OBJECTIVES This study examined periarticular multimodal drug injection and the use of nonsteroidal anti-inflammatory drugs for an early analgesic effect after total knee arthroplasty and total hip arthroplasty. Patient satisfaction and benefits from the treatment were also assessed. METHODS A total of 110 patients who were scheduled to undergo total knee arthroplasty and 86 patients who were ...

BACKGROUND There are few data on the associations between anaemia, allogeneic blood transfusion (ABT), patient blood management, and outcome after arthroplasty in the UK. National agencies nevertheless instruct NHS Trusts to implement blood conservation measures including preoperative anaemia management. Internationally, blood management programmes show encouraging results. METHODS We retrosp...

OBJECTIVE To examine whether total joint arthroplasty of the hip and knee reduces the risk for serious cardiovascular events in patients with moderate-severe osteoarthritis. DESIGN Propensity score matched landmark analysis. SETTING Ontario, Canada. PARTICIPANTS 2200 adults with hip or knee osteoarthritis aged 55 or more at recruitment (1996-98) and followed prospectively until death or 2...

BACKGROUND Knee and hip arthroplasty constitutes a large percentage of hospital elective surgical procedures. The Blaylock Risk Assessment Screening Score (BRASS) was designed to identify patients in need of discharge planning. The purpose of this study was to evaluate whether the BRASS was associated with length of stay (LOS) in hospital following elective arthroplasty. METHODS We retrospect...

OBJECTIVES To determine and compare the aetiological background, clinical patterns and radiological features of idiopathic osteoarthritis (OA) of the hip and the knee warranting arthroplasty. METHODS A total of 402 Caucasians consecutively undergoing total hip replacement (THR) or total knee replacement (TKR) for idiopathic OA at a major centre was surveyed. RESULTS Previous joint injury wa...

objective : the aim of this study was to validate the well-recognized outcome measure instruments (medical outcome study short form-sf-36, western ontario and mcmaster university osteoarthritis index-womac, mcmaster toronto arthritis patient preference disability questionnaire -mactar) for patients who had undergone total knee arthroplasty in iran, with its cultural and ethnic differences and c...

OBJECTIVE To predict the 2-year course of activity limitations in patients with early knee and/or hip osteoarthritis (OA). METHODS The Cohort Hip & Cohort Knee (CHECK) study is a prospective followup study. The CHECK cohort, comprising participants (n = 1,002) with early OA-related knee and/or hip symptoms, was followed for 2 years. Participants completed questionnaires and underwent physical...

Adequate control of postoperative pain following hip and knee arthroplasty can be a challenging task1,2. Previous studies have shown that over 50% of patients undergoing surgery report postoperative pain as a major concern3. Consequences of uncontrolled pain can lead to myocardial ischemia and infarctions, pulmonary infections, paralytic ileus, urinary retention, thromboembolisms, impaired immu...

The use of alternative bearing surfaces for total hip arthroplasty has become popular to minimize wear and increase longevity, especially in young patients. Oxidized zirconium (Oxinium; Smith & Nephew, Memphis, Tennessee) femoral heads were introduced in the past decade for use in total hip arthroplasty. The advantages of oxidized zirconium include less risk of fracture compared with traditiona...

Use of an interdisciplinary case management team approach in the treatment of patients with hip or knee arthroplasty has resulted in a decrease in length of stay and achievement of functional outcomes at the authors' center. Case management was used to standardize patient care and to measure each patient's progress toward independence against established criteria of treatment outcomes. Outcomes...