conclusions our study shows that there is improvement in pain scores, at rest and on movement, as well as a reduction in incidence of severe pain, in patients who receive cfnb versus those who receive intravenous pca. results our results show that the incidence of a severe pain episode was higher in the pca compared with the cfnb group. lower pain scores were observed in the cfnb group compared...

BACKGROUND Knee arthroplasty is increasing exponentially due to the aging of the population and to the broadening of indications. We aimed to compare physical disability and its evolution over two years in people with knee arthroplasty to that in the general population. A secondary objective was to compare the level of disabilities of people with knee to people with hip arthroplasty. METHODOL...

OBJECTIVES we determined the yearly prevalence of single and multiple falls in persons with or at risk of knee osteoarthritis (OA) and persons undergoing knee arthroplasty over an 8-year period. We also compared annual fall rates among persons with and without knee arthroplasty to determine if fall rates are associated with knee arthroplasty. METHODS we studied 4,200 persons from the Osteoart...

OBJECTIVE The Medical Advisory Secretariat undertook a review of the evidence on the effectiveness and cost-effectiveness of computer assisted hip and knee arthroplasty. The two computer assisted arthroplasty systems that are the topics of this review are (1) navigation and (2) robotic-assisted hip and knee arthroplasty. THE TECHNOLOGY Computer-assisted arthroplasty consists of navigation and...

1Swedish National Competence Center Musculoskeletal Disorders, Skåne University Hospital, Lund, The Swedish Knee Arthroplasty Register, and Lund University; 2The Swedish Hip Arthroplasty Register, Sahlgrenska University Hospital and Göteborg University, Göteborg, Sweden; 3The Finnish Arthroplasty Register and Department of Public Health, University of Helsinki; 4The Finnish Arthroplasty Registe...

Isolated unicompartmental osteoarthritis in the young patient is a difficult problem to treat; they may be too young to consider total knee arthroplasty due to difficulties with inevitable future revision. Unicompartmental knee arthroplasty is one possible solution as it is perceived by some as being a smaller surgical insult than total knee arthroplasty, with easier revision to total knee arth...

The issue of athletic participation after hip and knee arthroplasty has become more relevant in recent years, with an increase in the number of young and active patients receiving joint replacements. This article reviews patient-, surgery-, implant-, and sports-related factors, and discusses currently available guidelines that should be considered by the physician when counseling patients regar...

Excision arthroplasty of the shoulder is a rarely performed procedure used in cases where replacement of a failed arthroplasty is not feasible. We report four cases of excision arthroplasty following a shoulder replacement, one performed for infection and three for instability. Excision arthroplasty resulted in very poor function with pain improvement in only two cases.