surgery, cancer care and sight restoration Waiting times at CHUM 1: diagnostic imaging, hip and knee replacements,cardiac surgery, cancer care and sight restoration Nasef M. Erickson LJ, Brophy J 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 Nasef M. Erickson LJ, Brophy J. Waiting times at CHUM 1: diagnostic imaging, hip and knee replacements,cardiac surgery, cancer care and sight restoration. Montreal: Centre Hospitalier de l'Universite de Montreal(CHUM). TAU-DETMIS-01. 2007 Authors' objectives This report is the first in a series of studies which aim to determine and analyse wait times at the CHUM. These studies stem from a request from the director

2007 Health Technology Assessment (HTA) Database.

136. Gait analysis of patients following total knee replacement: a systematic review

Gait analysis of patients following total knee replacement: a systematic review Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2007 DARE.

137. Targeted early rehabilitation at home after total hip and knee joint replacement: does it work? Full Text available with Trip Pro

Targeted early rehabilitation at home after total hip and knee joint replacement: does it work? Targeted early rehabilitation at home after total hip and knee joint replacement: does it work? Targeted early rehabilitation at home after total hip and knee joint replacement: does it work? Iyengar K P, Nadkarni J B, Ivanovic N, Mahale A 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. Health technology The study examined two strategies of rehabilitation after total hip replacement (THR) or total knee replacement (TKR). The strategies were conventional inpatient rehabilitation in a hospital ward and the early rehabilitation at home scheme (RAHS). Type of intervention Rehabilitation. Economic study type Cost-effectiveness analysis. Study

2007 NHS Economic Evaluation Database.

138. Effectiveness of hip or knee replacement surgery in terms of quality-adjusted life years and costs Full Text available with Trip Pro

Effectiveness of hip or knee replacement surgery in terms of quality-adjusted life years and costs Effectiveness of hip or knee replacement surgery in terms of quality-adjusted life years and costs Effectiveness of hip or knee replacement surgery in terms of quality-adjusted life years and costs Rasanen P, Paavolainen P, Sintonen H, Koivisto A M, Blom M, Ryynanen O P, Roine R 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 The objective was to undertake a cost-utility analysis of (primary or secondary) hip and primary knee replacement surgery. The authors concluded that both procedures were cost-effective strategies from the perspective of the health care payer in Finland. The study had some methodological limitations

2007 NHS Economic Evaluation Database.

139. Early assessment of the likely cost-effectiveness of a new technology: a Markov model with probabilistic sensitivity analysis of computer-assisted total knee replacement

Early assessment of the likely cost-effectiveness of a new technology: a Markov model with probabilistic sensitivity analysis of computer-assisted total knee replacement Early assessment of the likely cost-effectiveness of a new technology: a Markov model with probabilistic sensitivity analysis of computer-assisted total knee replacement Early assessment of the likely cost-effectiveness of a new technology: a Markov model with probabilistic sensitivity analysis of computer-assisted total knee (...) replacement Dong H, Buxton 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. Health technology The study compared computer-assisted total knee replacement (TKR) versus conventional TKR. Computer-assisted TKR used computer-assisted surgery (CAS) systems

2006 NHS Economic Evaluation Database.

140. Older African-Americans with osteoarthritis of the knee preferred to avoid total knee replacement surgery Full Text available with Trip Pro

Older African-Americans with osteoarthritis of the knee preferred to avoid total knee replacement surgery Older African-Americans with osteoarthritis of the knee preferred to avoid total knee replacement surgery | Evidence-Based Nursing We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . 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 Older African-Americans with osteoarthritis of the knee preferred to avoid total knee replacement surgery Article Text Qualitative Older African-Americans with osteoarthritis

2006 Evidence-Based Mental Health