Knee

Second opinion in lower limb total joint arthroplasty: do surgeons agree on surgical management? – Sascha Karunaratne et al.

2024-08-02T11:59:45+10:00Hip, Knee, Musculoskeletal, Osteoarthritis, Publications, Shared decision making, Surgery, Treatment|

Lower limb total joint arthroplasty (TJA) is usually offered to patients to alleviate symptoms of their hip or knee osteoarthritis when conservative management fails. In other orthopaedic conditions, second opinions have been found to result in up to half of the patients initially recommended for [...]

The achievement of pre-operative expectations in patients undergoing knee arthroplasty: a cohort study evaluating unique patient goals – Sascha Karunaratne et al.

2024-07-31T16:54:20+10:00Knee, Musculoskeletal, Osteoarthritis, Pain, PROMS, Publications, Surgery|

Total knee arthroplasty (TKA) is a common procedure employed to treat end-stage osteoarthritis. While TKA is generally believed to have acceptable outcomes, many patients report pain or functional deficits not in line with their expectation following the procedure. It has been postulated that patient’s pre-operative [...]

How is postoperative pain after hip and knee replacement managed? An analysis of two large hospitals in Australia – Giovanni E Ferreira et al.

2024-07-31T16:47:32+10:00Knee, Musculoskeletal, Opioids, Pain, Prescribing, Publications, Surgery|

Multimodal analgesia regimens are recommended for the postoperative period after hip and knee replacement surgeries. However, there are no data on practice patterns for analgesic use in the immediate postoperative period after hip and knee replacements in Australia. The objective of this study is to [...]

How Does the New Australian EQ-5D-5L Value Set Impact Utility Scores? Analysis of Data from the Australian Orthopaedic Association National Joint Replacement Registry – Ilana N Ackerman et al.

2024-07-31T16:42:35+10:00Hip, Knee, Musculoskeletal, Publications, Shoulder, Surgery|

With advances in health state valuation methods, new value sets may be developed for some countries. Quantifying the impact of moving between existing and new value sets is critical for guiding decisions around utility score interpretation, reporting and comparison with published scores. The aim of [...]

Barriers and enablers to the implementation and sustainability of short-stay arthroplasty programs for elective primary total hip and knee replacement: A systematic review with qualitative evidence synthesis – Danielle Berkovic et al.

2024-07-31T16:35:47+10:00Hip, Knee, Musculoskeletal, Publications, Surgery|

We aimed to systematically review contemporary evidence on the barriers and enablers to implementing and sustaining short-stay arthroplasty programs for elective primary total hip and knee replacement from the perspectives of patients, health professionals, carers, healthcare administrators, funders and policymakers and to map the findings [...]

Editorial: Aspirin for thromboembolic prophylaxis – Ian A Harris et al.

2024-07-31T16:26:20+10:00Hip, Knee, Musculoskeletal, Prescribing, Publications, Surgery|

The CRISTAL trial (a cluster randomized, crossover, non-inferiority trial of aspirin compared to low molecular weight heparin for venous thromboembolism prophylaxis in hip or knee arthroplasty, a registry nested study) was designed to investigate the efficacy and safety of aspirin compared with enoxaparin for the [...]

Development of a patient decision aid for children and adolescents following anterior cruciate ligament rupture: an international mixed-methods study – Andrew R Gamble et al.

2024-06-04T12:31:31+10:00Clinical guidelines, Decision aids, Health literacy, Knee, Musculoskeletal, Publications, Shared decision making, Surgery, Treatment|

Our aim was to develop and user-test a patient decision aid for children and adolescents following ACL rupture to be used with parents and health professionals that presents evidence-based information on treatment options. Patient decision aids are resources that present balanced information on the benefits [...]

Aspirin as Venous Thromboembolism Prophylaxis in Arthroplasty Patients: An Analysis of Clinical Practice Guidelines Recommendations – Kimberley K. Lun et al.

2024-06-04T12:16:58+10:00Cardiovascular disease, Clinical guidelines, Hip, Knee, Musculoskeletal, Publications, Surgery|

Venous thromboembolism (VTE) is a recognized postoperative complication of hip or knee arthroplasty and incurs major morbidity and mortality. While anticoagulants are the mainstay of chemoprophylaxis, aspirin has recently emerged as a popular prophylactic agent. However, there is a lack of high-quality evidence comparing aspirin [...]

Hip-specific and generic patient-reported outcome measure scores after primary hip replacement are associated with early revision surgery: a national registry study – Ilana N. Ackerman et al.

2024-04-12T11:50:43+10:00Hip, Knee, Musculoskeletal, Pain, PROMS, Publications, Risk|

The ability to efficiently identify patients at higher risk of poor outcomes after joint replacement would enable limited resources for post-operative follow-up to be directed to those with the greatest clinical need. This is particularly important as joint replacement rates continue to grow internationally, stretching [...]

Establishing a hierarchy of total knee arthroplasty patients’ goals and its congruity to health professionals’ perceptions: a cohort study – Sascha Karunaratne et al.

2024-04-07T16:49:13+10:00Knee, Musculoskeletal, Osteoarthritis, Pain, Publications, Risk, Shared decision making, Surgery, Treatment|

This study established a hierarchy of the goals most important to patients, identifying key goals as improving mobility, reducing pain, and improving daily tasks. Health professionals involved in the recommendation of knee arthroplasty were generally found to be able to identify what patients wanted to [...]

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