Anne LübbekeDivision of Orthopaedic Surgery and Traumatology, Geneva University Hospitals, Switzerland; Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, UK
Why focus on outcome?
The outcome of a treatment is what matters most to the patients, and to improve the patient’s condition is the ultimate goal of clinical care and clinical research.
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To identify the most
complications, longer hospital stays, poorer wound healing and more anaesthetic complications.
Furthermore, obesity is associated with poor short-term outcomes after undergoing THA, with reported complications of increased rates of periprosthetic
The functional outcome of a proximal humeral fracture (PHF) is never that of a completely normal shoulder, however treated. Management of PHF, as for all fractures, combines an assessment of the mechanical and biological factors
A PrkićDepartment of Orthopedic Surgery, Upper Limb Section, Amphia Hospital, Breda, The Netherlands Amsterdam UMC Location University of Amsterdam, Department of Orthopedic Surgery and Sports Medicine, Amsterdam, The Netherlands
B W KooistraDepartment of Orthopedic Surgery, Upper Limb Section, Amphia Hospital, Breda, The Netherlands Department of Orthopedic Surgery, Shoulder and Elbow Unit, OLVG, Amsterdam, The Netherlands Department of Orthopedic Surgery, Medische Kliniek Velsen, Velsen-Noord, The Netherlands
M P J van den BekeromDepartment of Orthopedic Surgery, Medische Kliniek Velsen, Velsen-Noord, The Netherlands Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Amsterdam, The Netherlands
, the literature shows better outcomes when these are performed by experienced surgeons and in high-volume hospitals. This includes several orthopedic procedures and arthroplasties ( 7 , 8 , 9 , 10 , 11 , 12 , 13 ). Besides, in 2011, Sanchez
Nicholas D. ClementDepartment of Orthopaedics, Freeman Hospital, Newcastle, UK Department of Orthopaedics, Royal Infirmary of Edinburgh, Edinburgh, UK South West of London Orthopaedic Elective Centre, Epsom, UK
Robotic-arm-assisted surgery is also associated with reduced intraoperative trauma to the soft tissue envelope when performing the bone cuts compared to manual performed knee arthroplasty.
This has been associated with improved early outcomes, such
Long-term outcomes and survivorship of total hip arthroplasty (THA) are dependent on the accurate restoration of hip biomechanics, which is achieved through optimal component positioning.
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It is evident
Vikki WyldeMusculoskeletal Research Unit, Translational Health Sciences, Bristol Medical School, University of Bristol, UK National Institute for Health Research Bristol Biomedical Research Centre, University Hospitals Bristol NHS Foundation Trust and University of Bristol, UK
Ashley W. BlomMusculoskeletal Research Unit, Translational Health Sciences, Bristol Medical School, University of Bristol, UK 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
The primary reasons that patients elect to undergo total knee replacement (TKR) are to gain improvements in pain and walking ability.
However, patients often have high expectations of the outcome of their TKR and want more
-term implant survivorship and clinical outcomes.
Due to the aforementioned limitations of passive robotic systems, both semi-active and active systems are being increasingly used in TKA.
Semi-active systems allow the surgeon to guide the robotic
Richard N. de SteigerAustralian Orthopaedic Association National Joint Replacement Registry, SAHMRI, Adelaide, Australia School of Public Health, Faculty of Health and Medical Sciences, University of Adelaide, Australia
international quality registries, it was not clear whether the outcomes could be attributed to the Australian population. This was largely due to the range of different prostheses used in Australia not recorded by these registries, differences in methods of
-popularize the anterior approach in the 1980s. With the continued improvement of implants, outcomes and techniques, the muscle damage caused by the lateral and posterolateral approaches to the abductors and external rotators started to cause concern,