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such as operating theatre traffic, use of light handles, pulsed lavage or number of glove changes may also be related to infection. Post-operative risk factors include transient bacteraemia related to dental procedures or other infections, wound care
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showing sustained increases beyond 2030. 1 , 2 Associated complications will subsequently increase in conjunction with this demand. 2 Persistent wound drainage (PWD) is a post-operative wound complication following TJA. It is reported to occur in between
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, soft tissue compromise, peri-operative fracture, pain and reduced range of motion. 26 , 27 It may also reduce costs. IDPE is a salvage procedure usually considered for early post-operative infections within one month after the index procedure, or
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contrast, imageless systems use a more detailed registration of the bony articulating surfaces and joint kinematics recorded intra-operatively post arthrotomy to create this surgical plan. Image-dependent systems allow sufficient time to pre-operatively
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Kaplan Joint Center, Department of Orthopaedics, Newton-Wellesley Hospital, Newton, Massachusetts, USA
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is the age of patients undergoing TKA. More TKAs are being carried out in younger patients (< 65 years), 12 , 14 who have both higher post-operative activity levels and a longer life expectancy, calling for more stable long-term fixation methods
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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1 . Prior to TKR surgery, the majority of patients experience difficulty kneeling on their osteoarthritic knee, 9 – 11 , 24 and post-operative improvements in kneeling ability are rarely achieved for most patients. 9 These problems with
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Department of Orthopaedic Surgery, St Vincent’s Hospital, Fitzroy, Australia
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Department of Orthopaedic Surgery, St Vincent’s Hospital, Fitzroy, Australia
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-old individuals Model parameter (effectiveness) Utility values Source: published literature and estimations Pre-operative: N/A Post-operative primary: 0.72 QALY (0.00026 to 1) Post-operative primary with normal health: 0.78 QALY (0.00026 to 1) Post-operative
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A long-held principle in total knee arthroplasty (TKA) is that long-term survival and optimal function are dependent on achieving a post-operative leg alignment within 3° of the neutral mechanical axis. To this end, computer navigation and now
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first mobile-bearing unicompartmental knee arthroplasty (UKA), the Oxford Knee (OUKA), was introduced, and in 1988 it was first reported. 8 UKA surgery has gained interest in recent years because it can diminish post-operative pain and has a
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usual care. A cohort treated with pre-operative rehabilitation consisting of progressive strengthening and neuromuscular training had higher functional outcomes and RTS rates compared with the benchmark cohort that also used a criterion-based post-operative
