BACKGROUND AND PURPOSE Cryotherapy is commonly used during physiotherapeutic rehabilitation after total knee replacement (TKR). Evidence for treatment effectiveness is contradictory and there are no clinical guidelines to inform treatment protocols within this patient group. The present survey investigated current cryotherapy practice after TKR throughout the United Kingdom (UK). METHOD A pos...

INTRODUCTION: Total knee replacement (TKR) successfully relieves knee joint pain and improves function according to patient reported measures, although recent studies have found that TKR patients do not regain full functional mobility after surgery [1, 2]. Knee kinematics and kinetics measured during gait analysis can be used to assess functional demands, and estimate net muscle activity. Howev...

Functional dissatisfaction following total knee replacement (TKR) is recorded as high 20%. The majority of these patients report anterior pain (AKP) the main source dissatisfaction. Elevated patellofemoral compression forces and soft tissue extensor hood strain have been implicated in generation significant AKP. A novel method assessing measuring dynamically native resurfaced patella for TKR fo...

BACKGROUND Neighborhood sociodemographic characteristics are associated with health care utilization across many conditions. There has been little study of whether total knee replacement (TKR) recipients from vulnerable populations, including racial and ethnic minorities, the poor, the elderly, and the less well educated, are more likely to use low-volume hospitals (LVHs). METHODS We used Med...

OBJECTIVE To identify factors associated with having total knee replacement due to osteoarthritis in the AGES-Reykjavik Study, a large population based study of elderly Icelanders. METHODS Information about total knee and hip joint replacements (TKR,THR) and hand OA (HOA) severity was available in 2195 males and 2975 females, mean age 76±6 years. The prevalence of TKR was 223 (4.3%) and THR 3...

OBJECTIVES To determine whether patients with osteoarthritis (OA) would be willing to pay for joint replacement and whether patient characteristics or health outcomes, including pain, physical function and health-related quality of life, were related to willingness to pay (WTP). METHODS Patients who had undergone primary total hip replacement (THR) or total knee replacement (TKR) for OA compl...

AIM This study aimed to estimate the demand for total hip (THR) and knee replacements (TKR) by 2026 within New Zealand (NZ) and show how demographic factors are likely to influence this projection. METHOD Yearly population data from the NZ Census was compared to the NZ Joint Register from 2001-2011 and ethnic and gender specific data was organised into 5 year age groups from 35 years to calcu...

BACKGROUND Limited evidence suggests that the risk of acute myocardial infarction (AMI) may be increased shortly after total hip replacement (THR) and total knee replacement (TKR) surgery. However, risk of AMI in these patients has not been compared against matched controls who have not undergone surgery. The objective of this study was to evaluate the timing of AMI in patients undergoing THR o...

INTRODUCTION Although Total Hip and Knee Replacements (THR/TKR) improve Health-Related Quality of Life (HRQoL) at the group level, up to 30% of patients are dissatisfied after surgery due to unfulfilled expectations. We aimed to assess whether the pre-operative radiographic severity of osteoarthritis (OA) is related to the improvement in HRQoL after THR or TKR, both at the population and indivi...

OBJECTIVE The aim of this review was to assess the effectiveness, in terms of pain reduction and functional improvement, and costing of total knee replacement (TKR) for people with osteoarthritis for whom less invasive treatments (such as physiotherapy, analgesics, anti-inflammatory drugs, intra-articular steroids, hyaluronic acids, and arthroscopic surgery) have failed. CLINICAL NEED Osteoar...