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
James R. Berstock, James R. Murray, Michael R. Whitehouse, Ashley W. Blom, and Andrew D. Beswick
Lucy C. Walker, Nick D. Clement, Kanishka M. Ghosh, and David J. Deehan
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
Francesco Benazzo, Stefano M.P. Rossi, Alberto Combi, Sanjay Meena, and Matteo Ghiara
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
Vikki Wylde, Neil Artz, Nick Howells, and Ashley W. Blom
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
Cheuk Yin Li, Kenneth Jordan Ng Cheong Chung, Omar M. E. Ali, Nicholas D. H. Chung, and Cheuk Heng Li
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
Jason Trieu, Chris Schilling, Michelle M. Dowsey, and Peter F. Choong
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
Claudio Legnani, Andrea Parente, Franco Parente, and Alberto Ventura
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
Stefan Lazic, Oliver Boughton, Catherine F. Kellett, Deiary F. Kader, Loïc Villet, and Charles Rivière
• 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
David Barrett and Angela Brivio
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
Daniel J. McCormack, Darren Puttock, and Steven P. Godsiff
towards less invasive surgery with uni-compartmental knee replacement (UKR) and high tibial osteotomy (HTO) gaining increasing popularity. Recent research has looked into potential benefits of these options over total knee arthroplasty. Knee surgeons