BACKGROUND Differences between staged bilateral total knee replacement (TKR) and simultaneous bilateral TKR have been investigated, but few studies have investigated differences in the functional improvements resulting from these methods. Therefore, this study investigates the different functional improvements between staged bilateral total knee TKR and simultaneous bilateral TKR. METHODS Amo...

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...

BACKGROUND Although the outcome of total knee replacement (TKR) is favorable, surgery alone fails to resolve the functional limitations and physical inactivity that existed prior to surgery. Exercise is likely the only intervention capable of improving these persistent limitations, but exercises have to be performed with intensity sufficient to promote significant changes, at levels that cannot...

FACULTY OF ENGINEERING, SCIENCE & MATHEMATICS SCHOOL OF ENGINEERING SCIENCES Doctor of Philosophy ENHANCED PRE-CLINICAL ASSESSMENT OF TOTAL KNEE REPLACEMENT USING COMPUTATIONAL MODELLING WITH EXPERIMENTAL CORROBORATION & PROBABILISTIC APPLICATIONS by Anthony Michael Strickland Demand for Total Knee Replacement (TKR) surgery is high and rising; not just in numbers of procedures, but in the diver...

OBJECTIVES Dabigatran etexilate is a new oral direct thrombin inhibitor for prophylaxis of venous thromboembolism (VTE) in patients who have elective surgery for total hip replacement (THR) or total knee replacement (TKR). Among the advantages of dabigatran etexilate over subcutaneous prophylaxis with Low Molecular Weight Heparin (LMWH) are reduced resource uses for (i) teaching patients to sel...

Using the General Practice Research Database, we examined the temporal changes in the rates of primary total hip (THR) and total knee (TKR) replacement, the age at operation and the female-to-male ratio between 1991 and 2006 in the United Kingdom. We identified 27 113 patients with THR and 23 843 with TKR. The rate of performance of THR and TKR had increased significantly (p < 0.0001 for both) ...

Major orthopedic surgery describes three surgical procedures including total hip replacement (THR), total knee replacement (TKR), and hip fracture surgery (HFS). As a whole, major orthopedic surgery carries a risk for venous thromboembolism (VTE), and therefore, a variety of strategies to prevent VTE are available. Such strategies include pharmacological (antiplatelet, anticoagulant) and mechan...

Major orthopedic surgery describes three surgical procedures including total hip replacement (THR), total knee replacement (TKR), and hip fracture surgery (HFS). As a whole, major orthopedic surgery carries a risk for venous thromboembolism (VTE), and therefore, a variety of strategies to prevent VTE are available. Such strategies include pharmacological (antiplatelet, anticoagulant) and mechan...

Computer assisted orthopaedic surgery (CAOS) was developed to improve the accuracy of surgical procedures, and it has dramatically improved in the last years from an experimental laboratory procedure to a routine procedure theoretically available for every orthopaedic surgeon. Besides robotic application, surgical navigation has been widely developed for joint arthroplasties, mostly for total k...

We have investigated whether the thigh tourniquet used during total knee replacement (TKR) influenced the development of postoperative wound hypoxia and was a cause of delayed wound healing. We allocated randomly 31 patients (31 TKRs) to one of three groups: 1) no tourniquet; 2) tourniquet inflated at low pressure (about 225 mmHg); and 3) tourniquet inflated to high pressure of about 350 mmHg. ...