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Post-traumatic arthritis of the knee is the third most common cause of total knee replacement after primary arthritis and rheumatoid arthritis. The number of operations for post-traumatic conditions has increased only slightly 1 Distal
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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Introduction The primary reasons that patients elect to undergo total knee replacement (TKR) are to gain improvements in pain and walking ability. 1 However, patients often have high expectations of the outcome of their TKR and want more
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There is much debate surrounding the optimum way to achieve a balanced total knee arthroplasty. However, there is no agreed consensus on the definition of a balanced total knee replacement. Babazadeh et al 5 defined a balanced knee as one which has
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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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Introduction The growing burden of knee osteoarthritis presents a significant challenge facing many communities. 1 Total knee replacement (TKR) remains the only definitive treatment option available for advanced arthritis, and this has
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Introduction Total knee replacement (TKR) is a cost-effective surgical procedure. 1 According to the national joint registry, 2 274,495 total knee replacements were performed in England, Wales, Northern Ireland and the Isle of Man in
Instituto Clinico Citta Studi, Milan, Italy
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King Edward VII Hospital, London, UK
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Introduction There is no doubt that total knee replacement has become a successful, reliable and life-changing intervention for many thousands of patients, with established survival figures above 95% over 15 years ( 1 ). More recently, however
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unicompartmental knee replacement (UKR) ( 3 ), according to recent reports, the outcomes of a UKR may not be affected by previous osteotomies around the knee ( 4 , 5 , 6 , 7 , 8 , 9 , 10 ). Performing UKR after HTO could be challenging since several factors
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Introduction Although several surgical approaches to the knee exist, the medial parapatellar approach has been used in 93% of primary total knee replacements (TKRs) performed in England and Wales between 2004 and 2014. 1 This approach
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MSK Lab, Imperial College London, UK
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• Self-directed physiotherapy at home for total knee replacement (if suitable) • Crystalloid rehydration if volume depletion • Aspirin for low-risk, novel oral anticoagulant + mechanical thromboprophylaxis for high-risk patients • Discharge home if < 500
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National Joint Replacement for England, Wales, Northern Ireland, Isle of Man and the States of Guernsey (NJR)
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Introduction Total hip and knee replacement are effective operations for the management of end-stage arthritis. There are increasing numbers of these operations being performed, and the rate of increase is anticipated to continue into the
