The aim of this study was to determine the prevalence of deep venous thrombosis (DVT) following lower limb arthroplasty and to assess whether this adversely affected satisfaction, relief from pain, or the level of mobility as perceived by patients. Six hundred and ten consecutive recipients of primary total hip replacement (THR) or total knee replacement (TKR) underwent routine post-operative v...

OBJECTIVE To investigate patients' experiences of outcome from a total knee replacement (TKR). METHODS In-depth interviews were conducted with 25 patients 3 months before TKR, with 10 interviewed again 6 months after surgery. Patients were purposively sampled to include a range of demographic characteristics. Interviews were audiotaped and transcribed. Methods of constant comparison were used...

INTRODUCTION There is limited literature regarding the peri-operative and surgical management of patients with rheumatoid disease undergoing lower limb arthroplasty. This review article summarises factors involved in the peri-operative management of major lower limb arthroplasty surgery for patients with rheumatoid arthritis. METHODS We performed a search of the medical literature, using the ...

Abstract Aim Vivostat PRF is an autologous platelet-rich fibrin spray that prepared in theatre from the patient’s own blood and has shown its use as a biological sealant intra-operatively reduces transfusion rates decreases haemarthrosis after total knee replacement (TKR). We undertook retrospective time-based comparative cohort study examining relevant patient outcomes, comparing patients unde...

Abstract Aim A pooled waiting list model is where patients are treated in turn by the first available surgeon and works to use existing resources more efficiently better match demand. compare quantitative data of on named-consultant’ determine superiority either based favourable outcomes. Method This single centre, retrospective study compared outcomes primary elective hip knee arthroplasty for...

OBJECTIVE The objective of this health technology policy analysis was to determine, where, how, and when physiotherapy services are best delivered to optimize functional outcomes for patients after they undergo primary (first-time) total hip replacement or total knee replacement, and to determine the Ontario-specific economic impact of the best delivery strategy. The objectives of the systemati...

Some solutions, as the administration of antifibrinolytic drugs (tranexamic acid), have been proposed to reduce the bleeding on a TKR surgery and to decrease the number of transfusions. Hyperfibrinolysis is considered being the major cause of postoperative bleeding after TKA surgery [10-14], the fibrinolytic system is activated in the first hours after surgery increasing the postoperative bleed...

INTRODUCTION There are conflicting data on the natural history and clinical significance of bone marrow lesions (BMLs). The aims of this study were to describe the natural history of MRI-detected BMLs at the knee using a quantitative measure and examine the association of BMLs with pain, function and stiffness scores, and total knee replacement (TKR) surgery. METHODS A total of 395 older male...

Total knee replacement (TKR) is one of the most painful orthopedic surgical procedures. This study was aimed to investigate the effect of a single-shot preoperative 3-in-1 femoral nerve block on postoperative pain by using 0.375% ropivacaine, and on the consumption of morphine by using PCA following the TKR surgery. Side effects were also evaluated in this setting. 34 patients were included in ...

BACKGROUND: Hypotensive epidural anaesthesia (HEA) combines a high epidural anaesthesia, performing a sympathetic blockade, with low-dose iv-infusion of epinephrine to stabilize circulation in the conscious patient. Mean artery blood pressure is reduced to 45-50 mmHg and hereby a reduced blood loss. In this study we have combined HEA with preoperative acute normovolaemic hemodilution (ANH) in a...