Bryan believes that another benefit of saving the ACL and PCL for
knee replacement patients is that the ligaments will take some of the strain off the metal and plastic components of the knee replacement and help it to last longer.
In this new study, researchers reviewed the outcomes of 546 total hip and
knee replacement patients with a minimum of 11 months post-operative followup.
«Quad activation is the biggest thing we have got to change to improve recovery and long - term function for
knee replacement patients,» said Dr. Dennis.
In addition, after total
knee replacement patients are in hospital longer and the chance of being readmitted or requiring a re-operation during the first year is higher.
Orthopedic surgeons from the Perelman School of Medicine at the University of Pennsylvania have developed two new prediction tools aimed at identifying total hip and
knee replacement patients who are at - risk of developing serious complications after surgery.
«Obesity associated with longer hospital stays, higher costs in total
knee replacement patients.»
Using neuraxial anesthesia over general anesthesia reduced the risk of pulmonary compromise by twofold in
knee replacement patients and over threefold in hip replacement patients.
Not exact matches
Xarelto and Eliquis are approved to treat
patients with a type of irregular heartbeat called atrial fibrillation that significantly increases stroke risk, as well as to prevent blood clots following hip or
knee replacement, and to treat deep vein thrombosis and pulmonary embolism.
6 Points on
Patient - Specific
Knee Replacement Using Stryker's ShapeMatch Technology Written by Laura Miller August 24, 2011 Source: Beckers Orthopedic...
This new letter to the BMA claims that 1,350 people waiting to have a cataract removed, and 700 elderly
patients needing a hip or
knee replacement will be disrupted by the strike.
There's good news from UMass Medical School for overweight people with painfully arthritic hips and
knees: A new study finds that obese
patients who underwent
knee or hip
replacement surgery reported virtually the same pain relief and improved function as normal - weight joint
replacement patients six months after surgery.
Dr. Goesling and her team analyzed patterns of opioid use in 574
patients undergoing
knee or hip
replacement surgery (arthroplasty).
Of this group, 53 percent of
knee -
replacement patients and 35 percent of hip
replacement patients were still taking opioids at six months after surgery.
For
patients undergoing total hip or
knee replacement, smoking is associated with an increased risk of infectious (septic) complications requiring repeat surgery, reports a study in the February 15 issue of The Journal of Bone & Joint Surgery.
Total
knee and hip
replacements are highly effective operations for
patients with severe pain in these joints, and opioids are the main drugs used for acute pain management after such surgeries.
They add, «A long - term goal includes the development of interventions to aid physicians and
patients with opioid cessation following surgical interventions» such as hip and
knee replacement.
So a team of US researchers, led by Dr Stavros Memtsoudis at Hospital for Special Surgery, Weill Cornell Medical College, and Dr Jashvant Poeran at Mount Sinai School of Medicine, both in New York, set out to determine the effectiveness and safety of tranexamic acid in a large sample of US
patients undergoing total hip or
knee replacement surgery.
A highly underutilized anesthesia technique called neuraxial anesthesia, also known as spinal or epidural anesthesia, improves outcomes in
patients undergoing hip or
knee replacement, according to a new study by researchers at Hospital for Special Surgery.
The researchers looked at how smoking history affected the risk of hospital readmissions among
patients undergoing total joint
replacement — either hip or
knee replacement.
The study included data on 15,264
patients who underwent a total of 17,394 total joint
replacements between 2000 and 2014 — 8,917 hip and 8,477
knee replacements.
There were 2,636
patients who underwent a total
knee replacement and 792 who underwent a total hip
replacement after bariatric surgery.
A simplified frailty index created by surgeons at Wayne State University School of Medicine in Detroit, Mich., is a reliable tool for assessing risk of mortality and serious complications in older
patients considering total hip and
knee replacement procedures, according to new study findings presented at the 2014 Clinical Congress of the American College of Surgeons.
Put another way, morbidly obese
patients who had bariatric surgery were 75 % less likely to have in - hospital complications from a total hip
replacement and 31 % less likely to have in - hospital complications for a total
knee replacement.
A study from Hospital for Special Surgery (HSS) finds that in morbidly obese
patients, bariatric surgery performed prior to a total hip or
knee replacement can reduce in - hospital and 90 - day postoperative complications and improve
patient health, but it does not reduce the risk of needing a revision surgery.
The propensity score was defined as the conditional probability of a
patient undergoing bariatric surgery, given his or her baseline characteristics, including: age, year in which a total hip or total
knee replacement was performed, laterality (unilateral versus bilateral surgery), sex, health care payer, region (rural versus urban), and Elixhauser comorbidities.
«The question is how do we optimize these
patients who have a real problem with their hip or
knee and the comorbid condition of obesity, so that they can achieve maximal benefit from their joint
replacement.»
