BACKGROUND Total hip or knee arthroplasty is an elective procedure that is usually accompanied by substantial blood loss, which may lead to acute anemia. As a result, almost half of total joint arthroplasty patients receive allogeneic blood transfusions (ABT). Many studies have shown that post-operative auto-transfusion (PAT) significantly reduces the need for ABT, but other studies have questi...

BACKGROUND In the U.S. and abroad, the use of patient-reported outcome measures to evaluate the impact of total joint replacement surgery on patient quality of life is increasingly common. Analyses of patient-reported outcomes have documented substantial pain relief and functional gain among the vast majority of patients managed with total joint replacement. In addition, postoperative patient-r...

Patients undergoing total hip and knee arthroplasty experience substantial and sustained postoperative pain. Inadequate analgesia may impede physical therapy and rehabilitative efforts and delay hospital dismissal. Traditionally, postoperative analgesia after total joint replacement was provided by either intravenous patient-controlled analgesia or epidural analgesia. Each, however, had disadva...

Objective: Few studies have described the complications leading to transfemoral amputation after total knee arthroplasty. The aim of this study was to demonstrate which long term prosthesis-related complications can lead to the loss of a limb after knee joint replacement and to provide clinical guidance regarding the situations that generate an increased likelihood of a patient requiring above ...

BACKGROUND Total joint replacement (TJR) of the hip or knee for osteoarthritis is among the most common elective surgical procedures. There is some inequity in provision of TJR. How decisions are made about who will have surgery may contribute to disparities in provision. The model of shared decision-making between patients and clinicians is advocated as an ideal by national bodies and guidelin...

BACKGROUND Several organizations seek to address the growing burden of arthritis in developing countries by providing total joint replacements (TJR) to patients with advanced arthritis who otherwise would not have access to these procedures. Because these mission trips operate in resource poor environments, some of the features typically associated with high quality care may be difficult to imp...

Objective: The purpose of this research is to assess and determine the frequency Anterior Knee Pain after Total Arthroplasty. Study Design: Cross sectional study. Place Duration:This study was conducted at Department Orthopedic s, Khyber Teaching Hospital, KTH Peshawar in period eight months from june 2020 january 2022. Introduction: (AKP) one most commonest causes persistent problems knee repl...

Total joint arthroplasty (TJA) is the ultimate treatment for degenerative joint disease. It restores function in the majority of patients and improves quality of life. It is projected that by the year 2030 the total number of primary total knee arthroplasty (TKA) procedures in the United States will reach 3.48 million per year, a 673% increase in comparison with the number of procedures in 2005...