Latest & greatest articles for knee replacement

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Top results for knee replacement

61. Knee replacement. (Abstract)

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

2012 Lancet

62. High-flex Posterior Cruciate-Retaining vs Posterior Cruciate-Substituting Designs in Simultaneous Bilateral Total Knee Arthroplasty: A Prospective, Randomized Study (Abstract)

High-flex Posterior Cruciate-Retaining vs Posterior Cruciate-Substituting Designs in Simultaneous Bilateral Total Knee Arthroplasty: A Prospective, Randomized Study The superiority between the posterior cruciate-retaining and the posterior cruciate-substituting designs still remains controversial. We performed a prospective, randomized control study for evaluation of the superiority of these designs. This study investigated 58 knees in 29 patients with simultaneous bilateral total knee (...) arthroplasty, in which the high-flex CR design was randomly implanted in one knee and the high-flex PS design was implanted in the other knee. The follow-up duration averaged 5.0 years, with a minimum duration of 3 years. Postoperatively, Knee Score and pain points in Knee Score resulted in no significant differences between the 2 designs. However, postoperative arc of range of motion, patient satisfaction, and posterior knee pain at passive flexion in the PS design were significantly superior

2012 EvidenceUpdates Controlled trial quality: uncertain

63. 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) Overview | Apixaban for the prevention of venous thromboembolism after total hip or knee replacement in adults | Guidance | 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 on apixaban (Eliquis) for preventing venous thromboembolism after total hip (...) or knee replacement 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 their judgement, health professionals are expected to take

2012 National Institute for Health and Clinical Excellence - Technology Appraisals

64. 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) Overview | Partial replacement of the meniscus of the knee using a biodegradable scaffold | Guidance | NICE Partial replacement of the meniscus of the knee using a biodegradable scaffold Interventional procedures guidance [IPG430] Published date: July 2012 Share Save Guidance The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland (...) and Northern Ireland on partial replacement of the meniscus of the knee using a biodegradable scaffold. Description The meniscus is a crescent-shaped cartilage inside either side of the knee. It acts as a shock absorber between the long bones of the leg. It can be damaged by injury or overuse, causing pain, swelling and locking of the knee. In this procedure, a biodegradable implant is placed into the meniscus by ‘keyhole’ knee surgery. The implant works as a scaffold to support re-growth and repair

2012 National Institute for Health and Clinical Excellence - Interventional Procedures

65. Cohart Study: The efficacy of psychosocial factors in predicting pain and functional outcomes following knee replacement surgery Full Text available with Trip Pro

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 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 The efficacy of psychosocial factors in predicting pain and functional outcomes following knee replacement surgery Article Text Care of the older person

2012 Evidence-Based Nursing

66. Joint line position correlates with function after primary total knee replacement: a randomised controlled trial comparing conventional and computer-assisted surgery Full Text available with Trip Pro

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

2011 EvidenceUpdates Controlled trial quality: uncertain

67. A randomised, controlled trial of circumpatellar electrocautery in total knee replacement without patellar resurfacing Full Text available with Trip Pro

A randomised, controlled trial of circumpatellar electrocautery in total knee replacement without patellar resurfacing 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 of anterior knee pain. A secondary measure was the standardised clinical and patient-reported outcomes determined by the American Knee Society scores and the Western Ontario and McMaster Universities (WOMAC) osteoarthritis index. A total of 131 knees received circumpatellar electrocautery

2011 EvidenceUpdates Controlled trial quality: predicted high

68. Inflammation related to synovectomy during total knee replacement in patients with primary osteoarthritis: a prospective, randomised study Full Text available with Trip Pro

Inflammation related to synovectomy during total knee replacement in patients with primary osteoarthritis: a prospective, randomised study 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 sequentially evaluated until 26 weeks after surgery. Pre-operatively, there were no statistically different clinical parameters between groups I and II. At the 26-week follow-up, both groups had a similarly significantly improved American Knee Society clinical score (p < 0.001) and functional score (p < 0.001

2011 EvidenceUpdates Controlled trial quality: uncertain

69. 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

2011 Health Technology Assessment (HTA) Database.

70. Cost-effectiveness of total hip and knee replacements for the Australian population with osteoarthritis: discrete-event simulation model Full Text available with Trip Pro

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

2011 NHS Economic Evaluation Database.

71. Comparison of a standard and a gender-specific posterior cruciate-substituting high-flexion knee prosthesis: a prospective, randomized, short-term outcome study (Abstract)

