Abstract. Introduction. In
Abstract. Multidisciplinary team (MDT) meetings in orthopaedic surgery are evolving. The goals include patient optimisation, surgical planning and discharge arrangements, individually on a patient specific basis. In line with British Association Surgery of the Knee and GIRFT guidelines, we report our regional experience on the implementation and evolution of our regional
Abstract. Introduction. The objective of this study was to determine rates of serious adverse events in patients undergoing
Abstract. Introduction. Anxiety and depression are risk factors for poor outcome following knee replacement surgery. The aim of this study was to investigate the prevalence of anxiety and depression before and after primary (pKR) and
We identified 26 tibial tubercle osteotomies (TTOs) performed in 23
Purpose of the study. To determine the effectiveness, complications and side effects of Rivaroxaban when used for extended thromboprophylaxis in patients undergoing primary and
Purpose: To examine the outcome of primary and
Purpose. Although classic teaching holds that the least amount of constraint should be implanted, there is very little in the literature to substantiate this. This study attempts to quantify the influence of constraint and various indications upon functional outcome following aseptic first time
Purpose: Total knee arthroplasty is one of the most successful modern surgical interventions with excellent clinical outcomes and implant survivorship. Nevertheless, with the increasing numbers of primary knee replacements being performed and increasing life expectancy, the need for revision arthroplasty continues to grow and is expected to grow considerably in to the future. Stemmed implants are commonly used in
Abstract. Introduction. Our aim was to investigate trends in the incidence rate and main indication for
Aim: The purpose of this study was to report our experience mid to long-term results of hybrid cement fixation in revision total knee arthroplasty. Methods: Patients who underwent revision total knee arthroplasty using a hybrid cement technique (press-fit diaphyseal fixation and cemented metaphyseal fixation) with a titanium fluted revision knee implant were reviewed. There were 127 patients. Mean age at surgery was 71 years (range 41–94 years). There were 56 males and 71 females. Mean follow-up was 5 years (range, 2–12 years). A Kaplan-Meier survivorship analysis using an end-point of revision surgery or radiographic loosening was employed to determine probability of survival at 5 and 10 years. Results: 127 patients (135 knees), 31 patients (36 knees) died and 2 patients (2 knees) were lost to follow-up. Six patients (six knees) were revised at a mean of 3.5 years (range 1–8 yrs). Of the 6 revisions, two were for re-infection, two were for (MCL) instability, and two were for aseptic loosening. Mean Knee Society clinical and functional scores were 86 and 55 points, respectively. The mean range of motion was 108 degrees. End of stem pain was not reported in this group of patients. Kaplan-Meier survivorship analysis revealed a probability of survival free of revision for aseptic loosening of 98% at 12 years. Discussion: The results of this study suggest that the use of a hybrid cement technique in
Objectives. The purpose of this study was to develop an accurate, reliable and easily applicable method for determining the anatomical location of the joint line during
Introduction. Bone loss in the distal femur and proximal tibia is frequently encountered with both complex primary and
Authors have been using kinematic computer navigation for a total knee replacement surgery since 2003. A contribution and advantage of computer navigation is well recognized. Exact guidance of both tibial and femoral osteotomy along with precise soft tissue balance respecting individual anatomic constitution is achieved by exact collection and computer evaluation of data by a use of special sensors and probes. Use of kinematic navigation in experienced hands minimizes deviation from physiological mechanical Mikulicz axis. This is considered the most important step to achieve a good long term outcome after total knee arthroplasty. We have been recently using Brain Lab kinematic navigation system in both primary and
The aim of this study was to ascertain if a correlation exists between the indication for revision and the clinical outcome in revision total knee replacement. Methods: We analysed the data of 81
It is usually assumed that there is a correlation between the number of previous operations and the clinical outcome of
The prospective evaluation of two hundred and seven symptomatic total knee arthroplasties presenting for revision total knee arthroplasty is reported. On univariate analysis patients who had infection differed significantly (p<
.001) from those without infection with regards to: elevated ESR, CRP, positive aspiration, and history of; revision procedure less than two years since last surgery, early wound problems, ongoing pain since index procedure, and discharging wound. On multivariate analysis elevated ESR or CRP, positive aspiration, pain since index procedure and early wound complications were significant predictors of infection (p<
.05). These variables were then used to formulate an evidence-based multivariate predictive algorithm to assist the clinician in decision making prior to surgery. Differentiating septic from aseptic failure of total knee arthroplasty on the basis of clinical features and diagnostic tests can be troublesome for the clinician. The purpose of this paper is to describe significant differences between cases of septic and aseptic failure of total knee arthroplasty. The incorporation of these variables into a practical multivariate clinical prediction algorithm can provide assistance in establishing the diagnosis of infection prior to
Aims: To determine the kneeling ability in 3 groups of patients who have undergone either Unicondylar, Primary, or
Aim: To report our experience of