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Introduction Primary total joint arthroplasty (TJA), including total hip arthroplasty (THA) and total knee arthroplasty (TKA), are highly successful, reproducible surgical procedures. The demand for TJA is increasing globally, with projections
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been shown to incur some of the highest costs of care as reflected by reimbursements during the 90-day global period ( 2 ). With projected annual rates of total hip arthroplasty (THA) and total knee arthroplasty (TKA) expected to increase exponentially
Newcastle University, Newcastle upon Tyne, UK
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been associated with a range of adverse post-operative outcomes ( 3 ), and there is a high incidence of deficiency reported in patients undergoing total hip (THR) or knee (TKR) arthroplasty ( 4 ). Previous systematic reviews ( 4 , 5 , 6 , 7 ) have
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outpatient TKA than inpatient TKA, including component failure, surgical site infection, knee stiffness and deep vein thrombosis. 14 According to Gogineni et al, outpatient total hip arthroplasty (THA) and TKA in a well-selected patient is feasible in
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expected. 2 Differing causations hase been reported for TJA failure and revision. 3 , 4 According to recent data, peri-prosthetic joint infection (PJI) incidence constitutes between approximately 0.3% and 1.7% of all total hip arthroplasties (THA
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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found to be associated with an almost three-fold risk of moderate to severe chronic pain after surgery compared with other surgical procedures. 6 Within orthopaedics, the prevalence of chronic pain after TKA is much higher than after total hip
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Hôpital Charles Nicolle, CHU de Rouen, Rouen, France
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review on the outcomes of total hip arthroplasty and TKA, and found higher risks of complications and mortality in older patients. In 2016, Kuperman et al 17 published a meta-analysis of comparative studies performed over the two preceding decades and
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use following lower limb surgery. Two systematic reviews found that the current smartphone apps available for TKA and total hip replacement (THA) have significant variability in their quality and overall poor readability for patients ( 14 , 15
Princess Grace Hospital, London, UK
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Princess Grace Hospital, London, UK
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Princess Grace Hospital, London, UK
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for total hip arthroplasty. 3 Despite advances in implant design, implant material, enhanced recovery programmes, thromboembolic prophylaxis, antibiotic prophylaxis, patient-specific implants, and computer navigation, recent studies have shown
National Institute for Health Research Bristol Biomedical Research Centre, University Hospitals Bristol NHS Foundation Trust and University of Bristol, UK
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, the NIHR or the Department of Health and Social Care. References 1. Tilbury C Haanstra TM Leichtenberg CS et al. Unfulfilled expectations after total hip and knee arthroplasty surgery: there is a need for