«I think using our frailty index can kind of enlighten surgeons into recognizing that even if they are doing an elective case, such as total
knee or hip
replacement, sicker
patients who have significant medical histories may have a high risk of wound infections and even mortality,» Dr. Adams said.
«Bariatric surgery impacts joint
replacement outcomes in very obese
patients: Bariatric surgery performed prior to hip or
knee replacement can reduce in - hospital and 90 - day postoperative complications.»
In the second study, doctors Courtney, Lee, and their colleagues, examined a total of 738
patients who underwent total hip and
knee replacement.
Obesity is associated with longer hospital stays and higher costs in total
knee replacement (TKR)
patients, independent of whether or not the
patient has an obesity - related disease or condition (comorbidity), according to a new study published in the Journal of Bone and Joint Surgery (JBJS).
Thus,
patients with even one of these risk factors should not undergo outpatient or overnight total hip and total
knee replacement.
«Under the previous model, nearly one in four
patients undergoing
knee or hip
replacement were preemptively admitted to the ICU,» said Lee.
«We would recommend being selective when indicating
patients for injection, and limiting use of injections to people unlikely to undergo
knee replacement in the near future,» said lead study author Nicholas Bedard, MD, an orthopaedic surgeon at the University of Iowa Hospitals and Clinics.
A new study appearing in the Journal of Bone and Joint Surgery (JBJS) found that these surgeries are generally safe with mortality rates decreasing for total hip (THR) and total
knee (TKR)
replacement and spinal fusion surgeries, and complication rates decreasing for total
knee replacement and spinal fusion in
patients with few or no comorbidities (other conditions or diseases).
Medical director of Arthritis Research UK Professor Alan Silman said: «This is a comprehensive study that provides both
patients and surgeons with valuable information about the risk and benefits of two effective types of
knee replacement operations.
«To put the risks in perspective, if 100
patients had a partial
knee rather than a total
knee replacement there would be one fewer death and three more re-operations in the first four years after surgery.»
His colleague Alex Liddle, an Arthritis Research UK clinical research fellow who ran the study, added: «Partial and total
knee replacements are both successful treatments and a large proportion of
patients with end - stage
knee osteoarthritis are suitable for either.
In this population of shoulder - arthroplasty
patients, obesity was not a risk factor for blood clot - related complications (thromboembolism), as it is for
patients undergoing hip or
knee replacement.
By modeling indirect savings of the individual returning to the work force after surgery, researchers found that the lifetime societal net benefit for
patients undergoing
knee replacement averages between $ 10,000 and $ 30,000.
The authors reviewed data on 2,613
patients who were evaluated for unexplained joint pain after total hip and / or
knee replacement.
These relatively high prevalence estimates also highlight the significant ongoing need to care for all of the
patients with total hip and
knee replacement.
Paired with a mentor who aimed to give him a broad look at the intersection of health services research and medicine, Neiman worked on a paper about total
knee replacement, a project surveying part of the FDA's drug approval process, and another study about shared decision - making between
patients and doctors.
To obtain a broad sample of
patients undergoing non-cardiac inpatient procedures, such as hip or
knee replacements, researchers examined elective, urgent and emergency surgeries as well as procedures performed during the day, at night, on weekdays and on weekends.
Patients who activated more of their quadriceps or «quad» muscles earlier in their therapy showed better rehabilitation progress when it came to their abilities to climb stairs, a telltale sign of recovery after
knee replacement.
«New medication guidelines for rheumatic disease
patients having joint
replacement: Guidelines aim to reduce risk of infection after
knee or hip
replacement.»
Non-biologic DMARDs may be continued throughout the perioperative period in
patients with rheumatoid arthritis, spondyloarthritis, juvenile idiopathic arthritis and lupus undergoing elective hip or
knee replacement.
In the first such collaboration of its kind, an expert panel of rheumatologists and orthopedic surgeons has developed guidelines for the perioperative management of anti-rheumatic medication in
patients undergoing total hip or
knee replacement.
Biologic medications should be withheld as close to one dosing cycle as scheduling permits prior to elective hip or
knee replacement and restarted after evidence of wound healing, typically 14 days, for all
patients with rheumatic diseases.
«When a
patient comes in with a torn ACL or PCL, most orthopedic surgeons recommend surgery to repair the ligament because of its importance to the natural function of the
knee,» said William Bryan, M.D., a Houston Methodist orthopedic surgeon specializing in sports medicine and total joint
replacement.
«Our findings provide the first general population - based evidence that osteoarthritis
patients who have total
knee or total hip
replacement surgery are at increased risk of heart attack in the immediate postoperative period,» concludes Dr. Zhang.