Do modern total knee replacements offer better value for money? A health economic analysis

Predictions in Total Knee Replacements

Damage patterns on the articular surface of the proximal tibia, including cartilage degen23 eration in osteoarthritic knees and damage of polyethylene knee prostheses after total knee replacement, provide information related to knee joint biomechanics and damage 25 mechanisms at the articular surface. This study reports articular damage patterns and knee kinematics assessed in the knees of olde...

Achieving Better Value for Money in Health Care

Total Knee Replacement Sizing: Shoe Size Is a Better Predictor for Implant Size than Body Height

Background: Various sizes of implants need to be available during surgery. The purpose of this paper is to comparebody height and shoe size with implant sizes in patients who underwent total knee replacement surgery to see whichbiomarker is a better predictor for preoperative planning to determine implant size.Methods: A total of 100 knees, belonging to 50 females and 50 males, were observed. P...

Reducing variation in total knee replacements.

1 Reducing variation in total knee replacements A new study in the journal Health Affairs of total knee replacement (TKR) confirms that wide variations in care exist among hospitals based on factors such as geographic location. The High Value Healthcare Collaborative found significant variations in TKR among the 5 participating health care systems. Among these were length of stay (LOS), where p...

The management of infected total knee replacements.

A review of patients with an infected resurfacing prosthesis is presented. Eight patients with a loose infected prosthesis were treated by a one-stage exchange arthroplasty; six others with a well-fixed infected prosthesis were treated by drainage and antibiotics. All eight treated by exchange arthroplasty remained free of infection as did five of those treated by drainage. In four of these las...