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anatomical reduction and internal fixation of fractures. 2 The objective of surgery is to achieve exact reduction to restore joint congruence, to adequately fix internal bone fragments, avoid displacement of the fracture and allow rapid rehabilitation
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advantages in speed of rehabilitation and lesser soft-tissue injury. One major disadvantage quoted was that of a limitation of access to the root foramen by bone overgrowth. This problem is now well addressed as reported in several of the cohort trials, 15
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patients after discharge. Appropriate rehabilitation programmes and orthogeriatric consultations can help to decide whether a patient can return home and continue independent living, or whether he/she will require permanent nursing. Predicting outcome
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iii) Total hip arthroplasty THA ostensibly allows superior post-operative rehabilitation, 6 better hip functional outcome scores 1 , 3 , 14 , 25 and superior quality of life. 39 The National Institute for Health and Care Excellence
Osteoarticular Surgery Research, Hospital La Paz Institute for Health Research – IdiPAZ (La Paz University Hospital – Autonomous University of Madrid), Madrid, Spain
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nerve conduction through the posterior tibial nerve usually predicts failure of conservative treatment. 49 Conservative management includes activity modification, pain relief drugs, physical and rehabilitation medicine, and corticosteroid injections
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et al 19 and Midbari et al 23 did not support this idea. Mitton et al 29 and Kashy et al 30 each reported one case with amputation of a leg followed by significant improvement in quality of life and rehabilitation. Primary
Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China
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thus favoring patients’ postoperative rehabilitation. In recent years, the number of TLIF procedures has significantly increased globally, which may be attributed to the development of TLIF driven by advances in surgical techniques and medical devices
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to make strong statements about prefered management strategies, we would need to perform studies which directly compare interventions; ideally, RCTs would be used. There is also poor consistency in post-operative rehabilitation protocols, and no
National Institute for Health Research Bristol Biomedical Research Centre, University Hospitals Bristol NHS Foundation Trust and University of Bristol, UK
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National Institute for Health Research Bristol Biomedical Research Centre, University Hospitals Bristol NHS Foundation Trust and University of Bristol, UK
North Bristol NHS Trust, Southmead Hospital, Bristol, UK
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the healthcare professionals and few patients receive advice about how to improve their kneeling ability. This highlights a clear unmet need among patients for education and rehabilitation aimed at improving their kneeling ability after TKR. The
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German Arthroplasty Registry (EPRD Deutsche Endoprothesenregister gGmbH), Berlin, Germany
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National joint registries are gaining more and more importance in the fields of implant monitoring/outlier detection and quality of care.
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The German Arthroplasty Registry (EPRD) was established in 2010 for the purpose of observing the impact of primary hip and knee arthroplasty on the German population.
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Having now over one million documentations, we introduce the structure of the EPRD and detail the process of data collection.
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We report on some preliminary trends and contrast these with findings from other joint registries.
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We introduce the overhauled Arthroplasty Library, that resulted from an international collaboration with National Joint Registry of England, Wales and Northern Ireland.
Cite this article: EFORT Open Rev 2019;4 DOI: 10.1302/2058-5241.4.180064