Comparison of a standard and a gender-specific posterior cruciate-substituting high-flexion knee prosthesis: a prospective, randomized, short-term outcome study Recently, much debate has focused on the effect of gender-specific total knee arthroplasty. The purpose of the present study was to compare clinical and radiographic results as well as femoral component fit in patients receiving either a standard posterior cruciate-substituting LPS-Flex or gender-specific posterior cruciate-substituting (...) LPS-Flex total knee prosthesis.Sequential simultaneous bilateral total knee arthroplasty was performed for eighty-five patients (170 knees). Eighty-five women (mean age, 69.7 years) received a standard LPS-Flex prosthesis in one knee and a gender-specific LPS-Flex prosthesis in the contralateral knee. The mean duration of follow-up was 2.13 years. At each follow-up, the Knee Society score, the Hospital for Special Surgery knee score, the Western Ontario and McMaster Universities Osteoarthritis

2010 EvidenceUpdates Controlled trial quality: uncertain

72. Equity in access to total joint replacement of the hip and knee in England: cross sectional study. Full Text available with Trip Pro

Equity in access to total joint replacement of the hip and knee in England: cross sectional study. To explore geographical and sociodemographic factors associated with variation in equity in access to total hip and knee replacement surgery.Combining small area estimates of need and provision to explore equity in access to care.English census wards.Patients throughout England who needed total hip or knee replacement and numbers who received surgery.Predicted rates of need (derived from (...) % 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 (0.33, 0.31 to 0.34). For total knee replacement, those in urban areas got

2010 BMJ

73. Effects of aquatic resistance training on mobility limitation and lower-limb impairments after knee replacement (Abstract)

Effects of aquatic resistance training on mobility limitation and lower-limb impairments after knee replacement 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 (...) =.018) and that of the nonoperated leg 2% (P=.019) after training compared with controls.Progressive aquatic resistance training had favorable effects on mobility limitation by increasing walking speed and decreasing stair ascending time. In addition, training increased lower limb muscle power and muscle CSA. Resistance training in water is a feasible mode of rehabilitation that has wide-ranging positive effects on patients after knee replacement surgery.Copyright 2010 American Congress

2010 EvidenceUpdates Controlled trial quality: uncertain

74. Measurement of joint effusion and haematoma formation by ultrasound in assessing the effectiveness of drains after total knee replacement: A prospective randomised study Full Text available with Trip Pro

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

2010 EvidenceUpdates Controlled trial quality: uncertain

75. Surface neuromuscular electrical stimulation for quadriceps strengthening pre and post total knee replacement. Full Text available with Trip Pro

Surface neuromuscular electrical stimulation for quadriceps strengthening pre and post total knee replacement. 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 (...) in each group was unclear.The studies found in this review do not permit any conclusions to be made about the application of neuromuscular stimulation for the purposes of quadriceps strengthening before or after total knee replacement. At this time the evidence for the use of neuromuscular stimulation for the purposes of quadriceps strengthening in this patient group is unclear.

2010 Cochrane

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

Mini-incision surgery for total knee replacement (IPG345) Overview | Mini-incision surgery for total knee replacement | Guidance | NICE Mini-incision surgery for total knee replacement Interventional procedures guidance [IPG345] Published date: May 2010 Share Save Guidance The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on Mini-incision surgery for total knee replacement. It replaces (...) the previous guidance on Mini-incision surgery for total knee replacement (NICE interventional procedures guidance 117, September 2004). Description The most common indication for a total knee replacement is osteoarthritis of the knee joint. The mini-incision total knee replacement involves an incision 10 to 12 cm long over the knee, compared with the conventional total knee replacement which requires an incision 20 to 30 cm long. The same prostheses are inserted using specially designed instruments. W40

2010 National Institute for Health and Clinical Excellence - Interventional Procedures

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

Apixaban versus enoxaparin for thromboprophylaxis after knee replacement (ADVANCE-2): a randomised double-blind trial. 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 (n=1528) or subcutaneous enoxaparin 40 mg once daily (1529). The randomisation schedule was generated by the Bristol-Myers Squibb randomisation centre and stratified by study site and by unilateral or bilateral surgery with a block size of four. Investigators

2010 Lancet Controlled trial quality: predicted high

79. 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 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.

2010 DARE.

80. 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 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.

2010 NHS Economic Evaluation Database.