PURPOSE To compare the short-term outcome in patients with or without a drain (short duration and low suction pressure) following total knee replacement (TKR). METHODS A consecutive series of 106 women and 48 men (mean age, 69 years) underwent unilateral TKR. The first 77 patients used a low suction pressure (200 mm Hg) drain following TKR for 24 hours, and the next 77 patients used no drain....

OBJECTIVE Previous studies suggest that poorer knowledge and expectations about surgical outcomes may be responsible for low rates of total knee replacement (TKR) among African American males. The goal of this study was to pilot test the scope, acceptability, and efficacy of an educational videotape and tailored TKR decision aid designed to reduce disparities in TKR knowledge and expectations. ...

Objective Biochemical changes associated with obesity may accelerate osteoarthritis beyond the effect of mechanical factors. This study investigated whether metabolic syndrome and its components (visceral obesity, hypertension, dyslipidemia and insulin resistance) were risk factors for subsequent total hip replacement (THR) or total knee replacement (TKR) due to primary osteoarthritis. Design...

Patients with skeletal dysplasia are prone to developing advanced osteoarthritis of the knee requiring total knee replacement (TKR) at a younger age than the general population. TKR in this unique group of patients is a technically demanding procedure owing to the deformity, flexion contracture, generalised hypotonia and ligamentous laxity. We retrospectively reviewed the outcome of 11 TKRs per...

Total knee replacements (TKR) both cemented and uncemented were developed almost simultaneously in the 1980’s. Cemented TKR found favor among surgeons due to its technical ease early failure of poor design. In past two decades; however, interest has been generated because design improvements which, turn, led better results, especially young active, obese, geriatric but active patients where TKR...

There is growing interest in using augmented reality (AR)-based training for rehabilitation programs, while it remains unclear whether physical exercises AR can be more effective than conventional therapy patients with total knee replacement (TKR). This study, therefore, aimed to compare the effects of AR-based therapist-based on performance early-stage after a TKR. It was double-blind randomiz...

Introduction: Currently, the only treatment for end stage arthritis in the knee is total knee replacement (TKR). Even though TKR has improved over the years, with implants having greater longevity, patient satisfaction following TKR has not improved, with approximately 20% of patients recording dissatisfaction with their new knee joint. Manufacturers have attempted to solve this issue with pati...

Ulceration of the lower leg is considered to be a hard' clinical endpoint of venous thrombosis. Total knee replacement (TKR) is a significant risk factor for venous thrombosis of the leg and therefore potentially for ulceration. We sent a postal questionnaire to 244 patients at a minimum of five years after TKR enquiring about the development of ulceration since their TKR. The overall incidence...

After total hip (THR) or knee replacement (TKR), there is still an appreciable risk of developing deep-vein thrombosis despite prophylaxis with low-molecular-weight heparin (LMWH). In a prospective, randomised study we examined the efficacy of LMWH in combination with intermittent pneumatic compression in patients undergoing primary unilateral THR or TKR. We administered 40 mg of enoxaparin dai...

Total knee replacement (TKR) is now recognized as a viable surgical option for managing dogs with severe to end-stage stifle joint osteoarthritis. The goal of this presentation is to briefly review the biomechanics of the normal stifle joint and to describe how this information has been used to guide the design and manufacture of contemporary TKR implants. The influence of implant design, surgi...