Surgeon's Preference in Total Knee Replacement: A Quantitative Examination of Attributes, Reasons for Alteration, and Barriers to Change

The Outcome of Total Knee Arthroplasty With and Without Patellar Resurfacing up to 17 Years: A Report From the Australian Orthopaedic Association National Joint Replacement Registry

“…Surgeon preference for prosthesis selection and use of resurfacing are multifactorial, diverse and complex, and not related solely to published revision rates [21]. This selection bias cannot be accounted for in this study.…”

Physician induced demand for knee replacement surgery in Iran

“…However, a significant proportion of postoperative patients report persistent knee pain, poor knee function, and patient dissatisfaction [ 1 , 27 , 28 ]. Over the past four decades, there have been numerous innovations in total knee replacement design and implantation techniques, prosthesis diversity, and even alternative treatment scenarios with lower cost or lower revision risk [ 29 ]. In situations where the surgeons act as a patient’s perfect agent, the choice between these options is based on provider discretion and patient preference.…”

Outcomes with Two Tapered Wedge Femoral Stems in Total Hip Arthroplasty Using an Anterior Approach

“…Factors such as stem geometry, performance, cost, vendor relationships, and implant familiarity play important roles in surgeon implant preference. [3][4][5] Although it has been demonstrated that there exist important differences in composition and geometry between these stems which may, in turn, have important clinical implications, few studies have evaluated their relative clinical performance. 16 National joint registries such as the Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR), collect general outcome data regarding specific stem types, such as revision rates and mortality; however, do not report granular data.…”

“…2 Various factors may influence surgeon preference in implant selection, including implant geometry, performance, cost, vendor relationships, and implant familiarity. [3][4][5] Although there is a wide variety of commercially-available femoral stems to choose from, there is currently no consensus regarding which stem, if any, is superior to the others. This is largely due to a lack of clinical studies exploring clinical outcomes of these tapered wedge stems relative to one another.…”