OBJECTIVE The data are conflicting for the association between the index-to-ring finger length ratio (2D:4D) and the risk of OA. The aim of this cohort study was to examine the relationship between 2D:4D and the risk of severe knee and hip OA requiring total joint replacement. METHODS A total of 14 511 participants in the Melbourne Collaborative Cohort Study had 2D:4D assessed from hand photo...

Systemic emboli released during total knee replacement have been implicated as a cause of peri-operative morbidity and neurological dysfunction. We undertook a prospective, double-blind, randomised study to compare the cardiac embolic load sustained during computer-assisted and conventional, intramedullary-aligned, total knee replacement, as measured by transoesophageal echocardiography. There ...

Objectives To evaluate the impact of total knee replacement on quality of life in people with knee osteoarthritis and to estimate associated differences in lifetime costs and quality adjusted life years (QALYs) according to use by level of symptoms.Design Marginal structural modeling and cost effectiveness analysis based on lifetime predictions for total knee replacement and death from populati...

OBJECTIVE To present the clinical and radiological results of treatment of periprosthetic fractures of the femur after hip and knee replacements. SUBJECTS AND METHODS Thirty-four patients (8 males and 26 females) with 34 fractures of the femur complicating hip and knee replacements are the subjects of this report. In 21 cases, the fracture affected the femur after hip replacement, and in 13 c...

We performed a prospective, randomised controlled trial in 177 patients who were having either total hip or knee replacement, to evaluate the use of both above- and below-knee graded compression stockings in the prevention of deep-vein thrombosis (DVT). With above-knee stockings, we found no significant reduction of the overall, proximal or major calf (> 5 cm) DVT rates. With below-knee stockin...

1. Rotational mobility of a widely used rotating platform total knee replacement. Iowa Orthop J, 2001. 21: p. 90. 2. Multi-contact-surface finite element model of a widely used rotating platform total knee. Polyethylene wear in meniscal knee replacement. A one to nine-year retrieval analysis of the Oxford knee.Unicompartmental "Lotus" knee prosthesis. Analysis of the results of a series of 142 ...

Total Knee Replacement is used to treat pain, stiffness and reduced range of movement. It has been estimated that a minimum of 90 degrees of range of motion in the knee is required for normal activities of daily living. In this article we demonstrate a technical note with a small patient series about the methods of treating knee stiffness after Total Knee Replacement.

BACKGROUND Implant costs associated with total hip replacement and total knee replacement procedures account for a large share of total costs and reimbursements to hospitals. Federal policymakers are promoting episode-of-care payment and other value-based delivery and payment reforms in part to encourage physicians and hospitals to cooperate in managing costs for these and other procedures. The...

Knee osteoarthritis is a disease that causes pain, functional limitation and disability and its incidence rate is gradually rising with an increase in the elderly population (Felson & Anderson, 1987; McKay, Prapavessis & Doherty, 2012). A total knee replacement is an effective surgical intervention for the patients with knee osteoarthritis by reducing pain in the knee joints and enhancing the q...

OBJECTIVES To describe the prevalence rates of revision surgery for the treatment of prosthetic joint infection (PJI) for patients undergoing knee replacement, their time trends, the cumulative incidence function of revision for PJI and estimate the burden of PJI at health service level. DESIGN We analysed revision knee replacements performed due to a diagnosis of PJI and the linked index pro...