The Fate of the Remaining Knee(s) or Hip(s) in Osteoarthritic Patients Undergoing a Primary TKA or THA

Shao, Yunchao; Zhang, Chi; Charron, Kory D; MacDonald, Steven J.; McCalden, Richard W.; Bourne, Robert B.

doi:10.1016/j.arth.2012.10.008

Cited by 56 publications

(30 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although the local population is less ethnically diverse than the entire U.S. population, mortality rates are similar 25,26 . Similarly, the contralateral procedure estimates are consistent with those in the published literature 27 . Finally, state-specific prevalence estimates may not be accurate in certain states with relatively high rates of migration into and out of the state.…”

supporting

confidence: 81%

“…These individuals not only have specialized needs, but in some cases, will outlive their implants and require expensive revision surgeries with substantial implications related to cost and resource use. Therefore, estimates of prevalence are 27 . THR = total hip replacement, and TKR = total knee replacement.…”

mentioning

confidence: 99%

“…In order to avoid the double counting of individuals who had contralateral primary procedures at different hospitalizations, the SID discharge counts were deflated using calendar year, sex, age, and procedure-specific deflation estimates derived from the published literature 27 and population-based data from Olmsted County, Minnesota, population. Briefly, owing to the infrastructure created by the Rochester Epidemiology Project 29,30 , we were able to longitudinally follow all residents with an initial total hip or total knee replacement and capture all subsequent total joint replacement surgeries on contralateral and ipsilateral joints.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Prevalence of Total Hip and Knee Replacement in the United States

Kremers

Larson

Crowson

et al. 2015

The Journal of Bone and Joint Surgery-American Volume

1,339

563

View full text Add to dashboard Cite

supporting

confidence: 81%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Prevalence of Total Hip and Knee Replacement in the United States

Kremers

Larson

Crowson

et al. 2015

The Journal of Bone and Joint Surgery-American Volume

1,339

563

View full text Add to dashboard Cite

“…It is common for patients to have several prosthetic joints, ranging in some studies from approximately 30% to approximately 45% for TKAs [8]. In the setting of multiple joint arthroplasties, the problem of infection may be further magnified, because the morbidity of multiple infected joint replacements can be devastating [1-3, 9, 11].…”

Section: Introductionmentioning

confidence: 99%

A History of Treated Periprosthetic Joint Infection Increases the Risk of Subsequent Different Site Infection

Bedair

Goyal²,

Dietz

et al. 2015

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

Background After the successful treatment of periprosthetic joint infection (PJI), patients may present with degenerative joint disease in another joint with symptoms severe enough to warrant arthroplasty. However, it is not known whether patients with a history of treated PJI at one site will have an increased risk of PJI in the second arthroplasty site.Questions/purposes The primary objective of this study is to determine if there is a difference in the risk of developing a PJI after a second total hip arthroplasty (THA) or total knee arthroplasty (TKA) in patients who have had a previous PJI at another anatomic site compared with patients who have had no history of PJI. The secondary objective is to determine other potential risk factors that may predict PJI at the site of the second arthroplasty. Methods A retrospective matched cohort study was performed to identify all patients at four academic institutions successfully treated for PJI who subsequently underwent a second primary THA or TKA (n = 90), constituting our study group. Patients were matched (one-to-one) to control subjects who had no history of PJI after their first arthroplasty (n = 90); they were matched based on age, sex, diabetic status, BMI, American Society of Anesthesiologists, institution, joint of interest, and year of surgery (± 2 years). We compared the case and control groups to determine whether a prior infection increased the relative risk of a subsequent PJI at another anatomic site. To identify other potential risk factors for subsequent PJI, a subgroup univariate analysis of our study group (n = 90) Each author certifies that he or she, or a member of his or her immediate family, has no funding or commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research 1 editors and board members are on file with the publication and can be viewed on request. Each author certifies that his or her institution approved the human protocol for this investigation, that all investigations were conducted in conformity with ethical principles of research, and that informed consent for participation in the study was obtained.

show abstract

“…Although this study's sampling strategy excluded individuals who had undergone a prior joint replacement surgery in order to achieve a more homogenous sample, future studies of functional outcomes of TKR should consider the implications of such exclusions because surgery on the contralateral knee is common and may confound results of studies examining outcomes. 100 Blinding breaks occurred at the highest rate, even though patients were instructed not to reveal their treatment assignment during interactions with study staff. The unblinded staff member was prevented from further interactions with participants to minimize influence of this occurrence.…”

Section: Feasibilitymentioning

confidence: 99%

Guided Imagery for Total Knee Replacement: A Randomized, Placebo-Controlled Pilot Study

Jacobson

Umberger

Palmieri

et al. 2016

The Journal of Alternative and Complementary Medicine

View full text Add to dashboard Cite

Objectives: To determine the effect of guided imagery (GI) on functional outcomes of total knee replacement (TKR), explore psychological and neuroimmune mediators, and assess feasibility of study implementation. Design: Investigator-blinded, randomized, placebo-controlled pilot study. Settings: Hospital, surgeon's office, participant's home. Participants: 82 persons undergoing TKR. Interventions: Audiorecordings of TKR-specific GI scripts or placebo-control audiorecordings of audiobook segments. Outcome measures: Gait velocity and Western Ontario and McMaster Universities Arthritis Index (WOMAC) Function scale.Results: Outcomes for 58 participants (29 receiving GI and 29 controls) were analyzed at 6 months after surgery. The most frequent reason for noncompletion was protocol-driven exclusion at 6 months for having the contralateral knee replaced before the study endpoint (n = 15). With imaging ability as a moderator, gait velocity, but not WOMAC Function score, was significantly improved at 6 months in the GI group. Participants in the GI group, but not the control group, had lower WOMAC Pain scores at 3 weeks after surgery than at baseline. Hair cortisol concentration was significantly lower at 6 months after surgery than at baseline in the GI group but not the control group. GI group participants had lower treatment adherence but greater treatment credibility than the control group. Conclusion: Randomized controlled trials of GI in the TKR population are feasible, but inclusion/exclusion criteria influence attrition. Further studies are needed to elaborate this study's findings, which suggest that guided imagery improves objective, but not patient-reported, outcomes of TKR. Hair cortisol concentration results suggest that engagement in a time-limited guided imagery intervention may contribute to stress reduction even after the intervention is terminated. Further investigation into optimal content and dosing of GI is needed.

show abstract

The Fate of the Remaining Knee(s) or Hip(s) in Osteoarthritic Patients Undergoing a Primary TKA or THA

Cited by 56 publications

References 16 publications

Prevalence of Total Hip and Knee Replacement in the United States

Prevalence of Total Hip and Knee Replacement in the United States

A History of Treated Periprosthetic Joint Infection Increases the Risk of Subsequent Different Site Infection

Guided Imagery for Total Knee Replacement: A Randomized, Placebo-Controlled Pilot Study

Contact Info

Product

Resources

About