Knee replacement

@article{Carr2012KneeR,
  title={Knee replacement},
  author={Andrew J. Carr and Otto Robertsson and Stephen E Graves and Andrew James Price and Nigel K. Arden and Andrew Judge and David J Beard},
  journal={The Lancet},
  year={2012},
  volume={379},
  pages={1331-1340}
}
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… Expand

Paper Mentions

Interventional Clinical Trial
The investigators are evaluating an implant (Depuy Attune TKA) that was recently released to market with a cementless design that is yet to have long term comparative data between this… Expand
ConditionsTotal Knee Arthroplasty (TKA)
InterventionProcedure
Interventional Clinical Trial
Total joint replacement is an efficacious treatment for osteoarthritis of hips and knees. Both total knee replacement (TKR) and total hip replacements (THR) have excellent implant… Expand
ConditionsKnee Osteoarthritis
InterventionProcedure
Interventional Clinical Trial
The purpose of the study is to investigate whether a 12-week neuromuscular rehabilitation program (NEMEX-TJR) combined with pain neuroscience education (PNE) provides greater pain… Expand
ConditionsArthroplasty, Replacement, Knee, Chronic Pain
InterventionOther
Interventional Clinical Trial
The aim of this study is to investigate if exercise therapy comprising the NEMEX program in combination with a CNS-targeted treatment using GMI and SDT is superior to exercise therapy… Expand
ConditionsOsteoarthritis, Osteo Arthritis Knee
InterventionOther
Knee arthroplasty: a window of opportunity to improve physical activity in daily life, sports and work
TLDR
It is found that knee arthroplasty, in general, has positive effects on physical activity and sports participation, which is fortunately much higher compared with presurgery. Expand
Oxford partial knee replacement: Early follow up results in young verses elderly age group patients
TLDR
Old age not appears to be a contraindication for oxford unicondylar knee arthroplasty, however several key outcome parameters like speed of recovery, return to work, revision rate, complications, mortality rate, and functional outcomes must be discussed with patient before surgery. Expand
Can robot-assisted total knee arthroplasty be a cost-effective procedure? A Markov decision analysis.
TLDR
RA TKA may be cost-effective at a surgical volume of 253 cases per robot per year when compared to conventional TKA, based upon transitional probabilities and independent variables derived from existing studies. Expand
Opioid use, postoperative complications, and implant survival after unicompartmental versus total knee replacement: a population-based network study
TLDR
UKR was associated with a reduced risk of postoperative opioid use compared with TKR, which might indicate a reducedrisk of persistent pain after surgery, and these findings can help to inform shared decision making for individuals eligible for knee replacement surgery. Expand
The registries: what do they tell us about knee arthroplasty? A narrative review of six national arthroplasty registers
TLDR
Joint replacement registers are well established and have an important influence on decision-making and clinical practice, but aspects of patient demographics, implant usage and revision outcomes in relation to knee replacement surgery are considered. Expand
Total knee arthroplasty using patient-specific instrumentation for osteoarthritis of the knee: a meta-analysis
TLDR
TKA-PSI does not improve patient-reported outcome measures, surgery time, blood loss, transfusion and complication rates as compared to standard TKA, and the predominant population in the included studies highly reflected the general population. Expand
Is Outpatient Arthroplasty Safe? A Systematic Review.
TLDR
The patients recruited for outpatient joint arthroplasty were younger, more active, and had suffered from less medical comorbidities than the more typical lower limb arthroPLasty patient, and there are significant differences in the reported complications between the studies reviewed. Expand
A 75-Year-Old Man with Chronic Knee Pain
TLDR
Neuromodulation is a useful option in patients who have neuropathic chronic knee pain for any reason and should be offered to patients who are not surgical candidates or develop postsurgical pain. Expand
Revision indications for medial unicompartmental knee arthroplasty: a systematic review
TLDR
UKA failure modes differ depending on implant design, cement use and time from surgery, and there should be careful consideration of implant options and patient selection for UKA. Expand
Clinical Course of Pain and Function Following Total Knee Arthroplasty: A Systematic Review and Meta-Regression.
TLDR
Patients undergoing primary TKA can expect a large and rapid but incomplete recovery of pain and function in the first postoperative year and at 10 years, the gains in pain scores may still remain while there is an improvement in function. Expand
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