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Orthopaedic Proceedings
Vol. 94-B, Issue SUPP_XXXVIII | Pages 29 - 29
1 Sep 2012
MacDonald SJ Somerville L Naudie DD McAuley J McCalden R Bourne RB
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Purpose

Unicompartmental versus total knee arthroplasty has been a debated topic for decades. The purpose of this study was to compare the survivorship and clinical outcomes of a large primary total knee arthroplasty versus unicompartmental knee arthroplasty cohort.

Method

A consecutive series of 6352 TKAs and 296 UKAs with a minimum of one year follow-up were evaluated. Pre-operative scores, latest scores, and change in clinical outcome scores (KSCRS, SF12, WOMAC) were compared and tested for significance using the students t-test.


Orthopaedic Proceedings
Vol. 94-B, Issue SUPP_XXXVIII | Pages 115 - 115
1 Sep 2012
MacDonald SJ Somerville L Howard J Naudie DD McAuley J McCalden R Bourne R
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Purpose

The pros and cons of general anesthesia versus spinal anesthesia in total hip arthroplasty has been a long debated topic. The purpose of this study was to compare the surgical times, blood loss and transfusion requirements between anesthetic types in patients undergoing primary total hip arthroplasty.

Method

A consecutive series of 1600 THA procedures with complete preoperative and postoperative data were evaluated. Twenty eight percent of procedures were performed with a general anesthetic (GA), 67% with a spinal anesthetic (SP) and 5% with a combination of the two. Outcomes were compared and tested for significance using the Independent Samples Kruskal Wallis or Pearson Chi-Square analysis.


Orthopaedic Proceedings
Vol. 94-B, Issue SUPP_XXXVIII | Pages 27 - 27
1 Sep 2012
McAuley JP Lyons M Howard J McCalden R Naudie DD Bourne RB MacDonald SJ
Full Access

Purpose

The patella provides a mechanical advantage to the knee extensor mechanism. Patellectomy, performed for trauma or patellofemoral arthrosis, does not preclude the development of tibiofemoral arthrosis. Total knee arthroplasty is the mainstay of treatment for tibiofemoral arthrosis. The purpose of this study was to evaluate the outcomes of total knee arthoplasty in patients who previously underwent patellectomy.

Method

A retrospective analysis was completed on a prospectively collected database to identify all patients who underwent total knee arthroplasty following a previous patellectomy. Sixty-one total knee arthroplasties in 57 patients were identified. Patient demographics as well as functional outcome scores, including WOMAC and Knee Society Scores, were evaluated.