Prevalence of Total Hip and Knee Replacement in the United States

Kremers, Hilal Maradit; Larson, Dirk R.; Crowson, Cynthia S.; Kremers, Walter K.; Washington, Raynard; Steiner, Claudia; Jiranek, William A.; Berry, Daniel J.

doi:10.2106/jbjs.n.01141

Cited by 1,334 publications

(629 citation statements)

References 23 publications

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“…Total knee arthroplasty (TKA) is a common treatment for end-stage osteoarthritis (OA) with a prevalence of 1.52% in the US [1]. Pain persists postoperatively in a subgroup of patients with TKA for no known medical reason, but evidence grows for such postoperative maladjustment to occur in those patients, who also suffer from marked preoperative psychopathological distress [2].…”

Section: Tablementioning

confidence: 99%

Using Borderline Personality Organization to Predict Outcome after Total Knee Arthroplasty

Vogel¹,

Riediger

Illiger

et al. 2017

Psychother Psychosom

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Section: Tablementioning

confidence: 99%

Using Borderline Personality Organization to Predict Outcome after Total Knee Arthroplasty

Vogel¹,

Riediger

Illiger

et al. 2017

Psychother Psychosom

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“…Recent trends show that patients undergo surgery at a younger age [3, 4]. Furthermore, they want to be able to return to their daily activities and work as soon as possible [3].…”

Section: Introductionmentioning

confidence: 99%

Fast-track total knee arthroplasty improved clinical and functional outcome in the first 7 days after surgery: a randomized controlled pilot study with 5-year follow-up

Fransen

Hoozemans

Argelo

et al. 2018

Arch Orthop Trauma Surg

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IntroductionFast-track protocols (FP) are used more and more to optimize results after total knee arthroplasty (TKA). Many studies evaluating FP in TKA concentrate on clinical outcome and medium to long-term results. Since discharge from hospital after TKA is achieved increasingly quicker worldwide using FP in an increasingly younger and active patient population, the effects of FP on functional outcome in the first days after TKA become more important. The purpose of the current study was to compare FP with a regular joint care protocol (RP), with an emphasis on the first 7 days after surgery.Materials and methodsA non-blinded randomized controlled clinical pilot study was performed with 25 patients assigned to a FP group and 25 patients assigned to a RP group. Primary outcome was functional outcome, clinical outcome, pain, and complications for each day in the first week after surgery. Patients were followed up to 5 years after surgery.ResultsSignificantly lower VAS scores for knee pain, faster Timed-Up and Go test times and more mobility on functional tests were seen on several days in the first week in the FP group compared to the RP group. Few other significant differences were found at 2, 6 weeks, and no significant differences were found at 12 weeks and 1, 2 and 5 years after surgery.ConclusionsFast-track protocol for primary TKA showed significantly lower knee pain scores and improved functional outcome in the first 7 days after TKA compared to a regular protocol.

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“…Pain scores were assessed using an 11-point (0 -10) numeric rating scale-(NRS). Pain was assessed for both posterior and anterior aspects of the knee when at rest for the following intervals: post anesthesia care unit (PACU) arrival, 4,8,12,24,48, and 72 hours after the posterior injection. Pain with knee Open Journal of Anesthesiology range of motion was also noted.…”

Section: Methodsmentioning

confidence: 99%

Evaluation of the Efficacy of Liposomal Bupivacaine Infiltrated into the Posterior Capsule for Postoperative Analgesia after Total Knee Arthroplasty—A Randomized Double Blind Clinical Trial

Garg¹,

Gupta²,

Kang³

et al. 2017

OJAnes

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Achieving adequate control of postsurgical pain remains a challenge in patients undergoing Total Knee Arthroplasty (TKA). The objective of this study was to assess if liposomal bupivacaine injected into the posterior capsule, in combination with a femoral nerve block and multimodal pain control regimen, would result in better pain control. The two groups were similar with regards to demographics and method of intraoperative anesthesia. Infiltration into the posterior capsule with liposomal bupivacaine had significantly lower resting pain scores compared to the saline group. Patients in the liposomal bupivacaine group also used slightly less breakthrough narcotic (5.75 to 4.31 mg of morphine equivalence). We recommend the use of infiltration of liposomal bupivacaine into the posterior capsule as an adjunct in multimodal analgesia in TKA patients to reduce pain and resultant narcotic use.

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Prevalence of Total Hip and Knee Replacement in the United States

Cited by 1,334 publications

References 23 publications

Using Borderline Personality Organization to Predict Outcome after Total Knee Arthroplasty

Using Borderline Personality Organization to Predict Outcome after Total Knee Arthroplasty

Fast-track total knee arthroplasty improved clinical and functional outcome in the first 7 days after surgery: a randomized controlled pilot study with 5-year follow-up

Evaluation of the Efficacy of Liposomal Bupivacaine Infiltrated into the Posterior Capsule for Postoperative Analgesia after Total Knee Arthroplasty—A Randomized Double Blind Clinical Trial

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