Our study has determined the response of C-reactive protein (CRP) after
We compared the alignment of 39
Chemical prophylaxis is known to reduce the venographic prevalence of deep-vein thrombosis (DVT) after
We compared the results of 146 patients who received an anatomic modular knee fixed-bearing total knee replacement (TKR) in one knee and a low contact stress rotating platform mobile-bearing
We assessed the influence of the use of a tourniquet in
The effects of using a tourniquet during
The optimal characteristics of pneumatic compression for mechanical prophylaxis of thromboembolism after
We describe two patients who developed gluteal compartment syndrome after
We prospectively randomised 78 patients into two groups, ‘drains’ or ‘no drains’ to assess the effectiveness of suction drains in reducing haematoma and effusion in the joint and its effect on wound healing after
Early implants for
We compared the performance of uncemented trabecular metal tibial components in
We analysed the long-term clinical and radiological results of 63 uncemented Low Contact Stress
We present seven patients with recurrent haemarthroses after
We have carried out a prospective study comparing the results at five years in patients older than 75 years of age undergoing hydroxyapatite-coated, cementless
After
To assess migration of the tibial component we used roentgen stereophotogrammetric analysis in 40 patients who had had a
We performed a randomised, controlled trial involving 150 patients with a pre-operative level of haemoglobin of 13.0 g/dl or less, to compare the effect of either topical fibrin spray or intravenous tranexamic acid on blood loss after
Patient-reported outcome measures (PROMs) are
increasingly being used to assess functional outcome and patient satisfaction.
They provide a framework for comparisons between surgical units,
and individual surgeons for benchmarking and financial remuneration.
Better performance may bring the reward of more customers as patients and
commissioners seek out high performers for their elective procedures.
Using National Joint Registry (NJR) data linked to PROMs we identified
22 691 primary total knee replacements (TKRs) undertaken for osteoarthritis
in England and Wales between August 2008 and February 2011, and
identified the surgical factors that influenced the improvements
in the Oxford knee score (OKS) and EuroQol-5D (EQ-5D) assessment
using multiple regression analysis. After correction for patient
factors the only surgical factors that influenced PROMs were implant
brand and hospital type (both p <
0.001). However, the effects
of surgical factors upon the PROMs were modest compared with patient
factors. For both the OKS and the EQ-5D the most important factors
influencing the improvement in PROMs were the corresponding pre-operative
score and the patient’s general health status. Despite having only
a small effect on PROMs, this study has shown that both implant
brand and hospital type do influence reported subjective functional
scores following
We have found poor mid-term results in a multisurgeon series of 94 Johnson-Elloy (Accord)
The aim of this study was to evaluate the long-term inducible
displacement of cemented tibial components ten years after total
knee arthroplasty (TKA). A total of 15 patients from a previously reported prospective
trial of fixation using radiostereometric analysis (RSA) were examined
at a mean of 11 years (10 to 11) postoperatively. Longitudinal supine
RSA examinations were acquired at one week, one year, and two years
postoperatively and at final follow-up. Weight-bearing RSA examinations
were also undertaken with the operated lower limb in neutral and
in maximum internal rotation positions. Maximum total point motion
(MTPM) was calculated for the longitudinal and inducible displacement examinations
(supine Aims
Patients and Methods