BACKGROUND In previous studies, 50%-70% of patients referred to orthopedic surgeons for total knee replacement (TKR) were not surgical candidates at the time of initial assessment. The purpose of our study was to identify and cross-validate patient self-reported predictors of suitability for TKR and to determine the clinical utility of a predictive model to guide the timing and appropriateness ...

We analysed data from the Oxford hip and knee questionnaires collected by the New Zealand Joint Registry at six months and five years after joint replacement, to determine if there was any relationship between the scores and the risk of early revision. Logistic regression of the six-month scores indicated that for every one-unit decrease in the Oxford score, the risk of revision within two year...

Introduction Reduction of ultra high molecular weight polyethylene (UHMWPE) surface wear in total knee replacement (TKR) bearings may delay the onset of osteolysis and subsequent loosening of components. Crosslinking has been shown to increase the wear resistance of UHMWPE bearings in multidirectional total hip replacement applications when articulating against smooth counterfaces [1]. The aim ...

FACULTY OF ENGINEERING, SCIENCE & MATHEMATICS SCHOOL OF ENGINEERING SCIENCES Doctor of Philosophy ENHANCED PRE-CLINICAL ASSESSMENT OF TOTAL KNEE REPLACEMENT USING COMPUTATIONAL MODELLING WITH EXPERIMENTAL CORROBORATION & PROBABILISTIC APPLICATIONS by Anthony Michael Strickland Demand for Total Knee Replacement (TKR) surgery is high and rising; not just in numbers of procedures, but in the diver...

The incidence and prevalence of chronic obstructive pulmonary disease (COPD) is associated with increasing age. Osteoarthritis is also a growing problem in the aging population, and total knee replacement (TKR) is a common surgical procedure for this population. An increasing number of COPD patients are receiving TKR, but few studies have examined the complications and outcomes after TKR in COP...

Primary Total Knee Replacement (TKR) is one of the most commonly performed elective orthopaedic procedures globally. Many patients undergoing this type surgery are overweight or obese. In UK, clinical commissioning groups have imposed arbitrary Body Mass Index (BMI) thresholds for TKR surgery. obese believe they will lose weight following procedure because increased mobility. This paper aims to...

OBJECTIVES Dabigatran etexilate is a new oral direct thrombin inhibitor for prophylaxis of venous thromboembolism (VTE) in patients who have elective surgery for total hip replacement (THR) or total knee replacement (TKR). Among the advantages of dabigatran etexilate over subcutaneous prophylaxis with Low Molecular Weight Heparin (LMWH) are reduced resource uses for (i) teaching patients to sel...

We suggest that different mechanisms underlie joint pain at rest and on movement in osteoarthritis and that separate assessment of these two features with a visual analogue scale (VAS) offers better information about the likely effect of a total knee replacement (TKR) on pain. The risk of persistent pain after TKR may relate to the degree of central sensitisation before surgery, which might be ...

Out of a total of 623 patients who, over a ten-year period, underwent primary total knee replacement (TKR) without patellar resurfacing, 20 underwent secondary resurfacing for chronic anterior knee pain. They were evaluated pre- and postoperatively using the clinical and radiological American Knee Society score. The mean follow-up was 36.1 months (12 to 104). The mean knee score improved from 4...

Highly cross-linked polyethylene has become the gold standard in total hip replacement for its wear resistance. Moderately crosslinked polyethylene is now available for total knee replacement (TKR), although concerns about reduced mechanical strength have prevented widespread adoption. The purpose of this report is to describe an unusual case where a patient underwent cruciate retaining TKR usi...