Clinical pathways and the commodification of total joint replacement

Total hip and knee joint replacement: perioperative clinical aspects.

OBJECTIVE To understand the profile of patients undergoing hip and knee replacement during two years, and to compare the data obtained with the literature. METHODS A total of 323 medical records were reviewed to analyze the perioperative data of patients submitted to hip and knee replacement. RESULTS Osteoarthritis was the main indication for both procedures and male patients were heavier t...

Complications of total joint replacement

Total replacement of the first metatarsophalangeal joint.

Various prostheses for total replacement of the first metatarsophalangeal joint for painful hallux valgus and hallux rigidus are briefly discussed. Altogether, the results of eighty-six replacements in sixty-nine patients have been recorded after an average interval of two years. In seventy-eight operations a Silastic* prosthesis as designed by Swanson for the replacement of metacarpophalangeal...

Total prosthetic replacement of the temporomandibular joint.

Twenty-seven patients have been operated on for total replacement of the temporomandibular joint because of ankylosis due to trauma, arthritis, neoplasm, infection, or pain. One prosthesis had to be taken out because of gross infection due to Staphylococcus albus, 2 more were removed for pain and dislocation of the prosthesis, and 1 was removed because of erosion through the skin. The remaining...

Total replacement of the hip joint.

Total replacement ofthe hipjoint has become a widely accepted procedure in the treatment of arthritis, and the results reported over the last few years confirm that these artificial joints can restore a high level of functional activity that is well maintained. The effects of a successful operation by any of the standard techniques are remarkably similar, the materials are well tolerated and we...