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Orthopaedic Proceedings
Vol. 94-B, Issue SUPP_XXXIX | Pages 234 - 234
1 Sep 2012
Kassam A Dieppe P Toms A
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Purpose

Great expense is accumulated in investigation and management, often with poor outcome, of a patient with a painful TKR. We aim to produce guidelines for their investigation and careful, successful management.

Method

We studied 42 cases of patients with a painful TKR. Costs were calculated of appointments, serological and radiological investigations for these patients and an average cost of investigating a patient was obtained. We also calculated costs of various forms of management, both surgical and non-surgical and correlated these with patient outcomes.


The Journal of Bone & Joint Surgery British Volume
Vol. 87-B, Issue 10 | Pages 1416 - 1419
1 Oct 2005
Stürmer T Dreinhöfer K Gröber-Grätz D Brenner H Dieppe P Puhl W Günther K

In order to assess current opinions on the long-term outcome after primary total hip replacement, we performed a multicentre, cross-sectional survey in 22 centres from 12 European countries. Different patient characteristics were categorised into ‘decreases chances’, ‘does not affect chances’, and ‘increases chances’ of a favourable long-term outcome, by 304 orthopaedic surgeons and 314 referring practitioners. The latter were less likely to associate age older than 80 years and obesity with a favourable outcome than orthopaedic surgeons (p < 0.001 and p = 0.006, respectively) and more likely to associate age younger than 50 years with a favourable outcome (p = 0.006). Comorbidity, rheumatoid arthritis, and poor bone quality were thought to be associated with a decreased chance of a favourable outcome. We found important differences in the opinions regarding long-term outcome after total hip replacement within and between referring practitioners and orthopaedic surgeons. These are likely to affect access to and the provision of total hip replacement.