BACKGROUND AND PURPOSE Pain sensitization may be one of the reasons for persistent pain after technically successful joint replacement. We analyzed how pain sensitization, as measured by quantitative sensory testing, relates preoperatively to joint function in patients with osteoarthritis (OA) scheduled for joint replacement. PATIENTS AND METHODS We included 50 patients with knee OA and 49 wi...

Between 1980 and 1995, 95 consecutive total knee replacements were performed at an average of 10 years 4 months after high tibial osteotomy. The average age of the 82 patients was 66 years, with a preoperative diagnosis of osteoarthritis in 94 knees. One patient died 6 months after surgery. The followup of the remaining 81 patients (94 knees) averaged 8.6 years (range, 2-17 years). Knee Society...

AIM To describe the natural progression and the rates of arthroplasty of a cohort of hip and knee osteoarthritis (OA) patients. METHODS An observational study of 247 consecutive patients who attended an OA clinic between May 2008 and August 2009. Follow-up survey was conducted from July 2014 to December 2014, with the primary end point being joint replacement surgery. RESULTS One hundred an...

Introduction: Pigmented villonodular synovitis (PVNS) after replacement arthroplasty is a potential cause of postoperative pain and hemarthrosis. The disease is difficult to diagnose after arthroplasty, since magnetic resonance imaging (MRI) appearances are subject to metal artifact making them less than ideal. Case Report: A case of a 61­year­old woman with PVNS after unicompartmental knee art...

BACKGROUND AND OBJECTIVE Patients with anteromedial arthritis who require a knee replacement could receive either a unicompartmental knee replacement (UKR) or a total knee replacement (TKR). This review has been undertaken to identify economic evaluations comparing UKR and TKR, evaluate the approaches that were taken in the studies, assess the quality of reporting of these evaluations, and cons...

Abstract Introduction: The presence of cruciate ligaments are very important for normal knee kinematics. Knee arthroplasty prostheses, in which these ligaments are maintained, have better kinematics. The aim of the present study was to investigate the association between femoral intercondylar notch narrowing in radiography and clinical and histopathologic integrity of anterior cruciate li...

INTRODUCTION In 2006, our provincial government initiated a program to reduce wait times for total hip or knee replacements by referring patients to a single tertiary-care centre. This program provided an opportunity to identify risk factors for perioperative complications as part of a continuing quality improvement project. We report the risk of postoperative urinary retention after hip and kn...

OBJECTIVE To examine the necessity and cost-effectiveness of interpretation by radiologists of orthopedic radiographs obtained for patients who undergo total hip or knee replacement. DESIGN A prospective study. Serial preoperative and postoperative x-ray films of the joint in patients scheduled to undergo total hip or knee joint replacement during one calendar year were interpreted by both ra...

BACKGROUND This study evaluated whether half-yearly hyaluronic acid injection together with low-level laser therapy in addition to standard conventional physical therapy can successfully postpone the need for joint replacement surgery in elderly patients with bilateral symptomatic tricompartmental knee arthritis. METHODS In this prospective, double-blind, placebo-controlled study, 70 consecut...