Partial knee replacement comes out on TOP(KAT)
نویسندگان
چکیده
منابع مشابه
Total or Partial Knee Arthroplasty Trial - TOPKAT: study protocol for a randomised controlled trial
BACKGROUND In the majority of patients with osteoarthritis of the knee the disease originates in the medial compartment. There are two fundamentally different approaches to knee replacement for patients with unicompartmental disease: some surgeons feel that it is always best to replace both the knee compartments with a total knee replacement (TKR); whereas others feel it is best to replace just...
متن کاملCan we recruit to expertise trials? Experience from the total or partial knee arthroplasty trial (TOPKAT)
The difficulties of conducting a randomised controlled trial (RCT) of a surgical intervention have long been recognised. Individual surgeon skill and experience introduce an additional challenge to those of conventional RCTs and as a consequence, surgeons may be reluctant to participate in orthopaedic surgery trials. The use of expertise based randomised trials has been proposed as an alternati...
متن کاملMedial Unicompartmental Osteoarthritis (MUO) of the Knee: Unicompartmental Knee Replacement (UKR) or Total Knee Replacement (TKR)
The aim of this review article is to analyze the clinical effectiveness of total knee replacement (TKR) compared to unicompartmental knee replacement (UKR) in patients with medial unicompartmental osteoarthritis (MUO) in terms of survival rates, revision rates and postoperative complications. The search engine was MedLine. The keywords used were: medial knee osteoarthritis. Three thousand and n...
متن کاملComplete knee replacement surgery
In normal activities such as walking, rnning, kneeling, climbing stairs and gettmg in and out of chairs the loa pu OI.the human knee joint can exceed five times the weight of the body. Nowadays large numbers of people make ! urtrer d mands on the knee in participatmg 1_n sucli sport as football, tennis and long distance runnng. It is no wonder that many people go mto their later years with o...
متن کاملWhat can we learn from experience? Impact of healthcare provider effects in the total or partial knee arthroplasty trial (TOPKAT)
Conducting multi-centre randomised controlled trials (RCTs) of surgical procedures raises specific issues in design, analysis and reporting. Interventions evaluated are usually complex and can be affected by factors such as surgical skill, decision making, preoperative and postoperative care. Variation between participating surgeons may have an important impact on the treatment effect. The effe...
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ژورنال
عنوان ژورنال: Nature Reviews Rheumatology
سال: 2019
ISSN: 1759-4790,1759-4804
DOI: 10.1038/s41584-019-0290-y